Irene Carney
Ely,NV
Summary
To provide quality health care and disease prevention for the tribal community through adequately managed health care programs and the development of new programs. To insure the upmost professional working environment to safeguard the privacy of all patients through compliance of federal rules and regulations to include HIPAA. Efficient professional with 21 years of health care experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
28
28
years of professional experience
Work History
Medicaid Biller
William Bee Ririe Hospital
01.2021 - 01.2022
- Simplified complex billing issues for colleagues by serving as a knowledgeable resource on Medicaid rules, regulations, and procedures.
- Demonstrated commitment to professional development, staying abreast of industry trends and regulatory changes affecting Medicaid billing processes.
Health Director
Ely Shoshone Tribe
01.2017 - 01.2021
- Supervisor over the health staff
- Responsible for working with recruiting agencies to hire a provider
- Responsible for credentialing the medical provider for the Newe Medical Clinic
- Responsible for submitting budgets to the Tribal Council for approval on a yearly basis, this includes the budget for Health Administration, Newe Medical Clinic, Contract Health Services, Dental and Optometry
- Responsible for all Purchase Orders and ordering of supplies for the Health department and Newe Medical Clinic
- Develop and/or amend Policies and Procedures for the Health Department and Newe Medical Clinic
- Responsible for scanning and uploading all third-party documents to the billing agency so they can process them from the insurance companies we are contracted with
- Prepare a monthly council report and attend monthly council meetings
- Responsible for submitting all vendor forms to the finance department for payment
- Responsible for filling out all Purchase Orders and ordering all supplies needed for the health Department and Newe Medical Clinic
- Responsible for the negotiations between the Ely Shoshone Tribe and Indian Health Service over the tribe's Multi-Year Funding Agreement.
Assistant Health Director
Ely Shoshone Tribe
01.2009 - 01.2017
- Assist Health Director on the day-to-day operations of the Health Department
- Responsible for all Purchase Orders and ordering of supplies for the health department and Newe Medical Clinic
- Responsible for submitting budgets to the Tribal Council for approval on a yearly basis, this includes Health Administration and CHS
- Make budget modifications at the end of each CY
- Meet with the Finance on any discrepancies on the budgets
- Keep track of spreadsheets and account detail sheets on health administration, CHS and Third Party Collections from finance and balance my invoices on a monthly basis
- Attend all meetings, workshops, conferences and trainings pertaining to health or tribal self-governance
- Assist the Health Director to make sure all Policies and Procedures are being followed
- Prepare a monthly council report and attend monthly council meetings
- Make sure that all staff are up to-date on their HIPAA certification
- Assist with grants pertaining to health
- In the absence of the Health Director sign time sheets and paperwork such as vendor forms and health administration and CHS
- Keep track of buy-backs from IHS and reconcile with finance at the end of CY
- I have submitted the Diabetes Grant for the past 9 years and am involved in managing the grant
- Attend monthly Diabetes Team meetings.
Office Manager
Health Department Ely Shoshone Tribe
01.2003 - 01.2009
- Responsible for submitting budgets for health department, health administration, CHS, Alcohol & Drug
- Responsible for spreadsheets and account detail sheets, maintain and monitor budgets
- Submit grant for Diabetes Grant, maintain and monitor budget
- Answer phone and take messages
- Check in-coming mail and distribute to the proper departments within the health building
- Do all ordering and invoicing for the health building and Newe clinic
- Attend negotiations for BIA/IHS Self-Governance Funding Agreement on a yearly basis.
Assistant Secretary
Health Department Ely Shoshone Tribe
01.2000 - 01.2003
- Answer in-coming phone calls, take messages
- Do all ordering for the departments in the health department and do all invoicing and submit to the finance department
- Kept cuff account for the health administration budget.
Assistant Education Director
Education Department Ely Shoshone Tribe
01.1998 - 01.2000
- Answer in-coming phone calls, take messages
- Responsible for collecting attendance of school each month for children ages K – thru 12th grade
- Responsible for preparing and submitting invoices for the children who had perfect attendance for that month and handed into the finance office for payment
- Handed out applications to students who were applying for Higher Education
- Evaluated the applications when returned and took them before the education committee for approval and then to the tribal council for final approval
- Coordinated graduation banquet for the graduating classes, Pre-school, Kindergarten, 8th grade, 12th grade and college students
- Taught Pre-school in the absence of the pre-school teacher on several occasions.
Receptionist
Education Department
01.1996 - 01.1998
- Answer in-coming phone calls, take messages
- Responsible for collecting attendance for school each month for children ages K – thru 12th grade
- Prepared invoices for the children who had perfect attendance for that month and handed into the finance office for payment
- Served on the Education Committee.
Secretary
Education Department
01.1994 - 01.1996
- Answer in-coming phone calls, take messages
- Responsible for collecting attendance for school each month for children ages K – thru 12th grade
- Responsible for preparing invoices for the children who had perfect attendance for that month and handed into the finance office for payment.
Education
Diploma -
White Pine High School
Ely, NV01.1980
Skills
- ICD-10 Coding Familiarity
- Claims Processing Proficiency
- HIPAA Compliance Understanding
- Organizational Competencies
- Accurate data entry
- General accounting
- Microsoft Office
- Purchase Orders
- Billing and Invoicing
- Quality Control
- Vendor invoice processing
- Operational Management
- Protocol Compliance
Accreditation
- 21 years of BIA/IHS Self-Governance, negotiations/conferences
- 21 years IHS I/T/U Budget Formulation meetings
Computer Experience
- Microsoft Word
- Excel
- Publisher
- Adobe
References
- Garret Garber, (775) 378-1530
- Mary Jordan, 1 (406) 439-9449
- Christine Stones, (775) 293-1862
Timeline
Medicaid Biller
William Bee Ririe Hospital
01.2021 - 01.2022
Health Director
Ely Shoshone Tribe
01.2017 - 01.2021
Assistant Health Director
Ely Shoshone Tribe
01.2009 - 01.2017
Office Manager
Health Department Ely Shoshone Tribe
01.2003 - 01.2009
Assistant Secretary
Health Department Ely Shoshone Tribe
01.2000 - 01.2003
Assistant Education Director
Education Department Ely Shoshone Tribe
01.1998 - 01.2000
Receptionist
Education Department
01.1996 - 01.1998
Secretary
Education Department
01.1994 - 01.1996
Diploma -
White Pine High School
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