Lisa Resume 12.19

L
33 Harborview Avenue
Norwalk, CT 06854
203-858-2757
Lives7066@hotmail.com
LISA IVES
Collaborative team leader with a functional knowledge of Medical Coding, Billing,
Customer Service, Training, Healthcare Compliance and Audit Readiness. Passionate
results driven professional able to lead high preforming teams as well as be a key
individualcontributor. Detail orientedwith,engaginginterpersonalskillsallowingfor
effective collaboration with staff, peers, and leadership teams.
BAYADA HOME CARE
CLIENT SERVICES MANAGER
11/2015 – 11/2016 WESTPORT, CT
SCHEDULING
 Scheduledall fulltime andper-diemclinicianvisits ensuringtimelyinitiationof care
 Servedasliaisonbetweencliniciansandpatientsforschedule changesdue tohospitalization or
changesincare plan
 Communicatedschedule changeswithreferringphysicians
 Workedwithagenciestofill openstaffingneeds
 Educatedfamiliesstartingcare onwhatto expect
INTAKE
 Processedincomingpatientreferrals
 Managed insurance authorizations,re-certificationsandinitialinsurance verifications
 ObtainedFace toFace and VisitNotesfromPrimaryCare Physician
COMPLIANCE
 WorkedwithCorporate office tocomplete quarterlyaudits
 CreatedandimplementedPlansof Correction
PROJECT MANAGEMENT
 PlannedPhysicianEducationandSalesevents
 Managed timelineswithfacilities,marketingandvendors
 Ensuredall keydeliverableswere metwithaccuracy
 Communicatedeventdetailsandresultswithkeystakeholders
BILLING
 Run weekly payroll weeklyforfull time clinicians
 Verify documentationforall visitsare completedpriortoclosingforbilling
 Monitorvisittimes
COMPLIANCE
 Work withCorporate office tocomplete quarterlyaudits
 Create and implement Planof Correction
 Maintainemployeefilesensuringlicensesandcontinuing educationrequirements are current
 Create NewHire employee files
 Coordinationof quarterlystaff In-Service meetings
33 Harborview Avenue
Norwalk, CT 06854
203-858-2757
Lives7066@hotmail.com
LISA IVES
Page 2
CONSTELLATION HOME CARE
BILLING COORDINATOR
1/2014 – 11/2015 NORWALK, CT
Recruitedintoatemporaryrole createdtoremedyproceduralissuesidentifiedduringaCMS Audit.
Transitionedintoafull time role tosupportRevenue Cycle Managementandacceleratedbillingclaim
adjunction
BILLING
 EducatedPhysicianGroupsonnew processesandbillingstandardsdecreasingclaimrejectionsand
reducingoutstandingclaimsacrosstopreferringphysiciangroups
 Interactedwithmostbusinessunitsmanagingclinical documentation,processingbillingclaims
includingRehab,SkilledNursing,Finance
 Processedinsurance authorizations,re-certificationsandinitial insurance verifications
COMPLIANCE
 Leverage anunderstandingof the ICD9codingsystemanddocumentationmandatestotransform
policiesandprocessesnecessarytoconformtoCMS billingmandates
 Developedinternalprocessesforensuringcompliancyof patientfiles
 Trackedrecurring30 daytherapyassessments
 ConductedquarterlypatientfileauditsforSkilledNursingandall Therapies
 CollaborateddirectlywithCEOforCMS documentationrequestsandaudits
SCHEDULING
 Scheduledclinicianhome visitsbasedconstantlychangingIntake logs
 Servedasliaison betweencliniciansandpatientsforschedule changesdue tohospitalizationand
changesincare plan
NEXT HEALTH
1/2010 – 11/2014 NORWALK, CT
Full time employeeresponsibleformcustomerservice,billingandquality. Reporteddirectlytothe CEO
BUSINESS DEVELOPMENT
 ProspectedAssistedLivingFacilitiesandHealthcareagenciesforproductplacement
 RecruitedandscreenedparticipantsforClinicalTrial
 Developedscriptsforproductinquiries
 Conductedproductdemonstrationsforpotentialclients
 Workedcloselywithmarketingfirm’sproductionof salesandmarketingmaterials
CUSTOMER SERVICE
 Processedallsalesorders,distributionplansandinvoices
 Conductedcustomertraininginbothhomeandinstitutionalsettings
 Providedcallcentersupport, producttroubleshootingandtechnicalsupport
 Responsibleforcustomerbill processingandinsurancereimbursement
33 Harborview Avenue
Norwalk, CT 06854
203-858-2757
Lives7066@hotmail.com
LISA IVES
Page 3
E-MEDIA
2/2000 – 11/2002 NEW CANAAN, CT
ACCOUNT MANAGER
 Managedclientwebdevelopmentprojects
 Producedclientlivestreamingevents
 Providedtechnicalassistanceforliveeventcustomers
 Allocatedinternalteamresourcesforclientprojects
 Processedclientbilling
BRIDGE INFORMATION SYSTEMS
1997 – 1999 LOSANGELES, CA
ACCOUNT MANAGER
CANTOR FITZGERALD
1993 - 1997 LOS ANGELES, CA
COMMUNICATIONS
EDUCATION
 UNIVERSITYOF MISSOURI –COLUMBIA–BACHELOROF ARTS
1988 - 1992

