Carol Hranek
Canton,US
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
34
34
years of professional experience
Work History
- Broad knowledge of laws, rules, regulations, policies, and related directives regarding eligibility for VA Health care, cost recovery, health care revenue operations and practices
- Works with leadership to ensure that short term priorities are consistently reached and maintained as needed
- Identify training needs of subordinates and works to ensure proper training of developmental requirements are met
- Worked with processing of Federal funds by processing both electronic and check payments were scheduled to be distributed to the Federal Reserve Bank cleared rejects by verifying correct banking information was listed
- Researching and resolving problems so payments can post without delay working QUIC on a daily basis making sure all corrections are completed within time limits so clean bills go to 3rd party insurance
- Verifying the accuracy of insurance files, resolving problems and discrepancies and ensures consistency on insurance files, making sure that correct insurance is sent to the current 3rd party insurance
- Instructing employees in specific tasks and distributing and balancing the workload among employees, working with reports ensuring that employees have the workloads they need on a daily basis
- Verifies that current workloads are being worked in timely manner according to guidelines and requesting assistance or redistributing work so daily goals are met
- Knowledge of Insurance Verification buffer file, QUIC, ONTRAC, and Excel
- Leadership and ability to communicate with different backgrounds
- Worked with sending electronic transfers to banks making sure that payments to members are paid prompt. Made sure vendor payments were sent out to keep within the guidelines of contract terms.
- Works with customers handling all questions and research ensuring that their questions and needs are handled constructively and appropriately
- Reviews work distribution distributing and following up with subordinates making adjustments to work loads as need to ensure accomplishment of work goals are met. Makes time to reorganize and adjust to accomplish any priority problems or assignments that take a priority for day.
- Job Title: Supervisor Cashier
- Job Announcement Number: CBAB-10888098-20-JS
Program Support Assistant
Veterans Administration Mid-Atlantic Consolidated Patient Account Center
Asheville, NC, United States
01.2019 - Current
- Processing audits on refund claims sending claims back to correct technician for corrections
- Review and process prepayments
- Reviewed and corrected Tops Reject reports, missing addresses and Tops letters
- Processed refunds off the mailman list researching and sending refunds to veterans
- Generated accounts with high accuracy through the claims matching tool
- Plans work, sets and adjusts short term priorities and prepares schedule for completion of work assigned
- Examines and performs quality audits to ensure regulatory issues are met
- Recommends process improvement in the methods, policies, procedures of veterans services, working with training team
- Salary: 40,327.00 USD Per Year
- Hours per week: 40
- Series: 0503 Pay Plan: GS Grade: 06
- This is a federal job
Medical Reimbursement Technician
Veterans Administration Mid-Atlantic Consolidated Patient Account Center
Asheville, NC, United States
04.2013 - 01.2019
- Generating claims for coded and linked encounters
- Assigning Reasons Not Billable for Non-billable encounters
- Canceling claims as appropriate
- Working CSA rejections and claims returned on MRA work list
- Other billing work list as assigned
- Researches and resolves problematic or denied claims, escalates to database administrator or lead as needed. Works mrw, csa and cbw work lists daily to ensure claims not exceeding 5 days on lists.
- Able to give accurate response to inquiries and request by researching information to ensure that information is current and up to date.
- Gathers information needed to input into automated billing system in timely and accurate way.
- Responds to emails and Quic inquiries when working with customers, accounts management and facilities in giving information they have requested on scheduled outpatient claims.
- Worked with new staff making sure they were able to work in facility and answer questions they may have on the different ways of billing the different insurances, working on properly clearing list and assisting clearing the rejects so that bills are sent to insurance accurately and in a timely manner.
- Protects privacy of printed and electronic files with sensitive data in accordance with HIPPA and Privacy laws
- Maintains patient confidentiality by complying with Privacy and HIPPA laws, policies and regulations applicable to healthcare
- Determines when referral to Regional Counsel or other departments is appropriate for further progression of billing
- Responsible for reimbursable billing activities for inpatient, outpatient, and NonVA encounters including consideration of professional services and facility services, Medicare, commercial insurance
- Validates claims for billing purposes ensuring eligibility and referring questionable encounters to coding for review
- Understands the relationship between various healthcare support departments and regularly corresponds with staff in other departmental areas via email and phone
- Distribute and balance the workload among employees according to the established work flow or job specialization.
