With over 25 years of experience in healthcare holding multiple positions. I am highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
26
26
years of professional experience
Work History
Signature Collection Representative
AMT/Restorix Healthcare
Irvine, CA
01.2022 - 06.2024
Responsible for obtaining physician signature on orders to process billing for WoundCare, Ostomy, Urological, and Tracheostomy supplies provided to patients within facilities or home settings.
Followed up with physicians or facility contact via phone or email to ensure orders were returned in a timely manner.
Developed and maintained strong relationships with Director of Nursing and/or Medical Records within assigned Facilities, as well as Physician for signatures on orders.
Consistently meet company target.
Collaborated with other members of the Signature Team to achieve department goals.
Provided valuable feedback on identified issues to supervisors.
Customer Service Representative
AMT- Gordian Medical Inc.
Irvine, CA
10.2018 - 01.2022
Managed monthly order placement for 200-250 facility accounts, ensuring timely delivery of Ostomy, Tracheostomy, and Urological supplies to qualified Insurance patients.
Conducted remote facility system assessments to identify supply requirements of patients.
Communicated with Facility contact to discuss and confirm required supplies either by phone or email
Maintained detailed records of customer interactions, transactions and comments for future reference.
Business Office Manager
Bria Health Services Palos Hill
Palos Hills, IL
07.2016 - 10.2018
Oversaw the rehabilitation site
Maintain comprehensive financial records for all residents
Facilitated communication between Corporate Office and family members regarding billing inquiries
Participated in weekly Medicare meetings to review residents' cases. Confirm days remaining, secondary insurance and long term residents plans.
Verified billing qualifications through regular Medicare Day checks
Coordinated with various insurers through fax and dedicated portals
Compliance Analyst
Central Intelligence Agency
Naperville, IL
07.2013 - 05.2016
Reviewed and monitored compliance with applicable laws, regulations, and policies to ensure compliance with regulatory requirements.
Responsible for responding to Medicare Prepay Audits on Enteral Tube Feeding supplies, ostomy, urological, tracheostomy, and wound care claims.
Collected required patient documentations, reviewed and assessed what was still needed. Facility contact for any missing documentation.
Submitted the necessary information required by the audit agency through the proper portals.
Executed numerous internal audits to ensure adherence to processes
Identified requirements for additional training during reviews.
Recommended necessary changes following process evaluations.
Multiple Position
APS (American pharmaceutical service)/OMNICARE
Naperville, IL
11.1998 - 07.2013
Joined APS in November 1998, later purchased by Omnicare in 2001 as a billing representative for orthotic and specialized medical supplies
Maintained above-average patient counts of 500-600, ensuring accurate billing to Medicare and other insurance companies.
Mentored new representatives, participated in testing team for system conversions, and covered additional responsibilities when needed.
Promoted to Billing Coordinator position in November 2006, responsible for developing and maintaining training materials.
Administered and monitored Module training program, which promoted continued employee education across all departments.
Conducted internal and external audits, reviewed management reports, set up master records, and ran billing queries within the operations system (OMSS).
Promoted to Billing Manager in October 2009, overseeing positions such as Billing Coordinator, Senior Billers, proof of delivery clerks, quality assurance staff, and receptionists.
Maintained oversight of the billing coordinator responsibilities while managing daily task across departments
Set goals for team members and provided assistance to help achieve these goals.