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
Accounts payable and receivable
CRM and office management software
Collections and invoice processing
Medical data acquisition
Vital sign assessment
Defibrillation and resuscitation
Critical decision-making skills
Field patient assessments
Scheduling, Benefits, and Eligibility Manager City, StateCompany Name/Aug 2020 to Jan 2021
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 City, StateCompany Name/Jan 2014 to Jun 2020
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 City, StateCompany Name/Jun 2010 to Dec 2013
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.
Education and Training
BBA: Accounting And Business ManagementColorado Technical University (on-line)Expected in Mar 2021City
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
Associate of Applied Science: Billing, Coding, And Business DevelopmentLaramie County Community CollegeMay 2010City, State
Ranked in Top 6% of class
Minor in Business Development
Major in Medical Billing
Summa cum laude graduate
Associate of Applied Science: Medical Emergency Technician And ManagementTexas A&M Health Science CenterMay 1992City, State
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Colorado Technical University (on-line)
Laramie County Community College
Texas A&M Health Science Center
Job Titles Held:
Scheduling, Benefits, and Eligibility Manager
Office Management Specialist
Medical Receptionist Assistant Manager
BBA : Accounting And Business Management Associate of Applied Science : Billing, Coding, And Business Development Associate of Applied Science : Medical Emergency Technician And Management
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