- Ensures billable cases are identified and bills are generated.
- Initiates collections from insurance companies
- Applies payments to appropriate bills or refunds to the applicable party
- Investigate payment discrepancies, making frequent and varied account adjustments.
- Report to supervisor on performance, progress and training needs of employees
- Salary: 40,327.00 USD Per Year
- Hours per week: 40
- Series: 0503 Pay Plan: GS Grade: 06
- This is a federal job
- Supervisor: Donna Rambin (828-257-3582)
- Okay to contact this Supervisor: Yes
Front Office
Park Ridge Hospital
Hendersonville, NC, United States
02.2013 - 04.2013
- Worked at the front office in the Oncology office in Clyde NC.
- Checked patients in for appointments, scheduled appointments, called daily to remind patients of appointments for following day, registered new patients. Would call laboratory to ensure that the proper lab reports were faxed for patient appointments so the doctors and nurses could review before patient had a scheduled treatment. Verified patient had up to date insurance information so it could be billed on time.
- Made sure insurance information was on file so could be processed to the correct company for prompt payments.
- Salary: 11.00 USD Per Hour
- Hours per week: 40
Collections Clerk
Regional Financial Services
Hazelwood, NC, United States
02.2010 - 02.2013
- Called patients from different medical facilities to set up payment arrangements, if patient had insurance collecting that information to forward to the different facilities to ensure insurance was billed and collected on. Worked with patient and the facilities to ensure that payments were set up and being posted to patient accounts.
- Worked collections practices, ensured that patient insurance information was on file, and would then send insurance information to correct business so they could file with the 3rd party insurance for all payments for procedures performed.
- Verified EOB information and that correct processing were completed
- Worked with and maintained updates on computerized records of debts to assist with collection efforts.
- Ensured collection efforts were utilized by automated accounts package assigned by the agency.
- Actively contacted clients to ensure payments were paid consistently
- Salary: 8.00 USD Per Hour
- Hours per week: 40
NCOIC, Treasury Operations
United States Air Force
Hesperia, CA, United States
01.1997 - 08.2001
- Worked in multiple locations in the DFAS San Bernardino operating site
- 1997-1998 Worked in obligations, ensured the form 9's were processed properly and once the hard copy contract arrived made sure that money was moved to obligated in the system so it could have correct payments processed.
- 1998-1999 Worked in recon and reports, ensured that current funds were being used and processed in the system from obligated to paid status and that money was returned back to the correct funds so that it could still be used in current year.
- 1999-2001 Worked in treasury operations, where I sent out daily electronic funds payments, sent check files to Denver and made sure that payments going out and the Merged Account Financial Records, were balanced daily. Trained new airman and civilians on how to run reports and balance the daily work and any other parts of job they were learning to do at that time.
- Assigned work and helped in training. Monthly staff meeting training and one on one training with new airman or new civilian employees as needed.
- Specialized experience
- Review what needs to be completed the following day at the end of each day and organize what order things need to be completed to ensure no deadlines are missed.
- Ability to adjust workload by delegating to others in the office to ensure deadlines are met, ensured all priority deadlines were worked and completed in a timely manner.
- Communication abilities worked with peers and subordinates to make sure that everyone in the office was current on any policy changes, updated regulation changes weekly by pulling the regulation and making changes sent from headquarters so that they were updated. Distributed changes to personnel it would have biggest impact on.
- Staff development and training Conducted monthly training either by myself or assigning another person in the office, trained office on jobs that we actually do and delegated training to others to ensure that the current processes were being taught.
- Review staffing to make sure that all processes are covered, make sure that assigned work is distributed to cover when someone is out of office. Reassign workload as needed to ensure that all priority work is covered so that deadlines are not missed and are reviewed to ensure correctness of the assigned work.
- Reviewed claims to ensure that expected payments were consistent and followed specific policies and rules
- Received and reviewed 3rd party information to ensure payments collected and payments paid were done with contract and regulations
- Identified areas of workloads were distributed and that it balanced between subordinates to meet the goals and deadlines that had been established per the office.
