- , , 100 Montgomery St. 10th Floor
- Home: (555) 432-1000
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Reliable professional offering an extensive career promoting positive customer experiences. Sharp Eligibility Specialist boasting expertise in managing and eligibility information for members and groups.
- Scheduling and calendar management
- Administrative leadership
- Accounts payable and receivable
- CRM and office management software
- Organizational skills
- Team management
- Payroll processing
- Collections and invoice processing
- Bookkeeping operations
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- Medical data acquisition
- Vital sign assessment
- Defibrillation and resuscitation
- EKG procedures
- Critical decision-making skills
- Field patient assessments
- Critical thinking
- Problem resolution
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Scheduling, Benefits, and Eligibility Manager, 08/2020 to 01/2021
Novetta – Honolulu, HI,
- Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays.
- Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.
- Assisted with referrals and prepared medical records for patients.
- Maintained confidentiality of records relating to clients' treatment
- Scheduled patient appointments and cultivated partnerships with managed care organizations, hospitals and insurance carriers to promote swift payment and issue resolution.
- Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
- Maintained consistent patient confidentiality in alignment with HIPAA protocols by using encryption software.
- Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
Office Management Specialist, 01/2014 to 06/2020
Ayers Trucking LLC – City, STATE,
- Culled knowledge of federal and state-level mandates to assess compliance across areas of operation\.
- Increased office organization by developing filing system and customer database protocols.
- Handled scheduling and managed timely and effective allocation of resources and calendars.
- Enhanced customer satisfaction ratings by resolving account issues efficiently.
- Instituted and built dynamic team of astute and successful administrative professionals which supported all corporate growth and productivity objectives.
- Distributed company correspondence, including memos and updates to reinforce and apprise departments and divisions of corporate objectives and developments.
- Reduced financial discrepancies by accurately managing accounting documentation in QuickBooks while maintaining case costs and billing processes.
- Improved operational efficiencies, managing work requests, new orders, pricing and changes while coordinating logistics to verify delivery dates.
- Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
- Coordinated travel arrangements, including booking hotel rooms, car rentals and airfare for staff traveling to domestic and international locations.
Medical Receptionist Assistant Manager, 06/2010 to 12/2013
Cheyenne Regional Medical Center – City, STATE,
- Developed policies to align procedures with nursing home strategic initiatives and complied with statutory, regulatory, state and federal guidelines.
- Trained and qualified staff per board requirements as well as national, state and local regulations.
- Managed operations in accordance with budget requirements.
- Communicated with patients with compassion while keeping medical information private.
- Trained and hired new medical assistance as well as set up their education programs and any testing that was required for supporting healthcare staff..
- Supervised team of medical assistance and support staff.
- Solicited medical history information from patients to provide best and most effective medical advice.
- Headed clinical oversight to devise and establish policies, procedures and best practices in alignment with regulatory requirements.
- Optimized case and clinical management and recommended plans to improve safety and health programs.
BBA: Accounting And Business Management, Expected in 03/2021
Colorado Technical University (on-line) - Colorado Springs, CO,
GPA:
- Completed professional development in Accounting and Finances
- Ranked in Top 5% of class
- Magna cum laude graduate
- Minor in Business Management
- Major in Accounting and Financing
- 3.5 GPA
Associate of Applied Science: Billing, Coding, And Business Development, Expected in 05/2010
Laramie County Community College - Cheyenne, WY
GPA:
- Ranked in Top 6% of class
- Minor in Business Development
- Major in Medical Billing
- Summa cum laude graduate
- 3.5 GPA
Associate of Applied Science: Medical Emergency Technician And Management, Expected in 05/1992
Texas A&M Health Science Center - College Station, TX
GPA:
- Ranked in Top 3% of class
- Minor in Emergency Management
- Magna cum laude graduate
- Major in Emergency Medical Responder
- 3.8 GPA
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