Norma Schohr
San Antonio,Texas
Summary
I am excited to begin my next journey as a Provider Advocate. And to ensure we provide healthier communities, by avoiding and removing barriers that can impact quality of care. It is with enthusiaism, that I accept the challenge of a performance driven , fast paced department which serves multiple markets. My goal is to find a quick resolve to provider claims, assisting with enhancement of the portal and other services. Being able to support development and management of provider networks, education and training through education programs, and assisting in recognizing gaps affecting network contracting teams is exactly what I am looking for.
Overview
27
27
years of professional experience
Work History
Provider Services Representative T2
United Healthcare, UHG
San Antonio, Texas
03.2022 - Current
- Responded promptly to emails sent by providers concerning billing inquiries or other related matters.
- Utilized job-related software to prepare change of address records and issue service discontinuance orders.
- Identified discrepancies between invoices received from providers versus payments made by the company.
- Followed up with clients on outstanding documents or payments required for processing claims or services rendered.
- Verified accuracy of submitted documentation prior to processing claims or services rendered.
- Developed relationships with new providers by providing guidance on how to use our systems, processes, and policies.
Dental Customer Service Representative
United Health Care
San Antonio, Texas
12.2017 - 03.2022
- Skygen Medicare/Medicaid (Oct 2019 to present) (Previous to Oct 2019)HMO, PPO, DCDC, INO, EPO dental plans
- First Call Resolution for Members/Providers with excellent customer service
- Navigate a multitude of software and databases to research and troubleshoot complex issues
- Assist Members/Providers, pre and post claim status to understand benefits and limitations
- Critical Thinking to interpret claims and industry specific terms to translate to Members/Providers
- Provided excellent customer service to resolve customer complaints in a timely manner.
Incomplete Chart Control Technician
Rideout Regional Medical Center
Marysville, CA
12.2008 - 03.2017
- Timely record completion - 1% delinquency rate/Revenue Cycle initial phase – Coding Queries, CDI Queries [Goal – maximum reimbursement and Continuity of Care]
- Acting’ Custodian of Records - Legal Medical Records for Administrative Cases, Letters of Intent, Legal Summons and Subpoenas Dues Tecum
- Provided medical records to our Malpractice Insurance Provider to open claims
- Attended Court and Deposition proceedings upon request)
- Knowledge of HIPAA and Compliance
Charge Analyst
Rideout Memorial Workman’s Compensation Clinic
Marysville, CA
07.2007 - 12.2008
- Posting ICD – 9 charges for Rideout Comp Clinic, Inpatient and Outpatient Rehabilitation Services (PT, OT, Speech)
- Accepting referrals and providing Authorizations for Third Party payers, Medi-Cal TARs and Medicare Reimbursements
Chart Analyst
Rideout Memorial Hospital
Marysville, CA
04.1997 - 04.2006
- Concurrent and Retrospective Analysis for timely record completion providing a complete and accurate medical record; physician suspension, and Release of Information for general requests
- Physician Proctoring for credentialing
Education
Skills
- Organizational Skills
- Microsoft Office (Word, Outlook, Excel)
- Analytical/Critical Thinking Skills
- Self Motivated
- Team Leader
- Works Well Under Pressure
- Multi Tasking
- A4-MPI
- McKesson-(HPF/ MPFOneContent, Physician Portal, Paragon-CPOE Reference Master)
- Medi-scribes
- Cardio CPAC- Web Client- Stentor
- Radiology-Mysis, PACS system
- Watchchild Fetal Monitoring Data Prenatal Managing System
- Central Scheduling- Outpatient Orders
- Sunquest Laboratory
- EDOC/ HED
- Quantum-QuadraMed- Coding
- Empower- ER EMR
- Form Fast
- Huron Healthcare
- DCF- Printing and Scanning Program
- ISET ,FACETS, CSM-ENTERPRISE( UHC PROGRAMS)
- SalesForce
- Knowledge Central
- Educ Provider Portals
- Solutions Business Manager
- Claims Processing
Leadership Experience
A cooperative and collaborative team leader in our HIM Department and known hospital wide as well. Super-user/Trainer
Communication Skills
My achievement’s in the medical field are accredited to many years of experience, working with a vast array of people in many different capacities. Attributes include being a quick learner, attention to detail, strong verbal and written skills have afforded me success in my educational and professional endeavors. I consider myself a positive, compassionate, ambitious and an adaptable individual who would be an asset to any Healthcare Facility
Timeline
Provider Services Representative T2
United Healthcare, UHG
03.2022 - Current
Dental Customer Service Representative
United Health Care
12.2017 - 03.2022
Incomplete Chart Control Technician
Rideout Regional Medical Center
12.2008 - 03.2017
Charge Analyst
Rideout Memorial Workman’s Compensation Clinic
07.2007 - 12.2008
Chart Analyst
Rideout Memorial Hospital
04.1997 - 04.2006
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