Denise0728
Networker
I am a healthcare industry professional interested in networking and exploring potential career opportunities in the Houston area.
I have attached a general description of my industry qualifications and experience.
It would be my pleasure to provide additional information at your request.
Best Regards;
EXPERIENCE HIGHLIGHTS
Department Management & Staff Supervision
Monitor, report, and correct quality issues.
Prepare and deliver corrective actions and performance reviews.
Responsible for the staffing and budgeting of four departments.
Supervision and direction of four managers and 25+ staff members.
Conduct staff meetings, develop and present training material for on going department development.
Adjunct instructor teaching certified medical coding and certified medical insurance specialist.
Health Care Administration
Review and interpretation of medical records for appropriate and thorough coding to the highest specificity.
Thorough understanding of medical claim administration, including case management, subrogation, HIPPA regulations, coordination of benefits, PPO, HMO and indemnity plan language.
Created and prepared special needs reports, analysis, and systematic processes for handling and automating unique contract arrangements with the provider and/or healthplan.
Accountable for the implementation and set up of new system modules, conversion processes, and database table maintenance.
Monitored and reported on amendment, needed rate changes, and renewal processes for over 1200 contracts.
Collaborated with facility CFO?s on the execution and implementation of contracts
Administrative Support
Responsible for billing and collections.
Handle sensitive or involved issues that have escalated above the Customer Services Representative level of skill.
Oversee, coordinate and implement internal and external training programs.
Created training and technical manuals for practice management software end users.
Delivered training and instruction to individuals and large groups up to 75 attendees.
CERTIFICATIONS
Certified Professional Coder (CPC)
Certified Professional Coder-Instructor (CPC-I)
Certified Professional Practice Manager (CPPM)
PROFESSIONAL ASSOCIATIONS
American Academy of Professional Coders (AAPC)
I have attached a general description of my industry qualifications and experience.
It would be my pleasure to provide additional information at your request.
Best Regards;
EXPERIENCE HIGHLIGHTS
Department Management & Staff Supervision
Monitor, report, and correct quality issues.
Prepare and deliver corrective actions and performance reviews.
Responsible for the staffing and budgeting of four departments.
Supervision and direction of four managers and 25+ staff members.
Conduct staff meetings, develop and present training material for on going department development.
Adjunct instructor teaching certified medical coding and certified medical insurance specialist.
Health Care Administration
Review and interpretation of medical records for appropriate and thorough coding to the highest specificity.
Thorough understanding of medical claim administration, including case management, subrogation, HIPPA regulations, coordination of benefits, PPO, HMO and indemnity plan language.
Created and prepared special needs reports, analysis, and systematic processes for handling and automating unique contract arrangements with the provider and/or healthplan.
Accountable for the implementation and set up of new system modules, conversion processes, and database table maintenance.
Monitored and reported on amendment, needed rate changes, and renewal processes for over 1200 contracts.
Collaborated with facility CFO?s on the execution and implementation of contracts
Administrative Support
Responsible for billing and collections.
Handle sensitive or involved issues that have escalated above the Customer Services Representative level of skill.
Oversee, coordinate and implement internal and external training programs.
Created training and technical manuals for practice management software end users.
Delivered training and instruction to individuals and large groups up to 75 attendees.
CERTIFICATIONS
Certified Professional Coder (CPC)
Certified Professional Coder-Instructor (CPC-I)
Certified Professional Practice Manager (CPPM)
PROFESSIONAL ASSOCIATIONS
American Academy of Professional Coders (AAPC)