Marlo_Resume-2 - Florida Memorial University

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Marlo E. Stephens
660 NW
177th
Street  Apt. 116  Miami, Florida  727-741-9261
Education: University of Phoenix, B.S., Business Administration, 1/07,
University of Phoenix, Masters of Business Administration, 4/08
Administrative Healthcare Professional with over 17 years of Administrative Healthcare
experience looking to advance and change my career to Education. I have a very diverse
background working with all different backgrounds, learning styles different needs as well as
different cultural backgrounds.
VITAS INNOVATIVE HOSPICE CARE
Admissions Coordinator, 6/12 – Current
RESPONSIBILITES:
 Process referrals to assure pre-qualifying of patients efficiently.
 Conduct telemarketing to support the achievement of sales goals and decrease the number of
patients not taken under care.
 Communicate effectively with different cultures, ages and attitudes
 Analyze referral/admissions data and prepare assigned reports.
 Establish positive relationships with insurers and managed care entities.
 Obtain complete and accurate information to facilitate the admissions process and to maximize
the reimbursement.
LIBERTY TAX
General Manager/Tax Preparer, 1/12 – 6/12
RESPONSIBILITES:
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Manage office operations to ensure efficient office environment.
Process employee’s payroll and maintaining employee’s timesheets.
Maintain Client records and personal information.
Assist with mail outs and promotions.
Prepares income tax return forms for small business and individuals.
Review financial records, income statements, and documentation of expenditures to
determine forms needed to prepare tax returns.
Obtain taxable income and deductible expenses and allowances from clients.
SUNCOAST HOSPICE
Program Facilitator, 5/10 – 12/11
RESPONSIBILITES:
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on site Provides optimum access to Hospice programs and services
Facilitate access to Hospice services/program that best meets the patient/family’s
needs thru concerned and compassionate listening and assessment skills.
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Transforms an inquiry into a consult for decision-making.
Articulates information and education regarding programs and services in a manner
appropriate for consumer and advocates for patients
Extensive knowledge of other community resources and is able to assist
patient/families and community agencies in obtaining assistance not offered by
Hospice.
Provide information regarding Hospice services in other areas around country.
Provides for a comfortable and supportive atmosphere to persons who arrive seeking
Program Facilitator information, support and assistance with program referrals.
HCA SHARED SERVICES
Discrepancy Analyst, 5/09 – 5/10
RESPONSIBILITES:
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Discrepancy report to determine types of discrepancies and assign appropriate reason
codes.
Correct non-payment related discrepancies.
Finalize discrepancies Miscellaneous Medicare Providers, Commercial Insurance
Providers.
Responsible for logging all discrepancies and correcting non-payment related
discrepancies.
Forwards all other discrepancies to the Overpayment and Underpayment Analyst.
VITAS INNOVATIVE HOSPICE CARE
Customer Service Supervisor, 8/05 – 7/08
RESPONSIBILITES:
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Manage customer service goals in response to referral/admission goals.
Construct strategies and plans, direct implementation, monitor and assess results.
Assist Director of Customer Service in recruiting Admissions Coordinators.
Implemented orientation and training programs to ensure that knowledge, skill, and
performance standards were met.
Supervise the intake and admission process according to policy and standards with
emphasis on the supervision of clean data registration to maintain an accurate file for
billing.
Continuously monitor pending patients to ensure admissions are registered with
correct financial information.
Implemented a training curriculum for a class of 25 people for In-Service on correctly
entering physicians information into the VX internal system.
Conduct training on Customer Service. Managed 9 employees and 7 programs in 7
different cities on the East Coast.
VITAS INNOVATIVE HOSPICE CARE
Senior Admissions Coordinator, 6/03 – 8/05
RESPONSIBILITES:
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Intake patient new referrals from physicians, families, and case managers in hospitals
and nursing home facilities.
Maintain Admission Nurse Schedules. Start Admission process for referred patients.
Process reports from Admission Nurses. Support supervisors and managers.
VITAS INNOVATIVE HOSPICE CARE
Admissions Coordinator, 7/99 – 6/03
RESPONSIBILITES:
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Process referrals to assure pre-qualifying of patients efficiently.