- Provided and scheduled between office members team training, allowing others to learn what each area worked and how the processes worked together as a whole.
- Provided individual training for new people or refresher training to make sure that everyone knew all current processes and changes before starting new projects
- Reported to supervisors on performance, progress of current and new employees (airman) and made sure they knew of any training needs of the office.
- Fulfillment of regulatory requirements associated with depository functions are accurate and processed as required
- Responsible for the direct support of agency cash/check/electronic funds transfer processing functions involving the receipt, disbursement, examination, deposit, custody and other clerical processing of cash
- Reconciles cash accountability and reviews vouchers for completeness, accuracy, and propriety before making payment, referring questionable vouchers for audit prior to disbursement
- Salary: 30,000.00 USD Per Year
- Hours per week: 40
Accounts Control
United States Air Force
Burlington, NJ, United States
10.1993 - 11.1996
- Worked in two areas at this duty station
- 1993-1994 worked in accounts payable office. Ensured that contracts were input into the computer system and when I received a receiving report it was input against the correct contract and would hold until the invoice was received. input the invoice and scheduled the payment to pay according to the terms of the contract. Balanced Merged Account Financial Records (MAFR) daily with treasury and accounts control so the money was balanced on a daily basis.
- Worked with the base hospital accounts paying claims they were processing according to the regulations manual.
- Ensured prompt discussion with contractors on the phone or responding to mail of status of payments, discounts that were taken or any other common questions that they may have on their accounts.
- 1994-1996 Worked accounts control. Worked with ensuring that daily, monthly and quarterly reports were balanced and sent to headquarters as required per regulations. Reports included, payments for others sending out copies of the payment voucher so the other station could post payment to correct accounts, payments by others receiving copies of payment vouchers and giving them to the correct office so that payments could be posted to correct accounts and updated, monthly balancing of the accounts and that we did not have any out of balance issues. Weekly operating budget ledgers to be given to budget office for resource advisors so they could see how much money each of their sub accounts had where money was in relation to committed or paid. Made sure that we processed and sent out vouchers to correct parties for payments made for us or by us to the proper facilities so that they would have correct balances on the money they had available to process claims against.
- Worked with DFAS Denver headquarters to ensure that reports balanced and corrected errors in timely manner
- Investigated payment discrepancies, making frequent contacts with the proper office and made varied account adjustments
- Making sure that reporting was correct for DFAS Denver.
- Salary: 30,000.00 USD Per Year
- Hours per week: 40
Accounting and Finance
United States Air Force
Sembach, AE, Germany
10.1991 - 10.1993
- Worked accounts payable processed receiving reports and invoices to correct contract. Ensured that invoice was translated from German to English. worked with high dollar accounts ensuring foreign countries were paid for services they provided.
- Worked in accounts relievable making sure that money received from the tenants on the base were correct and posted to the proper accounts.
- Made sure that all information was processed to the correct contracts and that the correct records were balanced as soon as the payments were made.
- Verified that all parts of bills were billable ensuring that all material for a bill were received and completed
- Made sure all contract requirements were met and that they were processed according to the terms set inside the contract.
- Applied payments to the appropriate bills and if required requested refunds to the applicable parties
- Salary: 18,000.00 USD Per Year
- Hours per week: 40
Education
Technical or Occupational Certificate - Medical Office Administration
Haywood Community College
Clyde, NCSkills
- Friendly, positive attitude
- Problem-solving
- Customer service
- Teamwork and collaboration
Timeline
Program Support Assistant
Veterans Administration Mid-Atlantic Consolidated Patient Account Center
01.2019 - Current
Medical Reimbursement Technician
Veterans Administration Mid-Atlantic Consolidated Patient Account Center
04.2013 - 01.2019
Front Office
Park Ridge Hospital
02.2013 - 04.2013
Collections Clerk
Regional Financial Services
02.2010 - 02.2013
NCOIC, Treasury Operations
United States Air Force
01.1997 - 08.2001
Accounts Control
United States Air Force
10.1993 - 11.1996
Accounting and Finance
United States Air Force
10.1991 - 10.1993
Technical or Occupational Certificate - Medical Office Administration
Haywood Community College