CONTACT INFORMATION:
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OBJECTIVE
Seeking the position in order to utilize my 10 years plus experience in Business Adminstration Management sector.
EDUCATION
Bachelor of Business Administration 9/2006
American InterContinental University Hoffman Estates, IL
* Concentration: Healthcare Management
Associate of Arts in English 6/1981
Pierce Junior College Woodland Hills, CA
PROFESSIONAL EXPERIENCE
Medicare Supplement Analyst 1/2002 - Present
American National Insurance Company Galveston, TX
* Perform all new business and renewal underwriting functions including risk analysis within tight turnaround time targets
* Review and discuss Medicare Supplement applications for accuracy and completeness and determine if additional information is necessary to fulfill underwriting requirements such as state regulated forms
* Issue, decline, or postpone applications
* Evaluate and classify health insurance applications, reissues, policy changes and reinstatements
Financial Counselor and Medical Collector 9/1998 – 6/ 2001
Christus St. John Hospital Nassau Bay, TX
* Worked with insurance companies to verify benefits, pre-approvals for hospital stays, surgeries, and patient billing problems
* Filed insurance claims for: Workman's Compensation, Commercial Insurance, PPO's, HMO's, ICD-9 and procedure coding
Billing Representative 1/1998 – 8/1998
Physician's Billing Service Houston, TX
* Arranged for doctors to be authorized as providers for Medicare, Medicaid, and different insurance companies.
* Managed billing and coding functions for insurance reimbursement for Medicare, Medicaid, and different Insurance.
A.H.C.A. Outpatient Surgery Center 3/1995 – 12/1996
Administrator Dickinson, TX
* Negotiated Managed care contracts for the Outpatient Surgery Center
* Managed two facilities for consolidating employee hours, equipment, and supplies, resulting, in cost savings of $50,000 in the first six months
* Led team to collect old medical debts up to three years old; brought in $98,000 in one month
* Monitored budget and identified internal controls to ensure compliance with budgets
* Served as liaison between surgery center, administration, medial staff, and patients concerning health care complaints and problems with services
* Accomplished leader in implementing business plans to enhance financial performance through increased revenue, cost controls, streamlined procedures, and efficient use of resources
* Compiled and prepared data for administrative and public reports
* Supervised office personnel, including scheduling work assignments, monitoring performance and quality of work, and assuring compliance with company policies and procedures
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