Cindy Foote

Work History

Operations | District Manager

Pediatric Rehabilitation Clinics

12.2020 - 06.2024

Supervised various locations, enforcing high-quality standards of operation.
Opened and closed our main clinic M-W and two of our smaller clinics T-F
Welcomed our new patients into the clinic, directed PCC's in providing check in | out service, and answered all questions and concerns regarding intake and follow-up appointment processes
Directed new patient orientation regarding the care we provide at our clinic to our patients and their families
Overseen all financial operations including referrals, insurance verification, credentialing, billing, coding, bill pay, collecting, posted payments to correct encounter, AR/AP, credits, debits, received 80% of processed claims and 90% patient responsibility
Liaison and contract negotiator between contracted companies, such as building and office equipment maintenance and cleaning companies
Very computer literate, knowledgeable in pivot tables and Microsoft excel
Handled all Provider Enrollment w/Payers/ & Office Credentialing
Prepared inner/outer office correspondence, reports and special projects as dictated by clinic director
Managed a team of MD, NP, therapist, counselors, medical assistants, prn staff, medical assistants and front office coordinators
Handled all aspects of patient scheduling
Received all incoming and outgoing emails for our in-patient & out-patient clinics and reviewed all patient medical history and diagnosis
Delegated and overseen all aspects of ROI, Medical Records and Consents
Overseen all aspects of clinic inventory management such as office and medical supplies
Implemented and maintained existing and new workplace policy & procedures
Ensured OSHA and HIPAA compliance's were followed daily
Responsible for staffing schedule, payroll, approved paid time off and all human resources duties
Hired and on-boarded new office staff members
Ran daily reports, audits, payment posting of received checks and payments from payers and patients to post to patients encounters in EMR Practice Fusion/RXNT
Ensured that customer service and patient care standards are 100% met
Submitted provider enrollment applications for all insurance types, including enrollment and reassignment of Medicaid, Medicare, and commercial programs
Coordinated the receipt and processed all credentialing data needed for provider/clinic enrollment, contracting, and other related purposes, onboarded and credentialed new payor enrollment payor enrollment as well as updated and tracked status and new enrollment
Worked closely with clinicians to obtain missing documentation for providers pertaining to provider enrollment
Obtained required clinician signatures and followed up with the payers on documentation submitted
Collaborated with OT/PT, Providers, NP Therapist and medical assistants in morning and afternoon huddles regarding new patients, diagnoses, treatment plans, case management etc.
Worked with VP of Clinical Operations to set goals, budgets and month end reports
Knowledgeable in billing HICFA/UB 1500, CPT codes, and ICD-10/ Diagnosis Coding
Enforced all company regulations, guidelines, and standards were followed
Received all payments/mail or via online source such as Optum, MPX Echo and made daily deposits and withdrawals, supervised petty cash, etc
All complaints/concerns flowed through me
Paid all Vendors
Maintained and demanded a clean environment to ensure patient and employee safety
Kept inventory of medical equipment and supplies, set staff schedules, made sure all patient records, and information resources for patients and healthcare workers were kept updated
Ordered medical supplies and managed all aspects of the revenue cycle; overseen patient billing, claims, and reimbursement
Managed all aspects of company policies and procedures, ensured all health practices are followed, and cases are resolved when facility is out of compliance
Conduct regular reoccurring team calls via Google Meet/zoom and maintained team communication platforms ensuring best practices is identified and scaled
Found innovative ways to optimize the level of healthcare while also reducing the facility's costs
Developed departmental goals and objectives for staff to improve a great patient experience
Recruited, trained, and supervised healthcare workers, PCC'S, front and back office etc..
Integrated company from paper billing to EHR/EMR (Electronic Healthcare Records)
Maintained employee and provider relations
Proficient in medical billing/ coding/EMR software such as Advanced MD, Practice Fusion, RXNT
E-Clinical, RXNT, Practice Fusion, Centricity, Medisoft, Athena, Nexgen, Availity, E-Chi, Cover My Meds, Aprima SAMMS, Optum Pay, Echo, Payspan, Deluxe Pay, Verify TX, EDI, SAMMS, EPIC and many more.
Engaged in product training, demonstrations, consumer awareness, branding, and acquisition initiatives to raise awareness and revenues.
Achieved new evaluation and medication management goals by cultivating and securing new patient relationships.
Achieved established KPI for clinics, regional team and individual performance through teamwork and focus on customers.
Recruited, interviewed and hired employees. As well as, implemented a mentoring program to promote positive feedback and engagement.

