Overview
Work History
Education
Skills
Certification
Affiliations
Timeline
DEBORAH M. HOSNER

DEBORAH M. HOSNER

Fort Worth,TX

Overview

20
20
years of professional experience
1
1
Certification

Work History

Imaging Operations Manager

State National Companies Inc.
  • Managed the newly created centralized medical record document imaging department consisting of a supervisor, 3 leads and contract staff of 40+ employees
  • Achievements
  • Implemented a paperless medical record review process increasing overall claim review production by 25%
  • Organized the central imaging department to focus scanning of medical records by training staff specifically in the creation of medical record chart organization for ease of review by clinical staff
  • Created workflows to increase production from 20,000 per year to over 1,200,000 in nine months
  • Implemented a QA process to meet and exceed client goals to a consistent 98%.

Provider Relations Supervisor

  • Managed Call Center and Supporting Documentation Processing department consisting of 3 leads and 30 representatives
  • Worked for professional and facility billing departments to assist them in billing the appropriate third-party payors
  • Achievements
  • Improved total call and document review production by 52% the first year
  • Created a training and quality assurance program eliminating inadvertent release of PHI
  • Improved claim processing with the implementation of paperless claim review by 24% within two months of implementation
  • Rolled out application to Providers to allow them direct access to their accounts.

Document Processing Supervisor

State National Companies SNC
10.2017 - 07.2022
  • Managed 20+employees
  • Achievements
  • Implemented program to reduce backlog created by COVID lockdown
  • Created a “Hybrid” solution to the “New Normal” of working after COVID
  • Effectively managed teams of 20+ staff, both permanent and contractors, on-site and monitored Working From Home (WFH) staff to meet or exceed production goals
  • Part of the management team responsible for implementation, hiring, training and testing new OCR (Optical Character Recognition system.

Real Estate Agent

Keller Williams
11.2016 - 03.2017

Call Center Supervisor

USMD
03.2015 - 08.2016
  • Manage 20 employees within the Patient Call Center, Referral Coordinator and Triage Nurse Teams
  • Achievements
  • Improved Service Levels from an average of 65% to 90% within 2 months for the New Patient Call Center
  • Reduced an existing backlog of over 3 months to within a 5-day turn-a-round for referrals within 1 month
  • Centralized the RX Prior Authorization process within USMD to a central location to improve patient service.

Recovery Audit Contractor (RAC)

HMS
03.2007 - 10.2013
  • Managed the development, enhancement, and maintenance of three diverse application platforms used to perform claim and medical record reviews for Medicaid RAC audits
  • Achievements
  • Improved claim review processing time 20-25% by training the clinical staff on the best practices for the applications
  • Created the ability to order “real time” reports crucial for accurate reporting to the clients.

Education

Legal Secretary Diploma -

North American School of Business

LOMA Customer Service Associate (ACS), HIAA Long Term Care Professional (LTCP) – ICA Claims Administration, Claims Management Certified Medicaid Professional (MCMP-I) CMS - undefined

Skills

  • Client Service
  • Reporting Tools
  • Business Development
  • Contact Management Systems
  • Business Workflows
  • Project Management
  • Strong Interpersonal Communication
  • Process Improvement Initiatives
  • Staff Management
  • Motivational Leadership
  • Operations Management
  • Excellent Written and Oral Communication
  • Data Management
  • Training and Development
  • Effective Communication
  • New Hire Training
  • Process Change and Implementation
  • Microsoft Office Proficiency
  • Policy Development and Enforcement
  • Process Development and Streamlining
  • Leadership

Certification

Inbound/Outbound Call Center (5+ years) Long Term Care Professional (LTCP) Associate Customer Service (ACA) Experienced in PeopleSoft, Lotus Notes, Outlook Medicare/Medicaid/MCO (6+years) Certified in Medical Terminology Document Imaging (ImageNow Application)

Affiliations

Experienced in the Insurance and Healthcare Industries.

Timeline

Document Processing Supervisor - State National Companies SNC
10.2017 - 07.2022
Real Estate Agent - Keller Williams
11.2016 - 03.2017
Call Center Supervisor - USMD
03.2015 - 08.2016
Recovery Audit Contractor (RAC) - HMS
03.2007 - 10.2013
Imaging Operations Manager - State National Companies Inc.
Provider Relations Supervisor -
North American School of Business - Legal Secretary Diploma,
- LOMA Customer Service Associate (ACS), HIAA Long Term Care Professional (LTCP) – ICA Claims Administration, Claims Management Certified Medicaid Professional (MCMP-I) CMS,

Similar Profiles

CREATE PROFILE
DEBORAH M. HOSNER