Experience

• 

  Hms

  • Program Manager
• 

  HMS

  • United States
  • Hospitals and Health Care
  • 700 & Above Employee

  • Program Manager

    • Jun 2014 - Present

    -Manage daily operations of TPL recovery units including Cost Avoidance, Trauma and Estates.-Directly communicate with client regarding daily issues that arise.-Manage invoicing and Quality Assurance of Trauma, Estates, Credit Balances, Cost Avoidance, Commercial Billings and CHIP projects.-Generate monthly TPL reports for multiple states including West Virginia, Delaware, Maryland, Ohio and Washington D.C.

  • Estate Caseworker

    • Apr 2012 - May 2014

    -Responsible for the WV Estate recovery program and its daily operations. -Negotiates and reduces liens for third party representatives involved in tort recovery cases (WV Medicaid and WV CHIP).-Review monthly invoices regarding billing irregularities.-Responsible for account receivables and its monthly responsibilities.

• 

  CareFirst BlueCross BlueShield

  • Charleston, West Virginia Area

  • CSR

    • Apr 2011 - Apr 2012
    • Charleston, West Virginia Area

    -Supplied patient benefit information and medical claim support to Large Group Providers and Members.-Identified and adjusted claims that were paid incorrectly, whether it was inaccurate procedure codes/modifiers, authorizations or referrals.

• 

  Kanawha Valley Physical Therapy Center

  • Dunbar, West Virginia Area

  • Billing and Scheduling Specialist

    • Jul 2010 - Sep 2010
    • Dunbar, West Virginia Area

    -Involved with scheduling and Medicare billing for the practice. -Responsible for insurance verifications and revising therapy charts to identify billable procedures.

• 

  WV Governor's Office of Economics Opportunity

  • Charleston, West Virginia Area

  • Office Assistant

    • Mar 2010 - Jul 2010
    • Charleston, West Virginia Area

    -Data entry, bookkeeping and other tasks in the aid of transferring grant and stimulus monetary funds to non-profit organizations.