marcumyj
Contributor
YVONNE J MARCUM, CPC
616 MILLVILLE OXFORD RD
HAMILTON, OH 45013
(513) 675-3236
marcum2582@cinci.rr.com
OBJECTIVE: To pursue a position with an organization that will utilize my experience. I have twenty years in the medical profession; I am currently a Manager of Support Services at Alliance Business Center for the Kettering Health Physician Network. I have an immense knowledge of medical terminology as well as coding and managerial experience that will benefit your company. I also have experience working with computers and all programs including Windows, Excel and the Internet.
SUPERVISION AND TRAINING: I have supervised numerous employees, handled all the scheduling of employees for my department, and the delegation of work. I also handled the reprimanding, hiring, and termination of employees. I have trained numerous employees on Mysis Computer, Lytec Medical, Medical Manager, Encounter, IDX, Access Anywhere, Lastword, AdvantX, ePremis, Epic and Online Insurance Companies for various job duties including posting of payment, patient registration, insurance billing, EDI/EFT/ERA, collections, coding, precertification, and practice administration duties. I trained 3 facilities on RAC and developed the plan that Fort Hamilton uses for RAC audits and tracking. I have specialty collections in Medicare and Medicaid and have worked on MEDA DDE for Medicare. I have a great deal of experience in most of the functions of a medical practice.
WORK EXPERIENCE:
Health Alliance
Fort Hamilton Hospital
West Chester Medical Center
The Drake Center
Kettering Health Network
630 Eaton Ave
Hamilton, OH 45013
December 2008 to Present
PRIMARY DUITES: In my time at Health Alliance I was Coding Manager for Ft. Hamilton Hospital, West Chester Medical Center and The Drake Center from December 2008 until the position was eliminated in October 2009. I traveled to each facility during the week managing in house and remote coders. I managed delinquent accounts, claim edits as they hit in ePremis, and coding stats on a daily basis for all 3 facilities. I completed audits on LTAC medical records to verify appropriate use of ICD9 and HCPS codes according to coding guidelines. I was the System Administrator for the Medical Records system used at West Chester Medical Center. I developed and implemented the use of Access Anywhere for West Chester Medical Center and they are still currently using it. In that time I also did education to both physicians and their staff on LCD and NCCI edits for billing Medicare. I was the RAC Site Coordinator for all 3 positions and held weekly meeting about RAC, which I continued after I transferred in 2009. In October 2009 I transferred into the Physician Services department where I managed employed physicians and physician practices including their coding and billing. I managed the Anesthesiology, Psychiatry, and Hospitalist division which includes CME, payroll, business expense, and education on billing requirements. I manage the physician billing for these division as well as the billing for the employed Cardiology and Orthopedic physicians, which include charge entry staff, coding, and collections. Under my management the days in A/R dropped from 115 days to 52. I created and maintain with monthly reconciliation the budget for 3 Cost Centers. This position transferred me to Kettering Health Network into the physician billing department as a manager. During the time I have been with Kettering Health Network I have assisted with the implementation of Epic into our 25 plus offices including the billing department. I manage the charges entered into the system from both the EMR and from manual charge entry. I manage the staff responsible for all charge entry edits from both Epic and ePremis including all EDI/EFT/ERA for our company. I have attended multiple classes at Epic University in WI as it relates to all departments in the offices and billing department, I have come back to train each of the 25 plus offices including the billing office on how to work in Epic.
UC Physicians
University Pointe Surgical Hospital
7750 University Court
West Chester, OH 45069
Transfer from Surgery March 2006 – Transfer to PRN
PRIMARY DUITES: As a Lead Billing Specialist I was in charge of the billing staff, supervising the employees that handle the collections on accounts for insurance's and patients for all hospital procedures including radiology and procedure for both inpatient and outpatient. Supervise the employees that post payments from all insurance's, patients and the staff that follows up on A/R. I was the System Administrator for our computer system, which entail's problem shooting and correcting the programming to get the system to function properly. I was in charge of the A/R for all government plans, working directly on MEDA DDE for Medicare as well as all follow up and A/R for all Medicaid plans including the HMO's. I coded for both HCPCS and ICD-9 for both inpatient and all outpatient surgical claims, as well the charging and supplies for all the surgical cases. I trained all of the staff in charge entry, payments, follow-up and policy for correct billing, and on the computer system. I am also trained and have trained staff on Victims of Crime and HCAP process. I transferred to PRN in December 2008.
UC Physicians
University Surgeons, Inc.
