Connie Downs Email & Phone Number

Altamonte Springs, Florida

Responsible for managing all incoming documents, creation of new patient records and distribution of documentation to appropriate departments. Oversaw all intake document assignments; including faxes and electronic documentation to ensure accurate patient records. Performed intake of initial patient referrals received, including, but not limited to collection and data entry of patient demographic information, medical information, therapy information, insurance/financial information. Ran insurance eligibility checks and loaded insurance plan information onto patient records. Created new patient accounts within appropriate systems in a timely manner. Filed incoming documents accurately in corresponding patient charts. Effectively communicated all incoming documents to appropriate departments. Responsible for complying with all applicable regulations, policies, and procedures.

Soldotna, Alaska

Returned to the hospital as Reimbursement Specialist reporting to the CFO. Responsible for all aspects of governmental reporting. Key liason between clinical and non-clinical department directors, PFS department, compliance officer/risk manager, hospital attorney, external financial consultants and auditors, Medicare, Medicaid, Champus, and the VA. Monitored and advised on all patient revenue related activities, such as development of new billable services, CDM maintenance, billing, third-party reimbursement, denials, appeals, coding, governmental regulations, and internal self-audits. Responsible for training and directing technical and non-technical support personnel in these areas, as needed. Responsible for evaluation, preparation, negotiation, and maintenance of all PPO contracts. Performed reviews of patient charges for compliance, reimbursement, and rate setting purposes. Chaired the Revenue Cycle Management Team, was a participating member of the HIPAA Team and the JCAHO Preparation Team. Chosen as key member of the implementation team for the billing software conversion to Meditech. Filled in as Interim PFS Director during a management turnover. Saved the hospital my annual salary several times over in billing error corrections alone.

Soldotna, Alaska

Began as nighttime switchboard operator/admissions clerk. Also held positions as billing clerk, financial counselor, key member of implementation team for billing software conversion to SMS MedSeries 4, and reimbursement specialist, finally being promoted to Business Office and Admitting Manager in 1995. Organized and planned all activities and functions of both the Business Office and Admissions Department, including goals and objectives, quality assurance, policies and procedures, staff meetings, scheduling, orientation, training, performance evaluations, and attendance at regularly scheduled director meetings. Managed 24 direct reports and a combined yearly budget of over $650,000.00. Reduced budget variance from 17.87% to 4.54% in the first six months. Focused teamwork within the two departments also resulted in a reduction of the hospital's net accounts receivable days from 85 to 62.

Associate Of Applied Science, Business Administration

Associate of Applied Science, Small Business Management Certificate of Small Business Management

Diploma

Activities and Societies: Madchen & choir.General education requirements.