Project Manager Training
Resume:
Sonya Tyus
**** ******** *****-********* **. ****6
Experience Summary
Revenue cycle professional with fifteen plus years experience working in the healthcare receivables industry. My experience includes working with various settings of healthcare providers: acute Care, Critical Access, Long Term Care and Home Health Facilities.
Work History
Healthcare Management Service/Sentry HealthCare: 2007-2012
Medicare Specialist
• Day to day experience with Medicare Direct Data Entry System
• Responsible for coordinating credentialing process with MAC’s for client projects
• Provided HMS system training to Sentry and client employees
• Working with clients accounts expediting payment through the Medicare system including correcting and rebilling claims
• Troubleshoot Medicare system upgrades with EDI department with Ivan’s software
Perot Systems 2004 – 2007
Project Manager, Revenue Cycle Solutions
• Performed client Medicare/Medicaid training classes on site
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• Provided training to Perot employees on Medicare DDE system
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• Direct electronic and hardcopy billing responsibility for Medicare, Medicaid, Blue Cross and Commercial payors
Ingram and Associates 2001 – 2004
Team Lead
• Performed new employee training on Medicare billing and DDE system
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• Team leader for 1-6 employees for Medicare Department
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• Responsible for primary and secondary claims billing for client projects
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• Onsite liaison for Ingram and Associates at client assigned projects
Gambro Health Care 2000- 2001
Patient Account Representative
• Responsible for accuracy of coding submitted with company claims
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• Reviewed and verified accuracy of facility and physician contracts with each third party payor
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• Trained new staff on company policies
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• Responsible for billing, follow up, appeals and final resolution of company third party claims
NCO 1999 - 2000
Patient Account Representative
Analyzed and verified payments received were within terms of the specific contracts
Verified account workflow was accurate for each Patient Account Rep
Provided instruction to company co-worker on Medicare, Medicaid, and TennCare billing policies and procedures
Access Med Plus 1992- 1999
Claims Processor Supervisor
• Responsible for supervising 12 department employees
• Developed policy and procedure manual for the department
• Audited accounts for accurate documentation prior to submitting payment to providers
• Education
• Branell College-Associate Degree-Accounting 1993
• Other Education
• Perot Medicare University-Advanced Training Certification
• CMS-Medicare Training Workshops-2004, 2005
• Patient Accounting Certification with HNS System iSeries400
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