Amy Bracy-Codallo
Utilization Review at Springwoods Behavioral Health- Claim this Profile
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Bio
Experience
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Springwoods Behavioral Health
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Mental Health Care
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1 - 100 Employee
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Utilization Review
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Jul 2021 - Present
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Patient Accounts Coorindator
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Apr 2014 - Jul 2021
As a Business Office Representative I am responsible for the daily processing, posting, and collection of all facility and physician charges and payments. I am the sole Medicaid biller and claims adjuster. I am also responsible for the daily review of prior days admissions insurance providers and demographics to ensure all claims drop cleanly and that all demographic information is accurately entered for collection purposes. I am the stand-in for the Director of Business Operations in her absence. This consist of compiling morning reports and generating the daily census, along with attending the daily Flash meeting.Annual billing and collection of a million dollars in Medicaid revenueMonthly upfront cash collection of 20-30%Responsible for reporting, compiling, and updating of all denied monthly claimsInitiation and follow up of appeals requestsInsurance verification Financial managementAccounts receivable Data entry of all patient information relating to insurance, insurance billing, payments from providers and patients, and denial/appeals through Midas software and MS400 softwareDemonstrated exceptional customer service in person and via phoneCollaboration between DBO, CFO, CEO, and third party biller of our physician chargesFacilitated hospital and physician credentialingAssisted with maintaining the front desk when needed Show less
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State of Arkansas
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Government Administration
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700 & Above Employee
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IPA Guide
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Sep 2013 - Apr 2014
As an IPA, my principle goals were to assist citizens of Arkansas in obtaining Medicad and Insurance benefits. During my tenure, I took the lead in shaping official policy with regard to the initial software development of the new Arkansas Medicad website, helping to save over $10,000 to tax payers. I developed unique customer service information sheets for use when website information was unavailable. As a leader of my group I employed the following skills: Building team dynamics through guiding, motivating, and teaching junior personnel by emphasizing customer service Displaying flexibility and speed of multiple tasks with short deadlines, particularly in regard to website functionality and customer access to services Training and Certifications: HIPAA, Sexual Harassment, CATMAn, Travel, Cultural Diversity, WIC, FERPA Show less
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University of Phoenix
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United States
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Higher Education
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700 & Above Employee
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Enrollment advisor
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Apr 2007 - Nov 2012
Recruit new students for enrollment to maintain monthly forecasted budget Facilitate student meetings to deliver enrollment, academic, and financial expectations Generate referrals from prospective and current students Create a student focused experience to aid students in decision making process Facilitate continual communication between student and all departments to ensure student success Problem solve prospective and current student obstacles and concerns Attended 2007 and 2008 top performers conference Eligible for 2009 Ace Training for top performers Show less
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Human Resource Assistant
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Jan 2005 - Apr 2007
Assisted Human Resource Manager with all aspects of Human Resource department Assisted all applicants with application process Coordinated and conducted all new hire process Facilitated and conducted all employee benefit enrollment and open enrollment requests Maintained all employee files and records Maintained all workman compensation requests and claims Monitored all nonexempt employee timecards and delivery of all personnel paychecks Created and maintained all DOT and service files for fleet vehicles Show less
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Benefits Coordinator
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Sep 2004 - Jan 2005
Liaison between company and benefit vendors Maintained all employee benefit records Assisted employees with open enrollment process and entered all employ request Liaison between benefit and payroll department to ensure appropriate deductions were being taken out Entered in all court ordered request for garnishments Updated all employee benefits with special request: STD/LTD, PTO, LOA Liaison between company and benefit vendors Maintained all employee benefit records Assisted employees with open enrollment process and entered all employ request Liaison between benefit and payroll department to ensure appropriate deductions were being taken out Entered in all court ordered request for garnishments Updated all employee benefits with special request: STD/LTD, PTO, LOA
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State of Florida
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Government Administration
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700 & Above Employee
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Sufficiency Specialist
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Feb 2001 - Apr 2004
Issued public assistance in the form of TANF, Medicaid, and Food Stamps Meet with general public daily Maintained all beneficiaries files daily Updated all beneficiaries requests and paperwork Issued public assistance in the form of TANF, Medicaid, and Food Stamps Meet with general public daily Maintained all beneficiaries files daily Updated all beneficiaries requests and paperwork
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Education
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University of Phoenix
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management -
University of Arkansas
Bachelor of Science (B.S.), Social Work