Adam Whelan
Milford,Michigan
Summary
Dynamic professional with a proven track record at Inspire Autism, adept at leveraging expertise in billing management and software development to enhance operational efficiency. Exceptional at fostering client relationships and solving complex problems. Skilled in multitasking and customer service, ensuring high-quality outcomes in fast-paced environments.
Also, a sole custody father to child with Autism, maintaining IEP, Psychiatry, and Therapy schedules.
Former professional MMA fighter with discipline and patience. Learned the importance of Physical, Mental, and spiritual health for lasting success in the home and work place.
Overview
20
20
years of professional experience
Work History
Self Employed - Lash Artist
Self
10.2016 - Current
- Consulted with clients to understand desired look and discuss available lash options.
- Educated clients on how to clean and maintain lash extensions.
- Kept workspace clean, organized and well-stocked for upcoming appointments.
- Worked with high attention to detail to complete precise, long-lasting lash looks.
Billing/Credentialing/Claims Manager
Inspire Autism
08.2022 - 10.2024
- Claims auditing (CPT codes, Modifier, POS, Provider Authorization, etc)
- Claims submission (Medicaid, Medicare, