Premium Billing And Enrollment Supervisor resume example with 20+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - - -

Driven Billing professional offering 30 years of experience managing, reconciling, and auditing client accounts. Proven success in building client relationships and maintaining optimal billing efficiency. Excellent organizational skills and problem-solving abilities with superior client service skills. Over my career path, I have amassed a thorough knowledge of information systems with an extensive background in accounting and billing procedures. I am very detail oriented and have a willingness to learn and adapt my talents to benefit a progressive company.

  • Spreadsheet management
  • Transaction reconciliation
  • Billing
  • Accounting protocols
  • Invoice review
  • Invoicing proficiency
  • Audit procedures
  • Billing dispute resolution
  • Accounts receivable expertise
  • Internal controls
  • Bill payment
  • General ledger entries
  • Year-end reporting
  • Auditing proficiency
  • Quantitative skills
  • Ability to analyze reports
  • Critical thinking
  • Time management
  • Communication
  • People skills
  • Microsoft Office
  • Excel proficiency
11/2016 to Current
Premium Billing and Enrollment Supervisor Blue Ridge Healthcare System, Inc.. Morganton, NC,
  • Oversight of Premium Billing, Enrollment, and Mailroom Departments, including staff evaluations.
  • Direct responsibility for Accounts Receivable System maintenance, development, testing and enhancement requests.
  • Completion and of all quarterly and annual statements.
  • Responsible for preparation of data for external and internal auditors.
  • Finance liaison/representative for CMS payment reconciliation project.
  • Responsible for short and long-term data analysis projects.
  • Establishes and maintains policies and procedures for Enrollment, Premium Billing, and mailroom departments.
  • Establish and maintain banking arrangements procedures.
  • Prepares analytical reports and assists the senior leadership team in using these reports.
  • Review and assess the functionality of standard reports and designs enhancements.
  • Prepares accounting and regulatory financial statements.
  • Audits Monthly billing statements and financial reports.
  • Assisted in the preparation of the Plan's annual budget and long-range financial planning.
  • Responsible for premium and miscellaneous refund distribution preparation.
  • Responsible for proper coding and preparation of all vendor invoices for Plan payment and tracking.
  • Recommends changes and improvements to financial systems or processes.
  • Participates in and fosters a performance improvement approach that includes both intradepartmental and interdepartmental activities.
  • Responsible for compliance with Organizational Integrity through raising questions and promptly reporting actual or potential wrongdoing.
09/2006 to 09/2016
Lead Reconciliation Specialist Fiserv City, STATE,
  • Team lead responsible for the timely and accurate reconciliation of the company's Trust and Returns bank accounts. Responsibilities included reconciliation; researching settlement discrepancies, exceptions, and other out of balance conditions.
  • Prepared daily and monthly account reconciliations for the company's Trust and Returns bank accounts from daily bank financial statement.
  • Identify settlement discrepancies and out of balance conditions through a variety of balancing techniques and reconciliation software applications.
  • Alert appropriate management levels, internal departments, and external 3rd parties to all problems and out of balance conditions identified. Follows through on all out of balance conditions to ensure full and timely resolution.
  • Prepare and submit various weekly and monthly reports for management review. Compile and categorize data used for monthly operational metrics.
  • Identify and recommend opportunities to improve reconciliation processes for greater operational efficiency, as well as improvement opportunities for other processing areas to minimize risk of error and research time.
  • Provide troubleshooting support as needed to various departments within Fiserv, operating as an internal resource for system and funds flows.
  • Prepare and distribute the daily workload to the team.
  • Maintain and create new procedures for processing of daily tasks.
  • Train new employees of company procedures
  • Train existing employees of new procedures and process improvements.
  • Possesses a thorough understanding of accounting principles, practices, and regulations.
  • Ability to manage others and distribute the daily work load and tasks to complete business needs in a timely manner.
  • Establishes and maintains policies and procedures for Accounting and Finance department.
  • Demonstrated ability to research and analyze financial data.
  • Demonstrated ability to resolve issues exercising sound judgment, initiative, and strong critical thinking skills.
  • Demonstrated ability to effectively deal with people in various job capacities. Strong listening, written, and verbal communication skills and the ability to work on my own or as part of a team.
  • Demonstrated ability to prioritize, organize and multi-task in order to maintain established standards.
  • Demonstrated ability to cross train on multiple functions to assist with workload and cover for PTO.
  • Demonstrated ability to change rapidly and often.
  • Proficiency with Excel, MS Office Suite, Internet Explorer, and Database Management Application software.
  • Demonstrated ability to recognize opportunities for process improvements and taking the initiative to implement these actions.
    identifying the root cause of out of balances; and communicating these issues or problems to internal or external clients timely and appropriately. I am also responsible for ensuring that all out of balance conditions are resolved appropriately and timely.
06/1988 to 01/2006
Office Manager Sandusky Builders Supply City, STATE,
  • Prepared daily invoicing, monthly statements, daily sales and expenditures, payroll, Accounts Payable (A/P) and Accounts Receivable (A/R), inventory ordering and evaluation, and account reconciliation for hundreds of accounts.
  • Responsible for all operations of the company from business needs to personnel.
  • Implemented the company’s first Point of Sale (P.O.S.) computer system in which I was solely responsible for its maintenance and operations.
  • Responsible for all A/R and A/P operations including reconciliation, collections, liens, calling on past due accounts, taking all incoming questions on customer accounts, products, and services.
  • Compiled daily sales and expenditure information for SLT, calculated all accounting reports and tax information.
  • Oversaw all employees and made sure their performance met company standard.
  • Improved operational efficiencies, managing work requests, new orders, pricing and changes while coordinating logistics to verify delivery dates.
Education and Training
Expected in
High School Diploma:
Gahanna Lincoln High School - Gahanna, OH,
Expected in
Associate of Arts: Accounting And Business Management
Columbus State Community College - Columbus, OH

Continually exceeds monthly Performance metrics.

Oversaw Self directed workgroup that were having issues staying in compliance.

Cross trained on several different billing and back office platforms.

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Resume Overview

School Attended

  • Gahanna Lincoln High School
  • Columbus State Community College

Job Titles Held:

  • Premium Billing and Enrollment Supervisor
  • Lead Reconciliation Specialist
  • Office Manager


  • High School Diploma
  • Associate of Arts

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