Medical Office Manager

Infinity Health Group-Dallas, TX

06.2016 - 11.2020

Intake of new patients-initiated verification of sleep and bronch benefits as well as submitted authorization on procedure codes that requires it for treatment and surgery's
Overseen all aspects of the revenue cycle with billing, payment posting, authorization's, claims denials and appeals
Communicated with both patients and physicians (PCP's) on a daily basis as well as explained the proper directions on using a Bi pap or C pap to patients for sleep apnea treatment
Communicated with HST patients about their estimated out of pocket payments or Copay payments, explained regarding policies and procedures regarding HST units and effectively showed the patient how to properly use HST equipment
Followed up with doctors' offices and patients, with sleep test results
Faxed and emailed LOMN (letter of medical necessity) with clinical notes to provider for authorizations as well as DME orders
Effectively researched and resolved issues with ordering and receiving their cpap, asv, bipap and apap from DME company
Answered and responded to calls, chats via Online Virtual Assist and emails regarding Insurance, DME, home and lab sleep studies, sleep referrals and sleep related issues in a courteous and professional manner
Made sleep paper charts for HST PSG, TITRATION and SPLIT
Submitted electronic medical claim billing according to insurance policies and regulations as well as printed and scanned in sleep report and AHI in sleep chart
Accurately updating and recording patient medications and allergies in patient chart upon each visit
Answered patients, and accounts calls to update or change or update account information
Called Payers (UHC, Aetna, Cigna, BCBS, VA, HUMANA, etc...) to obtain benefits and eligibility, for routine in and outpatient facility or clinician's group, obtain network status, validate cpt code/diagnosis code is valid and billable, authorization/referral required, copay's, deductible, OOP and coins information on plan and also obtain payor ID, timely filing and claim address
Collected insurance copays, and previous balances at time of appointment
Maintained office and clinical supplies, in addition, to supply inventory in exam rooms
Performed patient check-in/check-out and scheduling of appointments as needed
Processed staff and patient incoming calls, faxes and inquiries, including incoming outgoing sleep and bronch referrals
Took patient's messages and provides directions/instructions to patients according to physician orders
Maintained confidentiality of patient's personal information with the ability to multi-task and resolved issues independently, as well as assisted others
Accurately applied payments to patient accounts as well as posted all incoming payments whether by credit card or check
Posted and reconciled insurance and patient payments
Researched and resolved incorrect payments
Knowledgeable in EOB's and EMR as well as insurance verification for both major medical and pharmacy benefits, rejections, and other issues with outstanding accounts
Ensured accuracy of insurance claims and verified/corrected ICD-9 and CPT codes for a variety of specialties
Set up new patient sleep consults and follow up appointments and worked with payers such as BCBS, United Healthcare, Aetna, Cigna, Ambetter, Tricare, Humana, Kaiser, Medicaid, Medicare, Med Adv plans etc.
Assigned ICD-9 to physician's diagnosis and ensured the correct level of service and various other CPT codes and scheduling of appointments, specialty surgeries, blook work etc.
Set-up practice management software for submission of electronic claims to clearinghouse
Worked with clearinghouse to resolve file compatibility issues
Proficient in medical billing/EMR software such as Advanced MD, E-Clinical, Medisoft, Nexgen, Availity, e Chi, Cover My Meds, Aprima SAMMS, Verify TX, EDI, SAMMS etc., Accounts Rec/Accounts pay experience, complete revenue cycle, ect..

