I would like to introduce myself and provide my qualifications for an opportunit

y to utilize my current skills and experience in a Management Position. I have e

xcellent interpersonal and communication skills that support my ability to work
effectively with a broad spectrum of personalities and develop strong business r
elationships. I am a highly motivated self-starter with strong organizational, c
ritical thinking, detail-oriented work, and time-management skills. I work well
independently and in a team environment and am accustomed to working in a fast-p
aced environment and under time deadlines.

Accomplishments: Promoted 3 times while at KCI, which were Team Lead, Supervisor
, and Project Manager/Business Process Analyst II. Received 10 High Fives from I
nternal and External Customers for demonstrating KCI Core Values. Received 8 Emp
loyee Recognition Gift Cards for displaying team work within the department at K
CI.
Experience:
The SCOOTER Store New Braunfels, TX 09/28/09 to 08/06/10
Service Appeals and Collections Manager 05/03/10 V 08/06/10
Responsibilities:
X Oversee the daily operations of the Service Appeals and Collections Department
.
X Assist in the responsibility of the cash flow for the company to include super
vising the daily/monthly/quarterly operations of collections and appeals to insu
re are within insurance filing deadline.
X Delegate incoming correspondence to staff and communicate to other departments
as necessary for any changes that may occur in Medicare policies and/or other i
nsurance companies.
X Ensure that all of the Collection and Appeal activities are conducted in a man
ner that is consistent with the overall department protocol and are in complianc
e with HIPAA.
X Acted as a liaison between internal and external customers regarding account b
alances.
X Work with appeals and collection team and analysts to resolve issues.
X Supervise, train, coach and motivate staff.
X Perform other manager duties to include Kronos, PeopleSoft, annual performance
reviews, and monthly productivity reports
X Conduct internal audits on collection and appeal with productivity reports in
addition to call monitoring.
Service Billing Manager 09/28/09 V 05/02/10
Responsibilities:
X Oversee the daily operations of the Service Billing Department, which includes
claim submissions to Medicare and Secondary Insurance Carriers for all states
X Ensure that all of the Billing activities are conducted in a manner that is co
nsistent with the overall department protocol and are in compliance with HIPAA
X Work with billing team and analysts to resolve any unbilled issues
X Supervise, train, coach and motivate staff
X Conduct internal audits on billing with productivity reports
X Perform other manager duties to include Kronos, PeopleSoft, annual performance
reviews, and monthly productivity reports

Nix Healthcare System San Antonio, TX 10/06/2008 V 09/25/09

Patient Accounts Manager V Governmental Payors
Responsibilities:
X Hire, supervise, and oversee the daily operations of 15 team members with bill
ing, collection efforts and other daily operations
X Provide guidance to staff for Medicare, Medicaid and Tricare inquires
X Acted as a liaison between internal and external customers regarding account b
alances.
X Perform other manager duties to include Kronos, annual performance reviews, an
d monthly productivity reports
X Meet and maintain expected departmental goals to include monthly cash and Acco
unts Receivable
X Provide assistance to VP as necessary
X Counseled and Coached Employees regarding performance and attendance

KCI USA San Antonio, TX 04/09/1997 V 08/15/08

PFS IT Project Manager/Business Process Analyst II 07/16/05-08/15/08
Responsibilities:
X Worked directly with IT in developing an on-line DME product ordering system f
or patient placements that required billing to a Managed Care Organizations, Pri
vate Insurance, Workers Compensation, Medicare and Medicaid.
X Assisted marketing with training of customers in the use of the on-line orderi
ng system for patient placements of DME.
X Acquired business requirements for systems enhancements from business users.
X Managed significant projects utilizing professional project management skills
to ensure successful project completion.
X Performed various levels of testing to ensure new processes and methods were r
obust, scalable, sustainable, well characterized, user-friendly and economical.
X Management of projects that require independent analysis of financial informat
ion and productivity reporting to include revenue, billing, collection, cash and
Accounts Receivable activity.
X Researched and rectified reports
X Provided feedback to management to improve the revenue cycle process.
X Created ad hoc reports for management as requested.
X Independently initiated suggestions for process changes in the order to cash p
rocess based on reporting.
X Acted as a liaison between business user and IT Teams
X Worked with Training Department to ensure business user education prior to pro
ductions release
X Reviewed and analyzed requests for future revenue cycle process improvements a
nd system enhancements
X Documented current business processes, sub-processes and procedures, activitie
s and deliverables; identified and publicized best practices (templates and exam
ples).
X Participated in cross- functional, process improvement projects that are centr
al to business success.

