JODY BARRINGER 555 Meadowlark Lane, Los Angeles, CA 90049
(310) 555-1234 ¥ JBarringer@email.com
Senior-Level Insurance Reimbursement Specialist
Offering:
10+ years experience iinclludiing8yeeaarrsshheeaaltlhthcare reimbursementtaudiittiing..
¥ ¥ In-depth knowledge of Medicare issues as well as generally accepted accounting and auditing principles. ¥ Strong research and analytic skills. ¥ Excellent training, supervisory and leadership skills. ¥ Highly organized and skillful project manager. ¥ Effective written and verbal communications, including presentations. ¥ Experience with appeals and administrative resolution process.
PROFESSIONAL EXPERIENCE
BLUE STAR OF CALIFORNIA, Los Angeles, CA Senior Auditor, 1997ÐPresent Staff Auditor, 1995Ð1997
1995 to Present
Coordinate audits of healltthcare providers, encompassiingaaccuutetehhoossppitiatalsl,s,ppsysychchiaitartircichohsopsiptaitlasl,sh, ohmome heehaeltahlth
agencies, hospices, and skilled nursing homes to ensure compliance with government and industry regulations
aand directives.
and directives.
¥ Direct team of five auditors, with responsibility for 100+ health care facilities representing Medicare reimbursement of $225 million; schedule, monitor and supervise field work and desk audits.
¥ Conduct exit conferences with providers and representatives. ¥ Review and approve cost settlements including audit adjustments, interim payments and lump-sum
settlements. Ensure ratio of over/under payments comply with regulatory and quality standards. ¥ Train team members in Medicare regulations and procedures, audit protocols and health care
accounting practices. ¥ Respond to investigative inquiries; perform legal research; work on appeals and position papers. ¥ Selected for special projects and major assignments including:
o Directedandsupervised$700+millionauditofLosAngelesCountyGeneral/USCHospital. o RepresentedcompanyatWashington,D.C.,andstateofCaliforniahearings.
ARONSON, ARGUELLA & STERN, CPAs, Los Angeles, CA
Staff Accountant/Auditor EDUCATION
B.S. in Business Administration ¥ CALIFORNIA STATE UNIVERSITY, Los Angeles, CA ADDITIONAL INFORMATION
1987 to 1989
Computer Skills: Windows, Microsoft Suite (Word, Excel, PowerPoint, Access), proprietary applications Foreign Languages: Bilingual English/Spanish