Serves as manager for all element of the Medical Treatment Facility (MTF) Uniform Business Office (UBO), including Third Party Collection Program (TPCP), Medical Affirmative Claims (MAC) and Medical Services Accounts. (MSA). Serves as the Armed Forces Billing and Collection Utilization Solution (ABACUS) subject matter expert fot Fox Army Health Center (FAHC). Serves as a subject matter expert for Genesis Registration and Revenue Cycle. Responsible for processing and recovering claims revenue. Over the course of the 23 years in the position the UBO has collected over $36 million in revenue. Establishes long and short range goals and objective for the TPC/MSA Programs in keeping with the MTF mission.
Serves as the Manger for the Medical Services Account (MSA) and Medical Affirmative Claims (MAC) As the MSA, i'm responsible for collecting and depositing funds. Ensuring that data is entered into the Automated Disbursing System (ADS) and General Fund Enterprise Business System (GEFBS). Compile reports for the Defense Finance Accounting Service DFAS).
As supervisor I performed Personnel Management Functions. Supervised lower grades. Select for vacancies, prepared formal performance evaluation and and performed counseling.
Health Insurance Claims Technician
Fox Army Community Hospital/Health Center
Redstone Stone Arsenal, Alabama
04.1992 - 06.2001
Submitted documentation to insurance companies for authorization of payment for services rendered.
Attended training sessions designed specifically for Claims Technicians in order to stay current with industry changes or updates.
Verified insurance coverage, eligibility, and benefit levels of claimants.
Responded promptly to customer inquiries regarding claim status or other issues related to their accounts.
Assigned appropriate codes to claims based on diagnosis, procedure, and services provided.
Completed quarterly/monthly Third Party Insurance Report to the Health Services Command, coordinating with the supervisor and Resource Management Division (RMD) on amounts collected from insurance companies..