Billing, Claims, Reimbursement, data entry
Resume:
RHONDA A AGAN
*************@*****.***
Texas Department of Agriculture, Austin, Texas
Community Operations Technical Assistant; Aug 22, 2011 - Nov 30, 2011
Serve as a subject matter expert and provide extensive, complex technical assistance.
Provide guidance to sponsor/provider regarding compliance performance.
Assist contractors in properly completing and submitting applications, contracts and agreements.
Make training recommendations to contractors and/or require training for deficiencies, as appropriate.
Assist with on-site compliance reviews as needed.
Utilize program expertise to carry out special assignments and projects to include representing assigned area at planning sessions, Committees, workgroups, meetings and conferences to address significant issues.
Austin Travis County Integral Care, Austin, Texas
Managed Care, Database Administrator; Mar 08, 2008 - Dec 10, 2010
Created tracking method for internal/external provider’s contracts. Contact person for contractor problems and solutions. Monitor monthly contract dollars.
Set up and maintain internal database to meet contractual needs for Health Plan Contracts. EDI implementation and planning.
Coordinate changes to database, develop data model describing data elements, test and implement security measures. Verify data integrity on an ongoing basis.
Knowledge of public health, health assessment tools, program planning, reporting and evaluation. Knowledge HIPAA
Policies/Procedures. First contact for end users, training classes, Manuals, monitor user entry.
Austin Travis County Integral Care, Austin, Texas
Reimbursement Payment Specialist and User Training; Nov 11, 1989 - Mar 08, 2008
Strong Billing and Collections experience, third party payments, review of payers, remittance advice or EOB's for contractual obligations and client balances.
Extensive experience in collections, account research, reconciliation, reporting and auditing.
Implemented EDI claiming in regards to MCDR claiming. Responsibilities included daily, weekly and monthly account reconciliation.
Responsible for intensive data review, transactional auditing and knowledge of payer reimbursement methodologies.
Extensive knowledge of EOM process, worked along side the Business Office to achieve reconciliation between payments and Bank deposits. Data reporting to investigate potential efficiencies and customer service skills.
Strong computer skills including Excel and MS Word and strong data entry skills required. Ability to prioritize projects, multi-task, very organized and great tem player.
Read analyze, and interpret guidelines, professional journals, technical procedures or governmental regulations.
Experience in computer applications, customer service, data entry, Managed Care and Insurance billing.
ATCIC, Austin, Texas
MIS: Trainer and Software Implementation Specialist; Jan 01, 1997 - Jan 01, 1999
Test and implement all aspects of new promotions pertaining to every day user staff data entry.
Tested and implemented incoming promotions
Problem resolution: On-going communication with software vendor, submitting ASR requirements as needed.
First point of contact for technical assistance and user problem resolution.
Design, develop training curriculum. visually demonstrate entry manuals, multimedia visual aids, Power Point
presentations
Maintain staff security levels, created User Manuals, NEO classroom training, reference material.
Computer Skills
●Apple or Macintosh Computers
●Data Entry Terminal (PDT, Mainframe Terminal, etc)
●Email Software (Outlook, Thunderbird, etc)
●Internet Browser (Internet Explorer, Fire fox, etc)
●Peripheral Devices (Scanners, Printers, etc) ●Personal Computers
●Presentation Software (PowerPoint, Flash, etc)
●Spreadsheet Software (Calc, Excel, etc)
●Word Processing Software (Word, WordPerfect,
etc)
Additional Computer Skills Microsoft Office Suite's, Excel, Outlook and Office Manager, EDI claiming & billing, 10 key by touch, Applications tester, User trainer. User Manual writing skills.
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