Ambitious, determined, High-energy, results driven management professional with 20 years of experience in strong strategic planning, customer service, people-management and relationship-building skills.
Strong interpersonal skills
Claims appeal procedures
Insurance eligibility verifications
Microsoft Office proficiency
Medical billing software
Problem resolution ability
Professional and mature
Strong problem solver
Works well under pressure
Complex problem solving
Supervision and training
Partners HealthcareMarch 2015 to CurrentThird Party Commercial Insurance Reviewer Boston, MA
Review assigned accounts by contacting various insurance carriers to ensure timely resolution of accounts.
Create updates and document information relating to the financial status of accounts in the hospital billing systems including Epic, AS/400, Patcom and Huron.
Contact patients and/or other third party representatives, pertaining to reimbursement of accounts and timely filing follow-up.
Process rejected claims through trac and Sovera correspondence.
UBER CAR SERVICEOctober 2014 to CurrentTransportation Specialist / Driver Boston, MA
Pick up passengers at their location.
Safely transport client to their destination.
Provide any necessary information on the company system in a professional manner.
David's World Famous/David's Catering and EventsOctober 1996 to CurrentExecutive Assistant/Catering Manager/Catering Events Chef Boston, MA
Assisted company President composing and distributing company communications, resolving employee and financial restaurant issues, and coordinating general operations in three locations.
Managed event planning for private catering and special events, provided related price proposals, contracts, and coordinated delivery of required equipment for each function.
Managed inventory and ordered all office supplies and marketing materials.
Acted as primary customer service contact for all corporate clients
Arranged menus and equipment lists for corporate and social functions ranging from 50 - 2500 guests
Ensured customer satisfaction and product quality through follow up contact with clients
Solicited potential corporate and private catering customers by telephone and distributed marketing packages containing product information
Provided written and verbal responses to client inquiries regarding dissatisfaction or delays in service, menu, information, pricing, etc.
Maintained database for all customer related documents, including billing and direct mailings
Responded to all accounts receivable inquiries and Managed all overdue accounts Coordinated scheduling for 20 employees in three different branches
Installed Caterease 6.0 software, including but not limited to designing and maintaining the databases, trained all team members in its use.
International Bird Control Systems dba BirdmasterMarch 2012 to July 2014Executive Administrative Assistant/Office Manager Boston, MA
Organize and schedule projects from beginning to end of the project including obtaining Certificates of Insurance and secure any required permit approvals prior to starting projects.
Invoicing, collections and deposits into Peachtree Accounting Software.
Review and ensure compliance of project contracts and final paperwork for payment including AIA forms.
Directly communicate with Human Resources for hiring and termination of employees and benefit coordination.
Work closely with company President to create and send project proposals.
Acquire new project prospects through email and Internet leads
Manage and order office supplies as well as other trade materials and make material stock recommendations
Plan all travel arrangements for executives and staff
Write correspondence from dictation and handwritten notes
Make copies, send faxes and handle all incoming and outgoing correspondence
Organize files, develop spreadsheets, fax reports and scan documents
Create monthly reports and other documents on Apple MAC computer systems
LOGIXHEALTH, INC/ MRSI, INCJanuary 2007 to May 2012Facility Charge Entry Lead Boston, MA
Search ED Pace system for patient account information, missing chart files and necessary information to process patient ED accounts
Enter diagnosis and billing codes into patient accounts into Meditech, Paragon, Athena, Allscripts, AS/400, Invision and 3M systems Healthcare software according to client specifications
Print and reconcile weekly and monthly patient reports with regard to missing, in process or unable to code charts Analyze coded charts for billing transition modifications
Correspond with clients regarding issues or corrections to patient accounts
Train staff on new clients systems and software according to contract and proposal agreements in person and virtually through Goto Meeting Software
Manage small staff of three employees including daily assignments, time off and scheduling according to workflow and benefits.
Was the first employee to successfully work from home in a full-time capacity and implement a paperless system to ensure patient security at all times
Academy of Learning1998Computerized Accounting DiplomaMalden, MA
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Companies Worked For:
UBER CAR SERVICE
David's World Famous/David's Catering and Events
International Bird Control Systems dba Birdmaster
LOGIXHEALTH, INC/ MRSI, INC
Academy of Learning
Littleton High School
Job Titles Held:
Third Party Commercial Insurance Reviewer
Transportation Specialist / Driver
Executive Assistant/Catering Manager/Catering Events Chef
Executive Administrative Assistant/Office Manager
Facility Charge Entry Lead
Computerized Accounting Diploma Diploma
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