Synopsis resume of: 8838 Meadowridge Lane
MALEA COOPER Indianapolis, Indiana 46217
Phone: [Send email to request phone number] 04-5390
EMPLOYMENT
November 19, 2001-March 1, 2007 Senior HME Collector
March 1,2007-November 19,2007 Pre-QA Auditor/Payor Change Coordinator
November 19,2007-August 1, 2008 Infusion Collector
Apria Healthcare Inc.
7353 Company Drive
Indianapolis, Indiana 46217
March 1999-November 16, 2007 Insurance CA
Billingsley Chiropractic Center
4940 South Emerson Avenue
Indianapolis, Indiana 46203
March 1999-March 2000, January 1995-August 1997 Customer Service Associate
Brylane, Inc.
South Park Boulevard, Suite A
Greenwood, Indiana 46143
August 1997-March 1999 Auditing Clerk/Order Filler
Brylane, Inc.
2300 Southeastern Avenue
Indianapolis, Indiana 46201
_____________________________________________________________________
EDUCATION
August 1994-December 1995 Attended Indiana University/Purdue University at
Indianapolis (IUPUI) studying Nursing and Psychology
August 1991-May 1995 Attended Purdue University, West Lafayette, Indiana,
studying Nursing and Psychology
August 1997-May 1991 Attended Roncalli High School, Indianapolis, Indiana, with
heavy emphasis on biological sciences
Also completed Apria Healthcare’s Accounts Receivable Certification, along with
several company-offered classes in Microsoft Office, including Word, Excel, and
Lotus.
PROFESSIONAL AND/OR PERSONAL REFERENCES AVAILABLE UPON REQUEST
FOR AMPLIFICATION SEE FOLLOWING
Amplified Resume EMPLOYMENT HIGHLIGHTS Malea Cooper
November 19, 2001-August 1, 2008 - Apria Healthcare Inc.
Senior HME Collector/Infusion Collector: Prepared and handled billing for more
complex accounts to insure timely reimbursement. Identified insurance
requirements including DMERC and Medicaid qualifications needed to insure payor
requirements were met. Verified balances and receipts of all cash payments.
Assisted less experienced Accounts Receivable Representatives. Researched and
followed up by mail and/or phone to insurance carriers or customers on delinquent
payments. Reviewed claims denied for payment and underpaid claims. Resubmitted
claims with proper documentation for further carrier review. Coordinated
collection activities for delinquent accounts by preparing information for
collection agencies or attorneys. Responded to customer inquiries regarding
account status in a timely manner. Researched customer’s accounts thoroughly and
documented appropriately. Resolved discrepancies and prepared adjustments and
refunds as necessary. Audited incoming paperwork for completeness and accuracy
to ensure proper documentation for billing purposes. Recorded batches received
and documented errors. Documented all account activity on system. Brought
recurring issues to the attention of the department supervisor, and completed
other duties or projects as assigned. Complied with and adhered to all
regulatory compliance policies and procedures.
Pre-QA Auditor/Payor Change Coordinator: Ensured that payor changes were
completed accurately and timely, payment was guaranteed prior to delivery, and
revenue was recorded appropriately. Verified that the correct product and payor
were tied to the service/equipment/therapy and ensured that the correct allowable
was recorded in accordance with the contract. Contacted payors to verify
insurance coverage and eligibility requirements of patients that were changing
payors. Obtained verbal/written authorization for medical treatment from
appropriate sources. Verified insurance information for accuracy and
completeness and resolved discrepancies as necessary. Required to be very
familiar with contractual requirements. Coordinated and scheduled new testing
for patient when appropriate. Complied with and adhered to all regulatory
compliance policies and procedures. Completed other duties and projects as
assigned.
March 2000-November 16, 2001 - Billingsley Chiropractic Center
Insurance CA: Chiropractic Assistant, front and back office experience. Handled
Accounts Receivable from insurance and past-due patient billing. Billed
insurance companies using ProManager with HCFA-1500 billing format. Proofread
and entered ICD-9 diagnosis codes and CPT billing codes. Proofread and
documented treatment plans and narratives for submission to insurance or other
parties. Verified that correct information was gathered for billing to health,
auto, Medicare, Medicaid, supplemental, third party, homeowner’s, workmen’s
compensation, and/or other sources. In charge of supplying and transferring
medical records. Kept track of incoming billing and handled all client/attorney
needs for personal injury claims. In charge of setting up patient treatment
schedules, informing of clinic policies, and making sure that all necessary
paperwork gathered for patient treatment to begin. Also performed back office
functions as needed, including developing x-rays, performing basic physical
therapy, assisting with initial patient evaluations, assisting with patient
education clinics, assisting Office Manager with PR initiatives, and any other
necessary or delegated task.
March 1999-March 2000 and January 1995-August 1997 - Brylane Greenwood
Customer Service Associate: Answered phones. Front line call taker for customer
orders and input into computer database. Problem-solving for customer orders and
proofread future catalogs for accuracy.
August 1997-March 1999 - Brylane Southeastern
Order Filler: Filled Customer orders and insured all items were delivered to
packing department for shipment. Assisted in ensuring smooth operation of
nightly stock floor activity. Assisted in keeping documentation for
replenishment of nightly stock.
Auditing Clerk: Calculated employee performance production. Researched and
tallied employee errors and performed random audits for quality control purposes.
Calculated daily performance volume statistics for review by Supervisor and
Stock Floor Director. Generated weekly statistical reports (spreadsheets) for
management and employees. Answered Phones and performed various filing and
data entry tasks.
|
