Catherine-Hammond
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Transcript of Catherine-Hammond
Catherine HammondIndianapolis, IN [email protected] - 3176828559
Objective:Seeking a career that will allow me the opportunity to utilize and share the skills and knowledgethat I have obtained through previous work experience and education, allowing me theopportunity for growth and ability to be a part of a great company.
Summary:Experienced Analyst with excellent client and project management skills. Action-oriented withstrong ability to communicate effectively with technology, executive, and business audiences.Creative professional with more than 15 years of healthcare experience; increased client growthwhile maintaining the existing client relationships; several years of successful negotiationexperience with numerous insurance companies; more than 7 years of self-directed managementexperience-leading companies to their highest levels of productivity while successfullymaintaining effective communication and refined interpersonal skills. Aim to develop a workablemodel for sharing knowledge and stimulating innovation in development projects. Articulate inICD and CPT coding, professional and technical billing, AR, Appeals/DOIs, provider inquires,medical terminology, EMR, credentialing, contracting, claims review, customer service, Word,Excel, Power Point. Skilled in systems EPIC, IDX, MedMate, Quickbooks, AS400, AHT, Emdeon, PeopleSoft,Kronos,Internet browsers, Medicare, Medicaid, Outlook, Brightree, AllScripts, Zirmed, eBridge, Centricity,and CD Com.Types 60 WPM. Previous travel experience.Authorized to work in the US for any employer
WORK EXPERIENCE
Assistant ManagerTrilogy Health Services - Indianapolis, IN - January 2016 to Present
ResponsibilitiesAssistant business office manager handling daily functions in a skilled nursing facility.
PRN School SubstitueFranklin Township School - Indianapolis, IN - July 2015 to Present
Director of Account ManagementCiproms - Indianapolis, IN - June 2014 to June 2015
ResponsibilitiesManaged numerous employees for an outsourcing company for professional medical billing. Accountsreceivable was the focus; working high dollar-priority accounts. Worked with numerous provider officesincluding direct contact with doctors and staff. Assisted in training and meeting with the clients to work onaccounts hired for receivables. Worked with state and federal insurance companies on reimbursements.
AccomplishmentsBrought Accounts to current as well as created a more organized department.
Certified EPIC AnalystFranciscan Alliance - Indianapolis, IN - February 2012 to October 2013
Carmel, INManaged project/plan specifications by analyzing the design of customer requirements and performancestandards. Established and maintained performance metrics for management ofbusiness area.Prepared projects and division status reports by collecting, analyzing and summarizinginformation and trends. Maintains professional and technical knowledge by attending educationworkshops, reviewing professional publications, establishing personal networks, and partnerships inprofessional societies. Maintained a consistent professional work environment bysupporting processes, rules, and regulations. Confered with staff on administrative policies and procedures,technical problems, priorities and methods. Consulted with personnel in otherinformation systems sections to coordinate activities.
Healthcare Project ManagementTelamon Corporation and Global Services - October 2010 to September 2011
Indianapolis, INProfessional services included the management of various projects for our healthcare clients;Direct client contact for various projects; Travel was on an as needed basis; Implemented newprocesses and procedures as well as provided training to our Beijing, China team.Provided training to onsite team; Maintained a close relationship with the clients and provided 24hour support for the Beijing team as well as the client; Created quality audits to ensure the bestquality of work;Provided a 24 turnaround time on all projects; Reporting created and shared with the client for the projects.
AR SpecialistMidwest Radiology - November 2008 to November 2009
Carmel, INEstablished a productive work environment; Organized and implemented procedures thatbenefited the growth of the company;Increased the revenue with the AR process in place; Trained new hire in their positions; Worked and lead themonth end processes; Worked with all commercial, federal, and state insurancecompanies; Worked the electronic rejection reports and denial reports; Initiated the providerinquires or Appeals as necessary; Set up new contracts for insurance companies which includedonline accessibility.
Assistant Supervisor in Customer Service & AR SpecialistZotec Partners, Inc - August 2006 to January 2008
Carmel, INTrained new employees;Assisted with the daily supervisory duties in customer service; Negotiated withinsurance companies on proposals with same day turnaround; Posted payments, claims,charity write-offs, discounts; Worked closely with the collection companies; Direct client contact regardingbilling issues/concerns; Developed a relationship with the BCCP/YWCA.
Business Office ManagerRegency Place of Castleton - February 2005 to August 2005
Indianapolis, INDeveloped new relationships and trust with the patients and families;
Managed the AP, AR, Payroll, Admissions process, patient trust fund, petty cash, daily census, and threeemployees; Reconciled accounts and processed month end while increasing collectionsefforts; Worked very closely with Hospice providers upholding the highest standards for residents and theirfamilies; Assisted with Corporate on unresolved AR issues.
AR Specialist / Denial Management Customer ServiceHMS / MMG Clarian - November 2003 to January 2005
Indianapolis, INHandled customer service calls and walk-ins; Efficiently worked AR off of denial reports for the variousphysician practices; ICD9, CPT coding, medical terminology, and claims review
Appeals Specialist & Lead Customer Service Rep IIIAnthem & AdminaStar Federal - April 2000 to March 2003
Indianapolis, INAdminaStar- CSR III then transferred within to Anthem as an Appeals Specialist; Workedprovider inquires, DOIs, appeals of Level I and II for the various accounts under the NationalContracts.
EDUCATION
Bachelor of Science in Business AdministrationIndiana Wesleyan University - Indianapolis, IN
SKILLS
Epic (4 years)
CERTIFICATIONS
Certified Epic Application Coordinator- AmbulatoryMay 2012 to Present
CPR/AEDJanuary 2016
Driver's LicenseOctober 2017