accomplished senior administrative professional with more than 20 years experience in hospital, clinic, and medical environments. possess excellent medical coding, medical billing, and patient relations skills. expert at streamlining account collection processes, performing financial audits, and managing inventory to ensure optimal quality control initiatives. has additional training with medicare certified intake, sarbanes-oxley (sox), and hipaa. earned a national outpatient medicare certificate.
maximized collections of past-due accounts by 105% for the houston hospital for specialized surgery.
increased houston hospital for specialized surgery revenue by marketing insurance referrals to clinic.
awarded a certificate of achievement, certificate of completion administrative, and certificate of appreciation throughout career.
title, houston hospital for specialized surgery/healthsouth corp., houston, tx 2000-present
streamline billing processes by verifying insurance coverage for the entire hospital, collecting deductibles, percentage, and pre-payments, and correcting billing errors on 1500/ub92 claims.
quote health plans to members/doctor s offices and educate patients on their benefit coverage.
consult with patients prior to surgeries to answer questions regarding operational procedures.
calculate overages and prepare refunds and negotiate claim reimbursements with insurers.
resolve accounts receivable issues by contacting patients to set up payment plans for both current and past due accounts and reviewing medical accounts placed for collection; manage daily bank deposits.
assist patients with claim processing for all insurance plan types.
process appeals on first and second letters for all claims, commercial to worker compensation cases.
administer patient files by processing and recording credit card disputes, unapplied cash, overpayments, chargeback s, check research, closed credit terminal, and daily journal entries.
collaborate with anesthesia physicians, nurses, and physical and occupational therapists to facilitate optimal patient care and schedule patient appointments.
update medical records by maintaining updated accounting information, correspondence, purging old accounts on disc, and tracking in patient stats.
conduct financial audits and manage inventory to ensure quality control goals are met.
lead training sessions for new hires.
front desk coordinator; cypress wood physical therapy center, houston, tx 1996-2000
managed front desk operations and administered medical billing initiatives by collecting co-pays and co-insurance on all private patients as well as billing and collecting for durable medical equipment.
provided patient support by answering billing and operational inquiries with a 100-line switchboard.
coordinated patient transportation and weekly appointments; obtained prior authorizations for all states
senior receptionist/emergency room registrar; inova fairfax hospital/jefferson hospital
secretary, ski industries of america
windows xp, window 2000, nt, win nt 4.0, microsoft word, excel, outlook, rumba, msn, msn, professional, webcare (medical billing), cpsi (medical billing), ms office, lotus 123, powerpoint, anzio win, wordperfect 5.1 & 6.2, paradox, pc health system, smart systems, hboc, meds america, internet/internet usage, quicken, quicken pro, quickbooks, and idy
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