REGISTRATION REPRESENTATIVENORTHSIDE HOSPITAL － Atlanta, GA
Registered all patient for scheduled medical test.
Verify insurance, benefit levels, and payers.
Resolved any issues with outstanding balances and provided financial estimates for services to patients.
Respond to telephone and online inquirers for registration of radiology test and pregnancy registrations, proactively resolved any issues with insurance and updated any demographic discrepancies.
Maintained productivity log and assisted patients to complete financial assistance surveys if patient is unable to pay financial estimates.
11/2015 to 09/2017
Business Office CoordinatorDUNWOODY HEALTH AND REHABILITATION CENTER － Atlanta, GA
Completed all patient insurance renewals for Medicaid, Medicare, Long Term Care programs on an annual basis.
Verifies insurance, benefit levels, and payers.
Resolved any daily census issues before preparing census report for distribution.
Posting of all pharmacy, therapy, transportation, and personal charges to patient accounts.
Posted all Medicare, Medicaid, and Private Pay payments to patient accounts.
Prepared correspondence, accounting and financial documents for analysis.
Respond to telephone and in-person inquirers for information, proactively resolved any issues, and reviewed reports for accuracy.
Organize and code all documents related to invoices, claims, and purchases.
Organize files, developed spreadsheets, faxed reports and scanned documents, prepared meeting materials.
10/2013 to 07/2015
Program Manager / HR ManagerCENTRAL NASSAU GUIDANCE & COUNSELING － Hicksville, NY
Managed team of 20+ professionals.
Reduced and controlled office expenses by negotiating lower pricing with supply vendors.
Directed strategic protocols to achieve office efficiency and patient flow.
Collected co-pays, deductibles, posted payments, and process claims for payment.
Completed A/R reviews weekly, completed data analysis monthly for compliance.
Conducted compliance audits, updated cases info as needed.* Assisted with new hire selection and interview processes, provided offers, reviewed payroll for accuracy, employee relation duties, as well as conducted orientation.
Maintained performance management of all office procedures.
08/2011 to 09/2013
Business Office AssistantWEST OAKS HOSPITAL － Houston, TX
Thoroughly investigated past due invoices/claims and minimized number of unpaid accounts.
Carefully reviewed medical records for accuracy and completion as required by insurance companies and compliance audits.* Acquired insurance authorizations for procedures, test, and medications ordered by the attending physician.
Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
Verified all insurances as appropriate.
Posted payments and denials, maintained revenue cycle management daily.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
03/2006 to 07/2011
Customer Care ManagerUNITED HEALTHCARE － Houston, TX
Compile, record, and code results or data from interview or survey, using computer or specified form.
Successfully trained new hires on protocols and systems used in the call center customer care department.
Conducted staff development meetings with staff on a monthly basis.
Developed, implemented and monitored training programs for new hire classes.
Owned team productivity metrics and performance management metrics.
Monitored adherence regulations among staff members.
Improved service quality and increased productivity by developing a strong knowledge of company's products and services.
Conducted recruitment interviews, trained new customer service representatives.
Addressed and resolved negative customer feedback or issues immediately and efficiently.
Provided a high level of product and leadership support to representatives and clients.
01/2000 to 08/2005
Office ManagerPATRICE KELLAM PG. 2 HOUSE OF REPRESENTATIVES － New Orleans, LA
Direct or coordinate the supportive services department of a business, agency, or organization.
Prepare and review operational reports and schedules to ensure accuracy and efficiency.
Set goals and deadlines for the department.
Analyze internal processes and recommend and implement procedural or policy changes to improve operations, such as supply changes or the disposal of records.
Hire and terminate clerical and administrative personnel.
Monitored multiple databases to keep track of all company inventories and electronic records.
Maintained and coordinated executive and senior management schedules.
Served as a professional representative of the state Representative to executive clients, and board meetings as necessary.
Posted new job opportunities, selected and interviews possible candidates, completed job offers.
Managed all office staff.
Completed new hire paperwork and orientation.* Effectively controlled the release of proprietary and confidential information.* Prepared routine legal correspondence and memorandum for attorney and all partners.
Achieved office compliance and efficiency within 3 months of hire.
Conducted recruitment interviews, completed job and compensation offers, and on boarding of appropriate qualified staff as needed.
Bachelors of Arts: Liberal ArtsTEXAS SOUTHERN UNIVERSITY － Houston, TXLiberal Arts
An experienced manager with over 8+ years' experience whose vision is to promote success. Skilled at delegating tasks, organizing complex projects, and assisting in conflict resolution.
Ability to Communicate with all levels of Management
Proficient and Excellent Leadership Skills
Proficient in Conflict Resolution
Ability to Work Under Pressure Proficient in the use of Microsoft Office Suites Software
Knowledgeable and proficient in human resources policies and practices.
Knowledgeable and proficient in office management
accounting, administrative, agency, attorney, billing, call center, clerical, compliance audits, Conflict Resolution, clients, customer service, customer care, data analysis, databases, Decision Making, senior management, Organize files, financial, human resources, insurance, leadership, Leadership Skills, legal, materials, meetings, office, Microsoft Office Suites, negotiating, office management, patient flow, payroll, performance management, personnel, policies, pricing, processes, protocols, quality, radiology, recruitment, spreadsheets, staff development, strategic, surveys, telephone, therapy, training programs, transportation