Deb Deloney
New Orleans,LA
Summary
Experienced Reimbursement Specialist dedicated to ensuring clients receive due compensation for Medicare insurance claims. Proficient in use of company proprietary software and multiple EMR systems for client information input and billing. Confident and competent in negotiations and policy analysis. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
11
11
years of professional experience
Work History
Medicare Reimbursement Specialist
Select Rehabilitation
01.2016 - Current
- Performed State and federal regulations compliance audits related to documentation and reporting.
- Contributed knowledge to help improve financial management, billing and tracking systems.
- Served people of different backgrounds with polished people skills and advanced Language abilities.
- Helped minimize escalations by reaching out to clients in advance of expected problems.
- Prevented delays and claim denials by correcting information prior to submission.
- Compiled department-specific reports to help senior managers identify trends and improve progress.
- Employed clinical and billing codes expertise to correct billing inconsistencies.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Trained department employees in proper billing and accounting procedures.
- Created documents in accordance with payer guidelines and submitted to appropriate parties.
- Used data entry skills to accurately document and input statements.
- Responded to customer concerns and questions on daily basis.
- Collaborated with customers to resolve disputes.
Director of Rehabilitation
Aegis Therapies
10.2012 - 01.2016
- Maintained appropriate and adequate staffing and scheduling of residents on caseloads.
- Performed or oversaw initial patient assessments and evaluated response to treatment interventions.
- Liaised with patients, families and support departments to adequately plan for patient rehabilitation needs.
- Developed programs appropriate to needs of residents in facility to achieve highest feasible level of functioning.
- Supervised, oriented, trained and counseled department employees to improve job performance and maintain high standards of patient care.
- Promoted and followed facility infection control policies, procedures and OBRA guidelines to improve quality of care for health and safety of residents.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Communicated with patients, ensuring that medical information was kept private.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Discussed medical histories with patients in effort to provide most effective medical advice.
Education
Master Of Speech Pathology - Speech Pathology
Bachelor Of Arts - Mass Communications
Skills
- Microsoft Office
- Discrepancy Reconciliation
- Auditing Proficiency
- Billing Statement Management
- Professional verbal and written communication skills
- Delivery of weekly virtual training for clients on proprietary software to assist in billing accuracy
- Creation and delivery of clinical reports
- Customer service skills
- Conflict resolution skills
- Utilization of multiple EMR programs; PCC, Matrix, Power Chart
- Typing/Keyboarding skills
- Work Coordination
- Diagnostic Codes
- Data Recording
- Client Service
- ICD-9 Coding
- Reviewing Patient Information
- Categorizing and Classification
- Reimbursement Management
- Healthcare Terminology
Timeline
Medicare Reimbursement Specialist - Select Rehabilitation
01.2016 - Current
Director of Rehabilitation - Aegis Therapies
10.2012 - 01.2016
LSUMC School of Allied Health Professions - Master Of Speech Pathology, Speech Pathology
University of New Orleans - Bachelor Of Arts, Mass Communications
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