Shelly Browne Email & Phone Number

Houston, TX, US

Houston, Texas, United States

United States

Houston, Texas Area

Houston, Texas Area

Support Payor Sales in the selling processPayor Implementation SupportManage the implementation work planWork directly with the internal/external departments on implementation process (claims, billing, etc.)Coordinate with contract services, regional directors, account management and operations staff regarding implementation process needs. Issue resolution.

• Responsible for facilitating the local market’s ability to cost effectively grow the business by securing provider agreements in areas where membership requires it.
• Duties and responsibilities include: network analysis, recruiting and contracting with individual providers (physicians, hospitals and ancillary) to assure geographic and specialty coverage. Prepare ancillary and.

• Lead operations for medical office comprising of three rheumatologists, three medical assistants, x-ray technician, registered nurse, receptionist, insurance coordinator, appointment scheduler and phlebotomist.
• Responsible for payroll, accounts payable, procurement of all employees, office equipment, office supplies and medical supplies.
• Implementation of operating manual detailing office policy and procedure.

Practice Management for multiple medical specialists in the Houston and Sugarland areas.

• Led operations for medical office comprising orthopedic surgeon, physician assistant, x-ray technician, accountant and receptionist. Coordinated doctor’s schedule to accommodate patient appointments, surgeries and.
• Managed new and renewal credentialing, licensing and board certifications for surgeon and physician assistant, ensuring documentation of required continuing education units. Maintained average of 30 existing.
• Reviewed payments from insurance carriers to ensure compliance with contracted amounts, and followed up to resolve problems and handle collections as necessary.
• Pre-certified and verified patient benefits for elective surgeries. Coded and posted surgery charges, resolving coding problems as required ensuring payment.

• REGISTRATION AND ADMISSIONS SPECIALIST (94-96)
• Registered patients for hospital admission in both inpatient and emergency departments.
• Received and documented payments for elective admissions as well as pre-admissions for expectant mothers. Pre-certified and verified insurance benefits, calling employers as required to obtain exact details of.
• Conducted extensive telephone research and prepared high volume of correspondence to investigate patient credit balances. Processed transfers from patient accounts to credit account pending results of.
• Accurately maintained patient records in file room.

Mba, Healthcare Administration

Bachelor Of Science, Business Administration - General Business