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Similar a Lisa Resume 12.19
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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