2830 Victory Parkway
Suite 320
Cincinnati, OH 45267
October 1996 – April 1998
November 2004 – Transfer to Hospital
PRIMARY DUTIES: As an Abstractor I handled all the collections on account for insurance and patients in the Burn, Trauma, Dental, Oral Surgery, Vascular, and Islet Cell and Perfusion division. I work monthly A/R and follow up on claims. I handle appeals needed to get the claims paid. I handle the predetermination for the Gastric Bypass, Islet Cell, Perfusion, Vein Stripping and Plastics division. I also code from operative reports for these divisions and enter the charges. I have an expertise in patient collections and in Medicare and Medicaid collections and work one on one with The University Hospital, The Christ Hospital, and University Pointe Surgical Hospital coding for them.
Mt. Auburn OB/GYN
608 Reading Road
Mason, OH 45040
July 1998- November 2001
PRIMARY DUTIES: As a billing representative I handled all the aspect of billing from coding of charges to appeal process, including adjustment, posting payments, refunds, and referrals. I also handled all the claims processing for both electronic and hard copy claims, and daily closing.
Forest Hills Psychiatric Group
1016 Nimitzview Drive
Suite 2 C
Cincinnati, OH 45267
February 1996 – October 1996
PRIMARY DUTIES: As billing manager I handled all the employees with the practice. I was responsible for all the hiring and firing of employees. I led monthly staff meetings where employees were trained and educated on new billing policy and procedures for insurance. I handled all the hiring and termination for the office as well as reviews. I also wrote and updated the office policy manual. I was responsible for monthly closes, aging reports, and collections with an aptitude in Medicare and Medicaid billing.
Urology Consultants of Cincinnati, Inc.
2450 Kipling Avenue
Suite 111
Cincinnati, OH 45239
February 1995 – February 1996
PRIMARY DUTIES: As Business Manager I handled all the transcription for the office visits, surgeries, and referral letters to other physicians. I handled the provider relations and credentialing between the physicians and the insurance and hospitals. I also handled all the coding for both office visits and surgery and processing some of the billing; as well as the surgery scheduling for both physicians.
Sterling Medical
7781 Cooper Road
Cincinnati, OH 45212
(513) 985-3160
June 1991 – February 1995
PRIMARY DUTIES: I was in charge of the Receipt Department, which included, posting of payments from both primary and secondary insurance companies, write-offs, and adjustment from them. I dealt with mostly government issues and Champus/Champva insurance. I did patient registrations, charge entry, appeals.
616 MILLVILLE OXFORD RD
HAMILTON, OH 45013
(513) 675-3236
marcum2582@cinci.rr.com
OBJECTIVE: To pursue a position with an organization that will utilize my experience. I have twenty years in the medical profession; I am currently a Manager of Support Services at Alliance Business Center for the Kettering Health Physician Network. I have an immense knowledge of medical terminology as well as coding and managerial experience that will benefit your company. I also have experience working with computers and all programs including Windows, Excel and the Internet.
SUPERVISION AND TRAINING: I have supervised numerous employees, handled all the scheduling of employees for my department, and the delegation of work. I also handled the reprimanding, hiring, and termination of employees. I have trained numerous employees on Mysis Computer, Lytec Medical, Medical Manager, Encounter, IDX, Access Anywhere, Lastword, AdvantX, ePremis, Epic and Online Insurance Companies for various job duties including posting of payment, patient registration, insurance billing, EDI/EFT/ERA, collections, coding, precertification, and practice administration duties. I trained 3 facilities on RAC and developed the plan that Fort Hamilton uses for RAC audits and tracking. I have specialty collections in Medicare and Medicaid and have worked on MEDA DDE for Medicare. I have a great deal of experience in most of the functions of a medical practice.