Behavioral Health Intake Coordinator

Garland Behavioral Hospital-Garland, TX

07.2012 - 06.2016

Interviewed patients via tele health/face to face and completed admissions paperwork for mental health services and admission when applicable
Verified patient's insurance coverage/Medicare/Medicaid and mental health benefits via; Verify TX, Availity and the North Texas Behavioral Health Authority Provider Integration Eligibility Online system called (PIGEON)
Scheduled OTP patient's appointments for consultations and other healthcare services such methadone and buprenorphine assistance
Answered phones and completed associated front and back office tasks
Created and maintained patients medical records
Gathered pertinent information to complete a psycho-social assessment, clinical evaluation treatment plans for prospective clients
Assessed patients face to face as well as utilized a tele-health system and EMR system, SAMMS
Submitted complete assessments, treatment plans, or any other documentation needed to approved client services as required by reimbursement standards and the policies and procedures manual in a timely manner to clinical supervisor
Updated treatment plans as needed
Maintained the highest level of confidentiality, privacy, and security regarding patients confidential identifying information as well as health records
Upheld and promoted all standards of care, HIPAA, reimbursable compliance and the agencies policies and procedures outlined in the policy and procedure manual.

Medical Billing Manager

Touchpoint Health Solutions, Inc.-Dallas, TX

08.2009 - 03.2012

Trained and mentored staff on procedures, compliance requirements, and collections techniques.
Initiated the admissions and patient intake process for patient referrals
Investigated type and level of insurance coverage to assess patient eligibility and co-pay's
Delegated prior authorization, insurance verification, scheduling appointments and coordination of all patient medical and demographic information necessary to process the referral as well as verified all in network and out of network benefits
Ensured complete and accurate registration, including patient demographic and current insurance information
Assembled information concerning patient's clinical background and referral needs and per referral guidelines, provide appropriate clinical information to specialist
Contacted review organizations and insurance companies to ensure prior approval requirements are met
Presented necessary medical information such as history, diagnosis and prognosis
Provided specific medical information to financial services to maximize reimbursement to the hospital and physicians
Reviewed details and expectations about the referral with patients
Assisted patients in problem solving potential issues related to the healthcare system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance)
System navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns
Identified and utilized cultural and community resources
Established and maintained relationships with service providers
Ensured that referrals are addressed in a timely manner
Reminded patients of scheduled appointments via their preferred method of contact
Ensured that patient's primary care chart is up to date with current and correct information
Medical software used are Epic, Availity, Aprima and Navinet.
Reviewed billing problems, researched issues, and resolved concerns.
Worked with patients to develop payment plans and bring accounts current.
Performed billing, collection, and reporting functions for billing office
Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
Conducted performance reviews and implemented improvement plans.
Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
Supported financial director with special projects and additional job duties.

Sterile Processing Technician

Tri-City Medical Center-Dallas, TX

11.1997 - 06.2000

Provided sterilization services and was responsible for picking cases and supporting the operative team
Operated automated processing equipment such as instrument washers, sterilizers, biological incubators, heat sealers and other commonly used automated, non-automated and electronic equipment in sterile processing
Ordered, restocked and decontaminated sterilization equipment and instruments
Collected dirty equipment and instruments
Sorted, loaded, unloaded, and decontaminated equipment and instruments according to procedures and or surgical cases
Maintained records, inventories, use of materials, placement of equipment (including surgical case carts), within each area serviced; maintained inventory and accurate records
Cleaned and decontaminated instruments and equipment according to established procedures and techniques; ensured proper functioning of equipment; cleans sanitizing machines and equipment
Performed instrument processing functions according to written Standard Operating Procedures (SOP's)
Assisted with maintaining department sterilization records
Served as Sterile Processing department service line leader
Supported operating room functions in sterile core
Demonstrated expertise necessary to precept technicians in all aspects of sterilization process and Sterile Processing department activity
Assisted with overseeing all department activities in absence of leadership to ensure flow of the highest level of operations by identification of issues and timely problem-solving, including reporting to supervisor.

Summary

Overview

Work History

Operations | District Manager

Medical Office Manager

Behavioral Health Intake Coordinator

Medical Billing Manager

Sterile Processing Technician

Education

Bachelor's Degree | Cum Laude - Operations Management And Supervision

HIGH SCHOOL DIPLOMA - All

Skills

Certification

Assessments

Personal Information

Accomplishments

Work Availability

Languages

Timeline

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