Manager Customer Service

Marsha Nandi

** ****** **** ***** ** *****.

Tel. 832-***-****

e-mail: ******@*****.***

PROFESSIONAL PROFILE

I am an administrative manager with over 10 years of solid professional experience in managing billing and collection activities, monitoring practice finances and managing employees. I have proven to be a highly flexible and adaptable performer, with the ability to multi-task and maintain a high level of accuracy in work product. I am an exceptionally motivated self-starter and creative problem solver who works hard and loves a challenge.

SKILLS

• Profound ability to coordinate, manage and direct the technical and professional personnel.

• Strong ability to deal with the problems, identify the problems and implementation of the resolution.

• Good knowledge and ability of performance, supervision and training.

• Experience of more than 10 years in the field of billing and collection

• Profound knowledge of billing, medical terminology, Medicaid, Medicare.

• Profound ability to demonstrate and presentation with the good interpersonal skills and organizational skills.

• Excellent verbal and written communication skills.

• In-depth knowledge of coding techniques and guidelines of medical coding.

• Proficient in MS Office suite

• Excellent customer service skills

PROFESSIONAL EXPERIENCE

Admin Manager-Houston Cancer Institute. Houston, TX 02/07 – present

• Monitor case appeals, adjustments, account documentation, accounts receivables, payables, follow-up and maintenance of account files

• Responsible for the processing accounts, managing the records information, billing etc.

• Responsible for communicating with the insurance companies for the payment of the claims.

• Answer the patient's queries, problem and complaints and also identify the solutions.

• Screen and approve the accounts to be processed to the agencies.

• Manages the pending accounts for billing.

• Prepare and distribute the customer's invoice and bills.

• Responsible for the analyzing, researching and resolving customer issue.

• Conduct the research and reconciliation on transaction.

• Manages the reconciliation of accounts receivable on daily basis.

• Responsible for the interview, hire and train the medical billing clerk.

• Prepare records of the investigations, reports of the registration.

• Maintain the customer accounts, patient's information also developed the forms and manuals.

• Responsible for the maintenance of customer bills and special reports.

• Maintain the patient's information, reports, income reports and statistics with balancing the daily schedule.

• Assist, conduct and develop various professional reports of research and study of operations.

Admin Manager Houston Provider Management Services Inc., Houston, TX. 6/04 – 02/07

• Provided administrative support as needed; Monitoring patient case appeals, adjustments, account documentation.

• Was responsible for all aspects of account collections including monitoring, follow-up, maintenance of assigned account files

• Credentialing

• Trained employees in billing and collection procedures

Office Manager Horizon Health, Houston, TX. 9/00 – 06/2004

• Monitored patient case appeals, adjustments, account documentation.

• Responsible for billing and collection on all medical accounts.

• New case or patient intake, and conduct case follow ups and track case status while keeping case files current on patient progress or issues

• Communicated with physicians and medical support staff to determine the need for patient services

• Managed employees, distributing case assignments

Claims Specialist Antioch Pain and Wellness 05/05– 09/2011

• Transcribing medical dictation from micro cassettes onto patient chart notes

• Review medical documentation and consult with healthcare providers when documentation is inadequate/unclear for coding purposes.

• Maintain and order medical supplies.

• Responsible for the coding for the outpatient for the medical center.

• Responsible for handling different types of medical claims which includes surgery, physical therapy, ER, diagnostic tests, etc.

• Utilized HCPCS level III, ICD-9 and-3 for the coding.

• Maintain the 97 percent of accuracy and productive quality.

• Review the charts for admit and discharge date.

EDUCATION

University of Houston 2006-2011

Bachelor of Science Public Health

Cum Laude

Contact this candidate