pauline evans

pauline evans

operations manager

About

I have been working in healthcare industry for over 14 years. Education on all insurance and Ohio waiver programs. Experience in all insurance billing. Strong Communication and Negotiation Skills, Project Organization Skills, Advance Computer Skills, Coordination and Management Skills, Problem Solving Skills, OHSA, HIPAA, CLIA Regulations, Knowledge of Insurance Contracts and Medicare/Medicaid Regulations. Day to day Financing in Healthcare.

Country

united states

City

tampa

Industry

hospital & health care

Skill

healthcare, customer service, hospitals, leadership, microsoft office, public speaking, overseas production, management, strategic planning, team building, training, home care, marketing strategy, hipaa, healthcare management, medicare, medicaid, nonprofits, managed care, event planning, u.s. health insurance portability and accountability act

Experience

richard health systems

operations manager

richard health systems

richard health systems and richard medical

account executive and intake

richard health systems and richard medical

2015-2 - 2017-1 · 2 yrs

Maintain daily day to day operations of agency and school. Maintain a weekly referral of 5 to 8 patients from hospital, nursing homes, and doctor’s office. Maintaining a open relationship with Doctors, Hospitals, Nursing Homes, Senior complex and community centers. Attend continuing training on company behalf. Planning and organizing community health fair and social event for seniors. Insurance contract, medical billing and Intake.

richard health systems & richard medical academy

operations manager

richard health systems & richard medical academy

2017-1 - 2020-3 · 3 yrs 3 mos
parrish home care/parrish home care services

account executive

parrish home care/parrish home care services

2014-5 - 2015-1 · 9 mos

Maintain a weekly referral of 5 to 8 patients from hospital, nursing homes, and doctor’s office. Maintaining a open relationship with Doctors, Hospitals, Nursing Homes, Senior complex and community centers. Attend continuing training on company behalf. Planning and organizing community health fair and social event for seniors.

parrish home care

insurance coordinator

parrish home care

2011-1 - 2014-5 · 3 yrs 5 mos

Responsible for billing Medicare/Medicaid, Medicare/Medicaid HMO, BWC, Passport and all private insurance. Process all new patients from doctor office, hospital, passport office, Ohio waiver, and nursing home daily. Responsible for general branch office HR, including scheduling, recruiting, and employee relations, new hire orientation and special projects. Is also responsible for establishing, maintaining and reviewing insurance contract. Keeps management and staff advised of new regulations and company policies related to human resources and state regulations; monitors and reports on progress toward Affirmative Action goals and related issues. Organized, planned, QA chart and monitor state yearly surveys.

angel care home health inc

human resources and hha supervisor

angel care home health inc

2004-2 - 2006-2 · 2 yrs 1 mo

Responsible 52 employee and 156 patient’s daily schedules. Responsible for billing passport waiver, Medicare and Medicaid insurance. Reconciled timesheets for weekly payroll and billing. Knowledge of Medicaid, Medicare and Passport policies and procedures. Monitors applicant logs and ensures appropriate selection criteria are established for each open position. Informed management and staff advised of new regulations and company policies related to human resources; monitors and reports on progress toward Affirmative Action goals and related issues. Attending continue training on state regulations on the company behalf.

convergys

customer service ii call center

convergys

2000-5 - 2004-5 · 4 yrs 1 mo

Responsible for approve and disapprove pending billing credits for customers. Responsible for processing customer monthly billing statements. Troubleshoot customer’s internet, email and network issues. Setup email, internet and network for new customers. Supervise billing group of 25 employees and monitor weekly scheduling for employees

richard health systems

business administration manager

richard health systems

2005-6 - 2011-1 · 5 yrs 8 mos

Responsible for all day-to-day operational of the company and maintaining vendors contact with company. Responsible office and field employee’s day to day activities. Responsible for Medicare/Medicaid, Medicare/Medicaid HMO, BWC, Passport and all private insurance. Maintaining new referrals from doctors office, hospitals, passport office, Ohio waiver, and nursing homes. Responsible for general branch office HR, including scheduling, recruiting, and employee relations, new hire orientation and special projects. Responsible for establishing, maintaining and reviewing insurance contract. Keeps management and staff advised of new regulations and company policies related to human resources. Organized, planned, QA chart and monitor state yearly surveys.

Education

the university of toledo

the university of toledo

2007-1 - 2008-1 · 1 yr 1 mo
the university of toledo

the university of toledo

1992-1 - 1995-1 · 3 yrs 1 mo
roy c roger high school

roy c roger high school

1986-1 - 1989-1 · 3 yrs 1 mo
the university of toledo

the university of toledo

1998-1 - 2002-1 · 4 yrs 1 mo

pauline evans's Contact Information

Email

******@***.com

Phone

(**) *** ****

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