Director Resume Profile Hartsville, SC - Hire IT People

KNOWLEDGE OF:

CMS-1500/CMS-1450 UB-04 forms
Medicare/Medicaid/TRICARE
Workers' Compensation
MedLook medical billing software
HMOs/PPOs/other health plans
CPT/ICD-9/HCPCS codes
Impending ICD-10 2014
Medical coding software
Medical terminology
Human anatomy/physiology

Professional conduct
Medical ethics
HIPPA
Electronic claims submission
Medical billing clearinghouse
Working with healthcare providers
Disability insurance
Managing patient/client accounts
Electronic health records EHR
Medical peer review audits

RELEVANT ON-THE-JOB EXPERIENCE

Technology: Proficient at using Microsoft Word and Excel: create correspondence, memorandums, and financial spreadsheets. Experience using QuickBooks: accounts receivable, accounts payable and payroll. Utilize Internet search engines for research projects. Operate general office equipment including phone, fax, computer, printer, copier, scanner, multi-line phone system, recording device, encoder, etc.

Clerical: Schedule appointments, answer the phone and file records timely and accurately. Process a high volume of documents with keen attention to detail. Coordinate mailings and review correspondence for accuracy. Facilitate completion of contracts within deadlines by tracking paperwork and acting as liaison among agents and customers while maintaining confidentiality. Coordinate and schedule employee's work duties to complete projects within deadlines.

Customer Service: Handle difficult customers with tact and courtesy while solving their issues promptly and accurately. Provide front-desk representation and clerical support, directing customer traffic with a proven ability to maintain open lines of communication.

WORK EXPERIENCE

Confidential

Director

Coordinate all housekeeping functions and manage supply inventory.
Manage a staff of 3 on 3 shifts in a 27,000 square foot facility with 3377 members
Streamlined supply inventory and reduced costs by 44
Reduced complaints by 99

Confidential

Owner

Managed work orders and accounts for 5 corporate clients with 20 building projects
Living History re-enactor, educator, crafter and retailer.
Coordinated the schedules of events and manage inventory for events
Designed and crafted products of the time period to sell at events
Demonstrated crafts of the time period
Managed online shop, including shipping, photography and listing products

Confidential

Office Manager

Coordinated survey crews - Managed accounts payable, accounts receivable, and payroll- Researched land titles.
Managed work orders and accounts for 5 corporate clients with 20 building projects
Coordinated the schedules of 2 survey crews
Designed and implemented a scheduling system for the survey crew that improved their efficiency by 85

Confidential

Medical Record Coder

Implement coding system for veterinary records
Implemented a veterinary medicine coding system and coded the medical visits
Entered the codes into the computer
Compiled codes for data retrieval for research projects

Confidential

Computer Programmer

Programed software to integrate medical and billing information. Provide software training and support.
Provided codes and wrote programs for data retrieval for medical research projects being performed by the Veterinarians
Wrote software using Powerhouse on an IBM main frame for the integration of the billing and medical information for the hospital/clinic visits of the patients
Provided training and support of the software to the faculty and staff

Confidential

Insurance Claims Processor

Reviewed insurance claims for self-insured companies for payment.
Processed health insurance claims for 20 accounts of 100-500 members with a keen attention to detail
Leveraged in-depth understanding of plan provisions to provide timely and accurate client services
Resolved issues and inquires with discretion and courtesy

Confidential

Receptionist

Scheduled appointments, answered phone and filed medical records timely and accurately.

Confidential

Medical Records Technician

Preformed medical peer review audits and release of medical information
Established rapport with physicians while working with them to preform medical peer review audits for a 654 bed facility
Identified appropriate ICD-9 codes to identify the medical records for the audits, abstract and compile the data for presentation to the audit committee
Employed professional conduct, medical ethics and patient confidentiality

We provide IT Staff Augmentation Services!

Director Resume Profile

Hartsville, SC

We'd love your feedback!

Resume Categories

Client Services

Job Seekers

Visa Sponsorship