Reliable professional offering an extensive career promoting positive customer experiences. Sharp Eligibility Specialist boasting expertise in managing and eligibility information for members and groups.
Skills
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
Medical data acquisition
Vital sign assessment
Defibrillation and resuscitation
EKG procedures
Critical decision-making skills
Field patient assessments
Critical thinking
Problem resolution
Experience
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.
Education and Training
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:
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