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Lisa Resume 12.19

  • 1. 33 Harborview Avenue Norwalk, CT 06854 203-858-2757 Lives7066@hotmail.com LISA IVES Collaborative team leader with a functional knowledge of Medical Coding, Billing, Customer Service, Training, Healthcare Compliance and Audit Readiness. Passionate results driven professional able to lead high preforming teams as well as be a key individualcontributor. Detail orientedwith,engaginginterpersonalskillsallowingfor effective collaboration with staff, peers, and leadership teams. BAYADA HOME CARE CLIENT SERVICES MANAGER 11/2015 – 11/2016 WESTPORT, CT SCHEDULING  Scheduledall fulltime andper-diemclinicianvisits ensuringtimelyinitiationof care  Servedasliaisonbetweencliniciansandpatientsforschedule changesdue tohospitalization or changesincare plan  Communicatedschedule changeswithreferringphysicians  Workedwithagenciestofill openstaffingneeds  Educatedfamiliesstartingcare onwhatto expect INTAKE  Processedincomingpatientreferrals  Managed insurance authorizations,re-certificationsandinitialinsurance verifications  ObtainedFace toFace and VisitNotesfromPrimaryCare Physician COMPLIANCE  WorkedwithCorporate office tocomplete quarterlyaudits  CreatedandimplementedPlansof Correction PROJECT MANAGEMENT  PlannedPhysicianEducationandSalesevents  Managed timelineswithfacilities,marketingandvendors  Ensuredall keydeliverableswere metwithaccuracy  Communicatedeventdetailsandresultswithkeystakeholders BILLING  Run weekly payroll weeklyforfull time clinicians  Verify documentationforall visitsare completedpriortoclosingforbilling  Monitorvisittimes COMPLIANCE  Work withCorporate office tocomplete quarterlyaudits  Create and implement Planof Correction  Maintainemployeefilesensuringlicensesandcontinuing educationrequirements are current  Create NewHire employee files  Coordinationof quarterlystaff In-Service meetings
  • 2. 33 Harborview Avenue Norwalk, CT 06854 203-858-2757 Lives7066@hotmail.com LISA IVES Page 2 CONSTELLATION HOME CARE BILLING COORDINATOR 1/2014 – 11/2015 NORWALK, CT Recruitedintoatemporaryrole createdtoremedyproceduralissuesidentifiedduringaCMS Audit. Transitionedintoafull time role tosupportRevenue Cycle Managementandacceleratedbillingclaim adjunction BILLING  EducatedPhysicianGroupsonnew processesandbillingstandardsdecreasingclaimrejectionsand reducingoutstandingclaimsacrosstopreferringphysiciangroups  Interactedwithmostbusinessunitsmanagingclinical documentation,processingbillingclaims includingRehab,SkilledNursing,Finance  Processedinsurance authorizations,re-certificationsandinitial insurance verifications COMPLIANCE  Leverage anunderstandingof the ICD9codingsystemanddocumentationmandatestotransform policiesandprocessesnecessarytoconformtoCMS billingmandates  Developedinternalprocessesforensuringcompliancyof patientfiles  Trackedrecurring30 daytherapyassessments  ConductedquarterlypatientfileauditsforSkilledNursingandall Therapies  CollaborateddirectlywithCEOforCMS documentationrequestsandaudits SCHEDULING  Scheduledclinicianhome visitsbasedconstantlychangingIntake logs  Servedasliaison betweencliniciansandpatientsforschedule changesdue tohospitalizationand changesincare plan NEXT HEALTH 1/2010 – 11/2014 NORWALK, CT Full time employeeresponsibleformcustomerservice,billingandquality. Reporteddirectlytothe CEO BUSINESS DEVELOPMENT  ProspectedAssistedLivingFacilitiesandHealthcareagenciesforproductplacement  RecruitedandscreenedparticipantsforClinicalTrial  Developedscriptsforproductinquiries  Conductedproductdemonstrationsforpotentialclients  Workedcloselywithmarketingfirm’sproductionof salesandmarketingmaterials CUSTOMER SERVICE  Processedallsalesorders,distributionplansandinvoices  Conductedcustomertraininginbothhomeandinstitutionalsettings  Providedcallcentersupport, producttroubleshootingandtechnicalsupport  Responsibleforcustomerbill processingandinsurancereimbursement
  • 3. 33 Harborview Avenue Norwalk, CT 06854 203-858-2757 Lives7066@hotmail.com LISA IVES Page 3 E-MEDIA 2/2000 – 11/2002 NEW CANAAN, CT ACCOUNT MANAGER  Managedclientwebdevelopmentprojects  Producedclientlivestreamingevents  Providedtechnicalassistanceforliveeventcustomers  Allocatedinternalteamresourcesforclientprojects  Processedclientbilling BRIDGE INFORMATION SYSTEMS 1997 – 1999 LOSANGELES, CA ACCOUNT MANAGER CANTOR FITZGERALD 1993 - 1997 LOS ANGELES, CA COMMUNICATIONS EDUCATION  UNIVERSITYOF MISSOURI –COLUMBIA–BACHELOROF ARTS 1988 - 1992