Experience

WEED ARMY COMMUNITY HOSPITAL FT IRWIN USA MEDDAC, P.O. BOX 105109, FORT

• United States
• Medical Practices
• 1 - 100 Employee

• Health System Assistant

  • Sep 2016 - Present

  Operates Military Treatment Facility (MTF) enrollment and empanelment program, consisting of over 9,000 beneficiaries, preparing PCM appointment and healthcare utilization reports on a weekly basis. Assists in the development and maintenance of the Managed Care Program MTF and Civilian Provider Networks. Engages in continuous communication with the Managed Care Support Contractor. Coordinates with and assists fellow staff members and patients with beneficiary enrollment and eligibility. Able to identify service members assigned to the installation who are in need of enrollment. Creates an excel spreadsheet with service member information which is submitted to the Managed Care Support Contractor each week. Serves as the facility representative for the Prime Travel Reimbursement Program, assisting eligible beneficiaries with medical travel reimbursement in accordance with program policies and regulations. Assists with entering and adjusting provider schedules and scheduling/rescheduling patients in accordance with facility standard operating procedures. Serves as the department supply manager, responsible for purchasing of equipment and office supplies Show less



Alicia Kostov, LCSW

• Killeen, Texas, United States

• Office Manager

  • Mar 2010 - May 2013

  Managed office for Psychotherapist in private practice. Greeted clients, answered telephones, direct calls, and took messages. Compute, record, and proofread data and other information, such as records or reports in Therapy Helper system as well as Microsoft Word and Excel. Type, format, proofread, and edit correspondence and other documents, from notes or dictating machines, using computers or typewriters. Reviewed files, records, and other documents to obtain information to respond to requests. Created client registration forms in Microsoft Word and Excel. Input client registration information into Therapy Helper system. Collected co-payments from clients, giving receipts and inputting payments to Therapy Helper and Microsoft Excel. Ran reports to identify unpaid accounts, contacted insurance companies and clients regarding claims and payments. Verify accuracy of billing data and revise any errors. Submitted all billing claims to proper insurance companies such as Medicare, Medicaid, Tricare, etc. either by mail or electronically. Corresponded with various insurance companies regarding client referrals. Maintain confidentiality of records relating to clients' treatment. Used Microsoft Excel to balance weekly spreadsheets against Therapy Helper for bank deposit. Perform various clerical or administrative functions, such as ordering and maintaining an inventory of supplies. Operate typing, adding, calculating, or billing machines. Show less



Professional Counseling Service

• Copperas Cove, Texas, United States

• Assistant Office Manager

  • 2008 - May 2013

  Greeted clients, answered telephones, direct calls, and took messages. Operate office machines, such as photocopiers and scanners, facsimile machines, voice mail systems, and personal computers. Maintain and update filing, inventory, mailing, and database systems, either manually or using a computer. Open, sort, and route incoming mail, answer correspondence, and prepare outgoing mail. Compute, record, and proofread data and other information, such as records or reports in Therapy Helper system as well as Microsoft Word and Excel. Type, format, proofread, and edit correspondence and other documents, from notes or dictating machines, using computers or typewriters. Review files, records, and other documents to obtain information to respond to requests. Created client registration forms in Microsoft Word. Input client registration information into Therapy Helper system. Collected co-payments from clients, giving receipts and inputting payments to Therapy Helper and Microsoft Excel. Ran reports to identify unpaid accounts, contacted insurance companies and clients regarding claims and payments. Verify accuracy of billing data and revise any errors. Submitted all billing claims to proper insurance companies such as Medicare, Medicaid, Tricare, etc. either by mail or electronically. Answer mail or telephone inquiries regarding rates, routing, or procedures. Maintain confidentiality of records relating to clients' treatment. Transmit correspondence or medical records by mail, e-mail, or fax. Perform various clerical or administrative functions, such as ordering and maintaining an inventory of supplies. Operate typing, adding, calculating, or billing machines. Used Microsoft Excel to balance weekly spreadsheet against Therapy Helper for bank deposits. Contacted clients daily via telephone for appointment reminders. Corresponded with various insurance companies regarding client referrals. Acted as office manager when needed. Show less



Crossroads Healthcare Management, LLC

• United States
• Claims Adjusting, Actuarial Services
• 1 - 100 Employee

• Accounts Receivable Specialist

  • Feb 2003 - Jul 2005

  Entered patient data into computer system including creating new accounts and inputting ICD-9 and CPT codes. Researched ICD-9 and CPT codes for proper billing. Filed electronic claims and paper claims appeals with various insurance companies such as Medicare, Medicaid, Tricare, Blue Cross Blue Shield, etc. Contacted physicians offices and patients for additional account information. Contacted insurance companies and patients via telephone and mail regarding unpaid accounts. Operated office machines, such as photocopiers and scanners, facsimile machines, voice mail systems, and personal computers. Reviewed files, records, and other documents to obtain information to respond to requests. Compute, record, and proofread data and other information, such as records or reports. Ran daily reports of electronic claims submissions and reviewed for discrepancies and claims rejections. Corrected account and billing errors for claims resubmission. Opened, sorted, and routed incoming mail, answered correspondence, and prepared outgoing mail. Maintained and updated filing, inventory, mailing, and database systems, either manually or using a computer. Answered telephones, direct calls, and took messages. Operated typing, adding, calculating, or billing machines. Show less



Memorial Medical Center

• Port Lavaca, Texas, United States

• Insurance Coordinator

  • Nov 1998 - Feb 2003

  Prepared itemized statements, bills, or invoices and recorded amounts due for services rendered. Operated typing, adding, calculating, or billing machines. Scheduled and confirmed patient diagnostic appointments or medical consultations for outpatient clinic. Operated office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records. Submitted all claims and claims appeals via mail to appropriate insurance company such as Medicare, Medicaid, Tricare, etc. Corresponded with insurance companies regarding provider contracts, and unpaid claims. Contacted patients regarding needed additional information and unpaid accounts. Opened, sorted, and routed incoming mail, answered correspondence, and prepared outgoing mail. Type, format, proofread, and edit correspondence and other documents, from notes or dictating machines, using computers or typewriters. Maintain and update filing, inventory, mailing, and database systems, either manually or using a computer. Ran daily reports to identify unpaid accounts. Registered all patients being admitted to the hospital and assisted with outpatient registration. Obtained patient demographic information and entered into computer. Contacted insurance companies via telephone for pre-certification. Created and filed patient charts. Assisted hospital operator with telephone switchboard to answer, screen, or forward calls, providing information, taking messages, or scheduling appointments. Utilized Microsoft Word to create daily patient directory. Greeted persons entering hospital, determined nature and purpose of visit, and directed or escorted them to specific destinations. Registered all patients checking into emergency room and assisted with outpatient registration when needed, ensuring all proper forms were completed and signed to ensure timely billing. Show less