Marcy Schulze Email & Phone Number

Arkansas, United States

Responsible for training new account managers, along with running daily and monthly reconciliations. • Analyze trends, such as missing accounts not importing into the system for billing. • Reviewing accounts to insure the Revenue Specialist are completing their daily tasks in clients system. • Organize and lead meetings and communicate with clients regarding claim issues.

Arkansas, United States

Responsible for working daily accounts from Enforcer. • Analyzed claims for completeness, accuracy, and utilized state regulations when billing and following up on Medicaid claims and Medicaid HMO plans for proper reimbursement. • Communication with other departments when coding issues were incorrect to resolve issues. • Excellent organizational ability guiding co-workers to complete daily work flow to improve reimbursement

Libertyville, Illinois, United States

Responsible for interacting with patients and their families, which include responding to questions regarding hospital policies. Taking formal complaints and following regulatory guidelines of the Centers for Medicare and Medicaid Services.• Facilitated communication between patients and staff to improve patient’s experience by having a coordination of care conference to resolve patients concerns. • Followed document protocols to safeguard confidentiality of patient records by obtaining written authorization from patients. • Applied administrative knowledge and courtesy to explain procedures and services to patients by providing written brochures. • Presented simple, clear explanations to help patients and families understand hospital policies and procedures.• Applied regulatory guidelines to conclude grievances with verbal and written correspondence.

Libertyville, Illinois, United States

First point of contact for patients and health care professionals providing customer services. Organize facility to make sure the flow is smooth for daily operations. Daily workflow includes, patient check in, scheduling appointments, working with therapist, health care professionals and maintaining patient charts following the HIPAA guidelines. Educate patients about explanation of benefits of their insurance and obtaining authorizations for treatments. • Audit daily charges for accuracy, verified insurance coverage to insure patient is billed correctly and reimbursement is correct.• Designed a new flow chart to improve the pre-approval accuracy of visit verification required by the insurance companies.• Monitor daily scheduling of outpatient appointments for patients and therapist to insure new patients can get in sooner for therapy.• Create daily schedules for inpatient therapists based on physician’s orders, determining if appropriate for inpatient therapy.

Libertyville, Illinois, United States

Medicaid Collection Specialist Lead 2014 - 2015 Fostered co-workers in understanding State regulations when billing Medicaid claims to insure reimbursement is correct. • Identified rejected claims includes reviewing codes and patients information for accuracy before releasing claim for billing. • Communication with other departments when coding issues were incorrect to resolve issues. • Excellent organizational ability guiding co-workers to complete daily work flow to improve reimbursement.Government Billing Specialist/Medicaid 2008 – 2014• Audited claims daily, checking electronic systems, completed daily reports for accuracy before claims dropped for billing. • Analyzed claims for completeness, accuracy, and utilized state regulations when billing Medicaid claims and Medicaid HMO plans for proper reimbursement. • Completed daily reports for statistical and financial accuracy to reduce errors Senior Biller 2006 – 2008• Completed daily claims processing and worked accounts receivable to reduce the outstanding debts, included calling insurance companies, communicating with patients explaining why claim were delayed and insured patient they will process for payment. • Analyzed and responded to discrepancies, claim denials and written correspondence thoroughly before making adjustments for correct reimbursement.

Vernon Hills, Illinois, United States

Administer mental health assessments to clients, develop treatment plans, and diagnosis clients with mental illness. Managed own schedule to insure each client is seen weekly for therapy. • Guided clients in developing skills and strategies for dealing with problems by using Cognitive behavior therapy, Narrative and Person Center therapy. • Conducted evaluations to help clients develop measurable treatment goals by collaborating with the client.• Maintained confidentiality of records relating to clients' treatment by following HIPAA guidelines and patient confidentiality.• Acted as clients advocate to coordinate required services or resolve emergency problems in crisis situations by setting up emergency contact information and safety plan. • Provided comprehensive case management services, created treatment plans and connected clients and families to appropriate resources.

Round Lake, Illinois, United States

Administer mental health assessments to clients, develop treatment plans, and diagnosis clients with mental illness. Designed weekly group counseling sessions for adolescent girls suffering from depression and anxieties to help build self-esteem and to recognize triggers to reduce symptoms by using Cognitive Behavior Art Therapy. Co-treated group counseling for first time offenders of DUI to help clients understand how addiction can effect one’s life and family. • Managed my own schedule to insure each clients was seen weekly for therapy

Master Of Arts - Ma, Clinical Mental Health

Activities and Societies: Member of the honors society of Rho Chi Alpha Chapter-Chi Sigma Loti. National Certified Counselor and License.

Bachelor Of Applied Science (B.A.Sc.), Psychology

Associate'S Degree, Health/Health Care Administration/Management