An accomplished, driven and dedicated administrative professional having long-standing and diverse experience throughout multiple industries and capacities. Highly experienced in reconciling accounts with a high degree of accuracy. Offering a solid foundation in software applications, database management, and data entry. A fast learner with outstanding organizational and multi-tasking skills. Detail oriented with strong ability to work independently. Excellent communicator with outstanding time-management and patient needs assessment skills. Exercise effective judgment, decision-making, and problem solving abilities. Dedicated to maintaining strict patient confidentiality and quality care.
Employee of the Month 5 times within 1 year
Promoted to Customer Service Manager after 3 months of employment and Lead Customer Service Manager 2 years after
Nominated to represent my company at their national shareholders meeting after 1 year of service.
Promoted to Case Manager after 6 months of service.
Reviewing physicians' notes and charts for accuracy
Obtaining any necessary clarification of information on the notes and charts
Ensuring that all medical records have been signed by the appropriate parties
Assigning appropriate medical codes to all diagnoses or services
Entering and organizing the codes into management software
Translate codes into insurance companies' preferred coding system
Prepare the appropriate claims documents required by each insurer
Submit, organize and track all insurance claims filed by the health care provider
Follow-up until payment is received, and manage collections activities when necessary
•To carefully understand the needs of the client and/or patient
Managed a caseload of clients and maintained case files.
Productively acted as a liaison with attending physicians, other medical providers
Audited insurance claims for accuracy prior to submission
Ensured proper and timely follow up
Took ownership of client and patient issues and effectively resolved problems
Supervised a staff of up to 120 associates
Creates schedules and processed vacation requests of said associates
Evaluated the daily operations, develop forecast and strategic planning to ensure quality customer service
Engaged in consistent communication with upper management regarding operations
Monitored and mentored associates and team leaders, providing all with
necessary training and development to achieve personal and organizational goals
Continuing education in Health Care Administration
Coursework in Human Resource Management and Business Administration
Academic Achievement Award
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