Patient Financial Services Supervisor 05/01/2002-07/15/05

Responsibilities:
X Hired, supervised, and oversaw the daily operations of 13 to 20 Claims Special
ist.
X Ensured the accuracy of orders for DME, qualifying eligibility and benefits, i
nforming patients of their benefits, obtaining authorization and/or met medical
necessity requirements, and reviewed requests for additional funding for patient
s as required.
X Contacted physician offices to gather required documentation for the process o
f authorization and clean claim submission.
X Analyzed reports provided on team performance and provided feedback to managem
ent and employees.
X Worked with peers and upper management in problem solving and departmental pla
nning on multiple projects which included increasing performance and improve the
revenue cycle process in addition to independently initiated suggestions for pr
ocess changes in the revenue cycle process based on reporting.
X Reviewed and updated assigned Company and Department Policy and Procedure
X Assist Claims Specialist and other departmental team members with discrepancie
s to provide resolutions.
X Maintained reporting and statistics to include dates of service that were not
billable, monthly order report, and Claims Specialist productivity.
X Counseled and Coached Employees regarding performance and attendance
X Wrote and reviewed annual reviews and merit increase for all employees on my t
eam
X Acted as a liaison for the field personnel, medical professionals and claims c
arriers to facilitate the organization of paperwork required for the processing
of DME claims.
X Performed Quality Assurance of Claims Specialist work to insure all requiremen
ts were met for the accuracy of DME orders.
X Trained Claims Specialist, Billing Specialist, etc. in department and in coord
ination with Training Department.

Team Lead 10/02/2000-04/30/2002

Responsibilities:
X Interim Supervisor for another team.
X Assisted with training of 2 new Supervisors.
X Assisted with the development of new employee training for department.
X Assisted Supervisor with Quality Assurance and the daily operations of 12 Clai
ms Specialist work
X Assisted Claims Specialist and patients with discrepancies to provide resoluti
ons
X Reviewed released account files for correctness once DME order was approved f
or placement
X Reviewed teams orders pending approval for placement and to make sure all acco
unts touched according to file check list time line.
X Assisted with the development of training material and training of new Claims
Specialist hired.
X Acted as a liaison for the field personnel, medical professionals and claims c
arriers to facilitate the organization of paperwork required for the processing
of DME claims.
X Researched and rectified reports daily.
X Worked with peers and upper management in problem solving and departmental pla
nning on multiple projects which included increasing performance and improve the
order to cash process in addition to independently initiated suggestions for pr
ocess changes in the order to cash process based on reporting.
X Coordinated receipt of and review of documents need for equipment authorizatio
n and billing once placed.

Claims Specialist 04/19/1997-10/01/2000

X Verification of eligibility and benefits in addition to obtain authorization a
nd reauthorization for rental of Durable Medical Equipment from multiple insuran
ce carriers.
X Initiated phone calls to field reps, physician offices, clinical caregivers an
d patient to gather missing information to obtain authorization and clean claims
submission.
X Researched and rectified reports.
X Data Entry of new patient accounts.
X Acted as a liaison for the field personnel, medical professionals and claims c
arriers to facilitate the organization of paperwork required for the processing
of claims.
X Updated and entered insurance carrier information into Oracle daily.
X Contacted patient to inform insurance benefits
X Coordinated receipt of and review of documents need for equipment authorizatio
n and billing once placed.
X Referred complex clinical, product or patient questions to the Clinical Specia
list.
X Coordinated release of complex orders for delivery.
X Assisted with training of new employees to the department.
Education:
University of the Incarnate Word 2006 V 2009
X Bachelors Degree in Business Administration with a concentration in Management
.
X Deans List Fall 2007 & Spring 2009
San Antonio College 1993-1999
San Antonio College of Medical & Dental Assistants 1990-1991
X Medical Assistant
Professional Development Training:
X Leadership/Management Training to include Ethical Training, Project Management
Breakthroughs, Telephone Etiquette, Adapting Your Work Style, Customer Service
Techniques & Tips, Customer Satisfaction, Managing Multiple Priorities, Coaching
and Counseling
X HIPAA Compliance, CPT, and ICD-9 Coding.
Office Skills: Excel, Business Objects, Word, Power Point, Outlook 2003, Visio,
Ten key by touch and Typing approximately 55 WPM.