X

CONTACT US NOW

X
X
X
Toll Free 888-357-3226
presentation

Ruth Brown

Name : Ruth Brown
Experience : 20
Specialty : Orthopedic, Physical Therapy & Cardiology
Location : Mesquite,TX
Description :

Ruth Brown wants to secure a position enabling her to apply her experience and knowledge in medical administrative, insurance and clinical, in addition to a new opportunity to continue to increase her skills and knowledge. Combined 20 yrs experience in medical administrative, billing, insurance and clinical experience.

Skills:

Knowledge in medical administrative, insurance and clinical work.

Experience:

  • Assist practice in conversion of billing operations from a prior practice management company as a client (MedSynergies) to interim self billing department and then conversion to a practice within the Health Texas provider Network.
  • Created to establish, staff and set up a billing department to work independently for the three month interim period until OAD became an HTPN practice.
  • Client and inter- departmental communication on all levels
  • Analytics Revenue Cycle Management
  • Advise clients of coding issues, payer trends
  • Meet with clients re : monthly financials
  • Manage Surgical Charge Entry team and processes
  • Special projects
  • Manage billing staff, charge entry and account reps for a surgical specialty department (orthopedics, physical therapy and cardiology).
  • Consulting and auditing engagements for clients and others.
  • Build and update databases for clients
  • Work with clients and staff regarding billing questions and additional training on software as applicable to specialties
  • Manage billing department for non-profit organization of 30physical, occupational and speech therapist, mental health providers and nutritionists.
  • Monitor cash receipts, trends of payers, coding of therapists, and adherence to DHHS guidelines for ECI.
  • Establish department procedures, including appeal processes, billing and coding standards, release of information, staff goals, etc
  • Manage staff for Compliance/Auditing Department of Management Service Organization (MSO) providing practice management services for orthopedics, physical therapy, obstetrics/gynecology, and cardiology.
  • Perform Physician client documentation and coding chart audits.
  • Perform internal billing staff training and audits, ensuring corporate procedures for billing and collections expectations are followed.
  • Educate staff and clients regarding medical billing and coding, HIPAA, MSO staff audits and Physician chart audits.
  • Extensive knowledge of CPT, ICD9, HCPCS coding, software, medical billing and collections practices and requirements.
  • Responsible for coding, billing, referrals, collections and posting of payments for Family Practice clinic. Coordinate, train and monitor all other administrative staff.
  • Assist clinical staff as needed.   
  • Educate adult students in night classes in all aspects of the administrative operations of a clinical practice. Classes included training for medical coding and billing, insurance and collections, appointments, patient relations, etc.
  • Billing and collections for insurance, patients and attorneys for medical services provided by Neurologist, Physical Therapist and Psychologist for Neurology and Pain Management practice.
  • Customer service for assigned employer groups. Responsibilities included: benefit verification, claim processing, precepts, pre-existing reviews and all correspondence.
  • Worked at BCBS when they were the Medicare Intermediary / Contracted Carrier for Texas.
  • Began as a Claim Processor, paying claims according to Medicare payment guidelines.
  • Promoted to Correspondence / Review Specialist processing appeals according to guidelines.
  • Promoted to Fraud and Abuse Specialist. Reviewing documentation, coding and billing of Medicare Providers to ensure that Fraudulent and Abusive billing practices were not occurring. Gained extensive knowledge of coding, documentation and medical terminology.


Volunteer work:
Medical Center of Trinity New Port Richey

Certification:
Diploma in Medical Coding                           

Certified Billing and Coding Specialist by NHA

Certificate of Completion by CMS