WORK EXPERIENCE:
Health Alliance
Fort Hamilton Hospital
West Chester Medical Center
The Drake Center
Kettering Health Network
630 Eaton Ave
Hamilton, OH 45013
December 2008 to Present
PRIMARY DUITES: In my time at Health Alliance I was Coding Manager for Ft. Hamilton Hospital, West Chester Medical Center and The Drake Center from December 2008 until the position was eliminated in October 2009. I traveled to each facility during the week managing in house and remote coders. I managed delinquent accounts, claim edits as they hit in ePremis, and coding stats on a daily basis for all 3 facilities. I completed audits on LTAC medical records to verify appropriate use of ICD9 and HCPS codes according to coding guidelines. I was the System Administrator for the Medical Records system used at West Chester Medical Center. I developed and implemented the use of Access Anywhere for West Chester Medical Center and they are still currently using it. In that time I also did education to both physicians and their staff on LCD and NCCI edits for billing Medicare. I was the RAC Site Coordinator for all 3 positions and held weekly meeting about RAC, which I continued after I transferred in 2009. In October 2009 I transferred into the Physician Services department where I managed employed physicians and physician practices including their coding and billing. I managed the Anesthesiology, Psychiatry, and Hospitalist division which includes CME, payroll, business expense, and education on billing requirements. I manage the physician billing for these division as well as the billing for the employed Cardiology and Orthopedic physicians, which include charge entry staff, coding, and collections. Under my management the days in A/R dropped from 115 days to 52. I created and maintain with monthly reconciliation the budget for 3 Cost Centers. This position transferred me to Kettering Health Network into the physician billing department as a manager. During the time I have been with Kettering Health Network I have assisted with the implementation of Epic into our 25 plus offices including the billing department. I manage the charges entered into the system from both the EMR and from manual charge entry. I manage the staff responsible for all charge entry edits from both Epic and ePremis including all EDI/EFT/ERA for our company. I have attended multiple classes at Epic University in WI as it relates to all departments in the offices and billing department, I have come back to train each of the 25 plus offices including the billing office on how to work in Epic.
UC Physicians
University Pointe Surgical Hospital
7750 University Court
West Chester, OH 45069
Transfer from Surgery March 2006 – Transfer to PRN
PRIMARY DUITES: As a Lead Billing Specialist I was in charge of the billing staff, supervising the employees that handle the collections on accounts for insurance's and patients for all hospital procedures including radiology and procedure for both inpatient and outpatient. Supervise the employees that post payments from all insurance's, patients and the staff that follows up on A/R. I was the System Administrator for our computer system, which entail's problem shooting and correcting the programming to get the system to function properly. I was in charge of the A/R for all government plans, working directly on MEDA DDE for Medicare as well as all follow up and A/R for all Medicaid plans including the HMO's. I coded for both HCPCS and ICD-9 for both inpatient and all outpatient surgical claims, as well the charging and supplies for all the surgical cases. I trained all of the staff in charge entry, payments, follow-up and policy for correct billing, and on the computer system. I am also trained and have trained staff on Victims of Crime and HCAP process. I transferred to PRN in December 2008.
UC Physicians
University Surgeons, Inc.
2830 Victory Parkway
Suite 320
Cincinnati, OH 45267
October 1996 – April 1998
November 2004 – Transfer to Hospital
PRIMARY DUTIES: As an Abstractor I handled all the collections on account for insurance and patients in the Burn, Trauma, Dental, Oral Surgery, Vascular, and Islet Cell and Perfusion division. I work monthly A/R and follow up on claims. I handle appeals needed to get the claims paid. I handle the predetermination for the Gastric Bypass, Islet Cell, Perfusion, Vein Stripping and Plastics division. I also code from operative reports for these divisions and enter the charges. I have an expertise in patient collections and in Medicare and Medicaid collections and work one on one with The University Hospital, The Christ Hospital, and University Pointe Surgical Hospital coding for them.
Mt. Auburn OB/GYN
608 Reading Road
Mason, OH 45040
July 1998- November 2001
PRIMARY DUTIES: As a billing representative I handled all the aspect of billing from coding of charges to appeal process, including adjustment, posting payments, refunds, and referrals. I also handled all the claims processing for both electronic and hard copy claims, and daily closing.
Forest Hills Psychiatric Group
1016 Nimitzview Drive
Suite 2 C
Cincinnati, OH 45267
February 1996 – October 1996
PRIMARY DUTIES: As billing manager I handled all the employees with the practice. I was responsible for all the hiring and firing of employees. I led monthly staff meetings where employees were trained and educated on new billing policy and procedures for insurance. I handled all the hiring and termination for the office as well as reviews. I also wrote and updated the office policy manual. I was responsible for monthly closes, aging reports, and collections with an aptitude in Medicare and Medicaid billing.
Urology Consultants of Cincinnati, Inc.
2450 Kipling Avenue
Suite 111
Cincinnati, OH 45239
February 1995 – February 1996
PRIMARY DUTIES: As Business Manager I handled all the transcription for the office visits, surgeries, and referral letters to other physicians. I handled the provider relations and credentialing between the physicians and the insurance and hospitals. I also handled all the coding for both office visits and surgery and processing some of the billing; as well as the surgery scheduling for both physicians.
Sterling Medical
7781 Cooper Road
Cincinnati, OH 45212
(513) 985-3160
June 1991 – February 1995
PRIMARY DUTIES: I was in charge of the Receipt Department, which included, posting of payments from both primary and secondary insurance companies, write-offs, and adjustment from them. I dealt with mostly government issues and Champus/Champva insurance. I did patient registrations, charge entry, appeals.