Ella Ames
GOLDSBORO,NC
Summary
I have been working in the HealthCare Industry since 2006. I have been involved in 3 CARF reviews in which we were recertified each time. I have done Customer Service and Billing and Coding during this entire time. In 2021 the State of North Carolina switched to Managed Care. I have been able transition to Managed Care billing with 8 different MCO's and have been successful. Passionate about helping people manage mental health and improve quality of life. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level [Job Title] position. Ready to help team achieve company goals.
Overview
46
46
years of professional experience
1
1
Certification
Work History
Mental Health Coordinator
Simmons Early Intervention Therapy
06.2022 - 08.2024
- Managed billing and authorizations for clients who received assessments and other behavioral health services
- Possesses knowledge and understanding of commercial and government insurance requirements
- Understood and billed claims for reimbursement and the impact on the revenue cycle
- Used computer skills (Microsoft Office Suite)
- Excellent understanding of ICD 9 and ICD 10 CPT Codes
- Twenty plus years of experience
- Ability to manage sensitive documents and records
- Excellent ability to work with effectively with various audiences.
Billing Manager
Family First Support Center
01.2006 - 01.2022
- Responsibilities included but were not limited to reviewing and submitting CMS 1500 claims to 8 Managed Care Organizations in North Carolina and 3 Managed Care Organizations in South Carolina
- Reviewed the employees' hours and checked the service notes that accompany the hours, submit the billing to the MCO's
- Was responsible for checking the Remittance Advices to see if all claims paid, Responsible for obtaining authorizations for treatment
- Obtained authorization for client treatment
- Used ICD 9 and ICD 10 to obtain such authorization, Worked with MH/SU & IDD authorizations and billing.
- Worked with physicians and clinicians to obtain assessments needed to bill for client services
- Increased billing department efficiency, reduced delinquency, and increased accuracy by developing and implementing system and process improvements
- Reviewed billing issues, conducted research, and addressed concerns
- Kept a close eye on the QA (Quality Assurance) program to ensure that it was performing well and that high standards of care were being met.
Testing Administrator
Wayne County Public Schools
08.1978 - 06.2004
- Maintained program files, records, databases, and websites to gather research and prepare and submit reports
- Had an excellent attendance record and was always on time for work
- Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties
- Oversaw the day-to-day operations of the education program and delegated assignments and evaluated performance of support staff
- Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys
- Oversaw the scanning and scoring of Standardized Testing for the State of North Carolina
- Submitted test scores to local and state education organizations.
Education
Some college (No degree) -
Wayne Community College
Goldsboro, NCHigh School -
West Martin High School
Oak City, NC01.1967
Skills
- Interpersonal skills
- Problem solving skills
- Sound decision-making
- Budgeting expertise
- Team leader
- Excellent organizational skills
- Confidential records
- Teamwork and Collaboration
- Time Management
- Attention to Detail
- Multitasking
- Reliability
- Active Listening
Certification
Microsoft Office Suites
Timeline
Mental Health Coordinator
Simmons Early Intervention Therapy
06.2022 - 08.2024
Billing Manager
Family First Support Center
01.2006 - 01.2022
Testing Administrator
Wayne County Public Schools
08.1978 - 06.2004
Some college (No degree) -
Wayne Community College
High School -
West Martin High School
Microsoft Office Suites
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