Conduct telemarketing to support the achievement of sales goals and decrease the
number of patients not taken under care.
Communicate effectively with referral sources and team members to support the
business partnerships being developed by the sales team.
Analyze referral/admissions data and prepare assigned reports. Establish positive
relationships with insurers and managed care entities: third party payers, case
managers, etc.
Obtain complete and accurate information to facilitate the admissions process and to
maximize the reimbursement.
VITAS INNOVATIVE HOSPICE CARE
Patient Care Secretary, 7/95 – 7/99
RESPONSIBILITES:
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Conduct team meetings.
Generate schedules for team Nurses, Physicians, and CNA's. Responsible for all patient
care related clerical procedures.
Facilitate communication between patients, families and other team members.
Take and keep daily schedule for all team members. Establish, maintain, and keep
patient charts in an orderly fashion. Performs patient care data entry.
Assist with receptionist duties.
VITAS INNOVATIVE HOSPICE CARE
Refund Analyst, 7/93 – 7/95
RESPONSIBILITES:
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Work the daily Credit Balance report, research mail correspondence and telephone
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requests to assure that all credit balances are processed daily.
Analyze, Identify and process refunds for accounts that are true credit balances based
on overpayments.
Prepare the refund packet to complete the credit balance process.
Data entry adjustments for accounts with credit balance that occurred due to posting
corrections; write off, rate changes or ADT changes.
Prepare request forms for retrieval of EOB's & Remits.
Interact with various staff members to insure accuracy of rates & patient liability.
Served as a dedicated resource person to answer questions pertaining to credit
balance.
Assist with special projects as directed. Cross-trained within all areas of Billing &
Collections.
VITAS INNOVATIVE HOSPICE CARE
Accounts Receivable Clerk, 1/93 – 7/93
RESPONSIBILITES:
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Posting deposits, payments and related transactions to patient accounts on a daily
basis. Ensure the accuracy of all transactions and assists Collectors and Refund Analyst
by providing information, documentation and insight to support transactions posted.
Maintain appropriate records of activities and monitor trends in cash receipts.
Work with accounting staff to assist in balancing related general ledger accounts.
VITAS INNOVATIVE HOSPICE CARE
Insurance Verification Analyst, 4/92 – 1/93
RESPONSIBILITES:
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Review and process financial information for all insurance types.
Negotiate rates with case management companies. Provide written and telephone
updates to customers, including changes in levels of cares, discharges and patients not
taken under care. Communicate with team caseworkers to facilitate the ongoing
financial need assessment for patients.
Communicate and works with Admissions and Departments in all programs. Facilitate
the collection efforts of the Corporate Billing and Collections Department.
VITAS INNOVATIVE HOSPICE CARE
Data Entry Clerk, 11/91 – 4/92
RESPONSIBILITES:
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Enter patient information into system upon admission.
Enter physician billing for physician billing for active and discharge patients.
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Update physician's UPIN numbers and update the census for the Hospice branches.
Contacting Hospice teams, Managed Care Coordinators and Medical records to obtain
information as requested by carriers.
Follow-up on unpaid claims to obtain payments.
Follow-up on claims paid incorrectly.
Answer incoming calls regarding billing questions from patients and family.
Inform the Billing and Collections Manager or designated representative of potential
problems or audit concerning clinical information.
Analyze and maintain required documentation for prompt and accurate billing and
collection to include copies of bills, intakes, and medical records.
Review and submit all necessary corrections and adjustments including changing
financial classes when appropriate.
Review reports on a regular basis to monitor collection progress and locate any
possible problem areas.
Recommend and forward to your supervisor for final review accounts that you believe
to be uncollectible.
References upon Request
Software:
Microsoft Office Windows XP, PowerPoint, Microsoft Publisher, Excel, Symposium, Outlook
Email System, Internal Accounting System
Regulatory/Government Agencies:
OSHA, REGULATED BY SOX-(Sarbanes-Oxley
Act), HIPPA guidelines, Florida Shared Systems-(Medicare), Medifax Eligibility System, NPPES
Systems-(verifications of NPI# for physicians), VX our organizations internal system patient
accounting system, formally used SMS & Altos patient accounting systems.
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