1. ROCHELLE DOUGLAS, CRCR
PO Box 3011 Indian Trail, NC 28079 / Cellular: (704 219-5474
E-mail Address: rochelled1079@yahoo.com
PROFESSIONAL SUMMARY
MEDICAL BILLING / COLLECTIONS SPECIALIST offering an outstanding record of achievement in
driving key performance results within a highly competitive environment. Areas of expertise include all
facets of Medicare, Medicaid, Workers Compensation, and private insurance; proven ability to reduce
A/R accounts through exceptional analytical, goal-setting, and interpersonal communications skills;
strong computer software capabilities; a commitment to excellence in all pursuits.
EDUCATIONAL BACKGROUND
BENNETT COLLEGE, Certificate in Business, Greensboro, NC
GUILFORD TECHNICAL COMMUNITY COLLEGE, Certificate in Accounting, Jamestown, NC
PROFESSIONAL EXPERIENCE
Independent Contractor:Supervisor: 2008 -Present
Billings and Collections Medicaid, Medicare HMO and Commercial Providers Relations
Dairy land Healthcare System, Patient Implementation Analyst 2006-2008
Providing software training to Physicians, Nurses, Registration and Business office staff. Provide
complex technical issue training. Proficient in the clinical workflow of Medical Records.
Community Health System – Lake Wales, FL [April 2006 – 2006 ]
 Currently in the process of establishing a sound collections infrastructure to remove state “focus” status
 Systems utilized: Kepro, HMS, Passport, SSI, Mocha, and I Exchange, Training staff members
Community Health System – Petersburg, VA [January – April 2006]
 worked closely with the Commonwealth of Virginia Medicaid in removing state “focus” status
 Results: Surpassed Medicaid A/R budget targets by $200,000 during the First Quarter 2006
Community Health System – Emporia, VA [May 2005 – January 2006]
 charged with reducing the Commonwealth of Virginia excessive Medicaid A/R
 Results: Reduced A/R from 2,000 to 575 and CHS has remained off state “focus” for nearly two years
Triad Healthcare System – Brownwood, TX [February 2005 – May 2005]
 Emphasis upon professionalizing the billings and collections process, Credit Balance Reports
Workers Compensation Program Detroit, MI [January 2005 – February 2005]
 Utilized Choice, Misys, and HBOC to reduce outstanding WC claims of $1.5M
 Results: Reduced claims to $244,125.00 and then sent to perform the same on the physician side
 Recognized for surpassing targets by being invited to train in-house employees in A/R methodology
Via Health – Rochester, NY [February 2000-2004]
 performed a full range of billings/collections activities for Via Health as part of a pilot program
 Pursued claims for a 180,000 Medicare, Medicaid, Workers Compensation, BC/BS caseload
 Results: Reduced A/R from $47M to $27M within a six-month period, training new hires on Quadex.
RESURGENT ORTHOPEDICS/Affiliate of OrthoLink Physicians Corporation 1998 – 2000
Medical Billings and Collections Specialist, Atlanta, GA
 Responsible for the electronic and manual billing of claims for this 57-surgeon practice
 Verified insurance for managed care, commercial policies, and 3rd
party administrators
Previous Experience:
PROMINA COBB CENTRAL, Collector, Austell, GA [1997 – 1998]
SYNDICATED OFFICE SYSTEMS, Pre-screen Collector, Atlanta, GA [1995 – 1997]
MEDICAL SOFTWARE CO., Billing/Accounting Clerk, High Point, NC [1994 – 1995]

2. P.T. & SPORTS REHAB CLINIC, Insurance Clerk, Greensboro, NC [1993 - 1994]
AETNA HEALTH PLANS, Claims Processor, Greensboro, NC [1992 – 1993]
SPECIAL SKILLS
Windows Applications, MS Word, IDX Computer System, PBX Machines, Cerner Powerchart, HMS
Meditech 5.5 5.6, Diary land, STAR HBOC, SSI, Quadex, MISYS, AS400, Epic Certified E-Premise
Excellent References Furnished Upon Request