Recent graduate with Bachelor of Healthcare Services Administration as well as solid practical industry experience eager to contribute talents toward supporting objectives of a progressive organization committed to delivering quality healthcare services

 

 

Ø  Over 10 years of experience providing exceptional service in Healthcare Administration

Ø  Strong attention to detail and analytical skills; extensive experience analyzing, monitoring, maintaining and reporting health data

Ø  Maintain a calm demeanor in fast-paced, high-stress environments; able to work effectively in a variety of health care settings

Ø  HIM qualifications include: Coding Dx and Px, ICM-9-CM/CPT/billing, quality assurance, case management, transcription, calculating DRG s and numerous other medical record responsibilities; proficient in 3M coding and reimbursement systems

Ø  Highly responsible with the proven ability to work independently or as part of a team

Ø  Proficient in MS Windows 2000xp, Excel, PowerPoint, Access and Word Processing

 

 

BAKER COLLEGE OF FLINT, Flint, MI                                                                                                   

Bachelor of Healthcare Services Administration, June 2010

Associate Degree C Applied Science / Health Information Management, June 1997

  HIT Completed: Eligible for Certification

 

 

MCLAREN REGIONAL MEDICAL CENTER, Flint, MI                                                         2000 C Present

Patient Accounts C Verification and Authorization Department

  Ensure receipt of payments by verifying all types of insurance to confirm proper billing for reimbursement

  Confirm all procedures are covered under patient s insurance plan (including Medicaid accounts) and obtain authorization or referral for special services as well as outpatient and radiology procedures

  Effectively manage data collection, analysis, inpatient/outpatient account verification, case management referral for inpatient stay and billing account set-up

  Accurately and efficiently select to the correct codes in EncoderPro.com and confidently utilize knowledge of ICD-M9 as well as CPT code assignments for outpatient procedures / surgeries

  Tactfully provide financial guidance to patients and oversee collections for Point of Service ER and outpatient services

  Successfully resolve outstanding claim issues with accounts by completing new insurance updates in the system and resubmitting claims for reimbursement

  Interact with patients of all ages, levels of development and ethnic backgrounds while obtaining auto-accident information in order to bill the proper insurer; sensitively obtain trauma information for MVA, injuries and liability

  Increase efficient access to information by setting-up Excel and Access databases for commercial websites to determine eligibility, process claims and obtain authorizations

 

CATALYST HEALTHCARE TEMP SERVICE, Flint, MI                                                            1999 C 2000

Patient Accounts C Cashier Dept/Verifications Dept: McLaren Regional Medical Center, 1999 C 2000

  Collected payments from patients for services rendered and posted checklist payments to hospital system; reviewed reports for accuracy

Review Specialist: RYBAR Consulting, 1999     

  Ensured reimbursement by confirming clinical data, verifying diagnosis / procedure codes for proper billing of inpatient and outpatient accounts and submitting information to insurance companies

  Accurately managed data collection, analysis and report generation

Quality Assurance: Health Plus, 1999

  Played an integral role in end of year audit by conducting follow-up studies for optometry office

  Contacted patients over the phone to determine whether or not they received follow-up care for services rendered in previous year; obtained patient reasons for not following-up

 

GENESYS HEALTHCARE CORPORATION, Flint, MI                                                             1998 C 1999

Review Specialist        

  Correctly coded inpatient and outpatient referrals for diagnosis and procedures in the medical system and medical application programs

  Efficiently performed additional administrative duties, including faxing reports to specialists, answering phones, filing, data collection, analysis and report generation

 

 

MCLAREN URGENT CARE (200 hours)                                                                                           1997

  Developed a thorough understanding of chart organization, record assembly, coding Dx and Px, IDC-9-CM/CPT/billing for inpatient and outpatient records

  Gained experience in 3M coding and reimbursement systems; calculated DRG s

  Successfully completed utilization reviews and quality assurance as well as data collection, analysis and report generation

 

HURLEY MEDICAL CENTER (180 hours)                                                                                         1996

  Capitalized on opportunity to gain hands-on experience in diverse healthcare administrative functions focused on medical records department support, including processing birth certificates as well as producing quality correspondence