Highly developed leadership skills, coupled with a strong client focus and a proven ability to manage a diverse workforce, operational diversity, and experiences with in the Public Health System. Understanding of Outpatients, Inpatients, the difference between Public, Private, Ineligible and Third Party patients within the Public Health system. Highly developed interpersonal and communication skills with the ability to motivate and lead teams that promote the vision and goals of the business.
Overview
22
22
years of professional experience
Work History
Administration Officer AO3
Nambour Hospital
Nambour
09.2021 - Current
Preparation of DB4’s incoming from ACC clinic – sort into date and doctor order
Recording of relevant billing information onto a spreadsheet such as service date, Doctor, total of bulk bills received for each clinic, total money amount of each clinic DB4’s raised per consultant and non- billable for registrar’s, total number of cancellations, FTA’s or rescheduled appointments, number of bulk bills sent to patients for a signature and noting UR number for patients without a current referral as critical data
All the above has provided critical evidence of the ACC clinics and highlights what processes need to be improved in the clinics to increase Revenue
Actively action the ON HOLDS for SCUH and send out reminders via letters and emailing patients to try and decrease of outstanding monies
Action the Encounter Error reports to ensure the SCHHS is capturing as much revenue as possible
Bulk Billing for ACC outpatient clinics
Update Referrals in MediRecords form Powerchart, HBCIS and Smart Referrals
Assist Revenue Manager in any other tasks that are requested.
Specialist Private Practice Billing Coordinator (AO4)
Queensland Health - The Townsville Hospital
Townsville
05.2014 - 01.2021
Co-coordinating the private billing and ensuring it is processed in a timely manner and with minimum errors
Ensuring the billing is compliant with Medicare and health funds
Supervision of 3 billing officers and ensure they follow the processes that have been developed by myself in conjunction with staff input
Provide advice on item numbers and any relevant information regarding bulk billing
Maintain Practix database
Enter new users and Practioners onto Practix
Complete end of month accrual spreadsheets for manager
Train new staff Practix
Development of training manual for Practix
Validation of Med claims and inpatient accounts
Complete Refunds
Perform all billing – Bulk billing, inpatient billing, DVA Billing, Radiation Billing
Action rejections both inpatient and outpatient
Run reports from CORVU for manager
Produce cheat sheets for staff relating to item number rulings
Provide advice regarding revenue to team leaders and business service managers
Manage recreation and RDO leave within the billing unit
Provide guidance to staff on all relevant revenue information to improve their performance and enhance their knowledge to empower them to be able to step into my position when I am on leave.
Administration Coordinator AO4
Queensland Health - Nambour Hospital / SCUH
Nambour
04.2014 - 01.2021
Actively Involved in the transition project from Nambour Hospital to the Adem Crosby Centre – SCUH
The implementation of all processes required to operate a successful Cancer Care Unit in Outpatients Services
Implementation of Clinic and Radiation Treatment bulk billing at SCUH
Implementation of Audit process for Referrals in Clinics to ensure reception staff have the correct referral to decrease rejections
Involved in the redesign of the ongoing referral form and process with executive 2020
Excellent knowledge of bulk billing processes and the releasing of claims to Medicare
Data extraction of clinic activity for Medical Oncology, Haematology and Radiation Oncology for Monthly Management meetings
Understanding of Smart Referrals and process
Excellent interaction with Revenue and all Line Managers
Management of administration staff
Rosters
Correction of payroll documentation
Completion of Movement forms
Ensure that the Cancer Care Clinics run smoothly
Provide guidance to staff relating to customer service
Analyse reports for KPI’s in conjunction with the NUM regarding FTA’s, cancellation of patients
Coordinate and oversee the efficient and accurate admissions into Hospital
Manage the accurate and timely processing of all private patients billing for inpatients and outpatients
Manage HR issues within the unit of 2O staff
Effective recruitment of staff
Perform PAD’s with staff
Attend meetings with Business Service Managers (BSM’s)
Provide advice to BSM’s regarding revenue processes.
Specialist Private Practice Billing Coordinator (AO4)
Queensland Health - The Townsville Hospital
Townsville
10.2006 - 03.2008
Co-coordinating the private billing is processed in a timely manner and with minimum errors.
Manager of Revenue/Central Admissions (AO5)
Queensland Health - The Townsville Hospital
Townsville
03.2006 - 10.2006
Specialist Private Practice Billing Co-Ordinator (AO4)
Queensland Health - The Townsville Hospital
Townsville
12.2004 - 03.2006
Inpatient Billing Officer (AO3)
Queensland Health - The Townsville Hospital
Townsville
09.2004 - 12.2004
Preparation of inpatient billing and submission to health funds in a timely manner.
Revenue Project Officer (AO3)
Queensland Health - The Townsville Hospital
Townsville
06.2004 - 09.2004
Develop a Revenue manual for the Townsville Hospital, with all the relevant documents relating to the procedures to assist with the retention of revenue.
Acting Private Patient Liaison Officer (AO3)
Queensland Health - The Townsville Hospital
Townsville
01.2003 - 01.2004
Converting patients to use their Private Health Insurance in a Public Hospital and become a private patient to increase the hospital’s revenue.
Cashier and Inpatient Billing Officer (AO2)
Queensland Health - The Townsville Hospital
Townsville
01.2002 - 01.2003
Receipting of money for Townsville Hospital.
Education
Skills
I have held positions in which I have been required to supervise and train other members of staff. This has allowed me to develop a high level of skill around staff training and management through practical application of skills achieved. I can organise not only myself, but those for whom I am directly responsible, ensuring a high level of productivity and professionalism is maintained., The demonstration of a high level of communication skills, both written and oral is a pre-requisite for the survival of any business or organisation. Communication between management and staff, management and clients and staff and clients are an absolute necessity in maintaining a business on an even keel. I can communicate effectively on all levels and with a wide range of individuals from diverse backgrounds., The performance of duties in an effective manner that requires a very high level of organisational skills and a commitment. I have been able to develop such skills over many years. I have held positions involving little or no supervision, thereby necessitating excellent organisational ability. This has also been essential in the supervision of other staff members, ensuring a high level of productivity is maintained., Through hands on experience within the banking space, electrical, communications, fire and refrigeration industries, and Public Health system I have achieved a high level of customer service and relations skills. I can effectively handle difficult clients in a professional and pleasant manner, preventing the occurrence of disturbing or unnecessary disruptions to others. I have a caring and bright nature, which I use to the full to make sure customers are at ease whilst ensuring a high level of quality customer service is offered.