Health Care

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Objective To secure a position that will utilize my experience, skills and strong customer service back ground in health care.
Experience July ••••• to March ••••• Memorial Hermman Home Health Houston, TX
Business Office Supervisor
Over all Held Revenue, Manage the team to review claims obtain CMN/LMN to qualify patients and release claims to bill for both DME and Pharmacy
Over see Pharmacy billing and collections
Over see the eligibility re-authorization team for all DME services
Coordinate meetings to review, revise and implement policies
Review all Oxygen referrals for LCD qualifications
Maintain employee files, set goals
Weekly reports to be sent to Managers to review employees performance
Work closely with Referral Management to help qualify patients for services
Payroll for employees

February ••••• to July ••••• Walgreens/Optioncare (acquired CareMax)
Billing/Collections
DME billing, review claims to ensure correct codes, pricing and qualifications are met on claims
Collections, calls to insurance to check status of claims
Rejections/Denials reports make corrections and resubmit claims
Obtain authorizations
April ••••• to February ••••• CareMax Medical Houston, TX
Pharmacy Intake/CSR/QA Manager
Receive new referrals review and assign to CSR to do intake
Cost analysis on all referrals
Over see the adjudication file, ready to bill files, confirmation of delivery tickets
Maintain employee files, daily, weekly, monthly, quarterly and yearly reports
Accompany account managers on sales calls and after hour mixers
Work closely with billing to ensure maximum revenue
Coordinate with Pharmacist, Patient, Nursing and Discharge planner for a smooth discharge home
Receive new referrals, verify benefits, obtain authorizations
August ••••• to April ••••• The Care Group Houston, TX
Assistant Customer Service Manager/ Intake - DME
Assist CSR Manager in daily task, running reports, training CSRs
Receive new referrals, verify benefits, obtain authorizations
Coordinate nursing, delivery and patient discharge
Close contact with referral sources, nursing agencies, doctors and patients
August ••••• to August ••••• HealthCor League City, TX
Intake coordinator/ scheduler nursing and DME
Receive new referrals, verify benefits, and obtain authorizations.
Coordinate nursing schedules
QA charts for audits
May ••••• to August ••••• San Jacinto Meth. Hosp. Baytown, TX
ER patient registration
Verified benefits, collect co-pays
Data entry
QA charts for accuracy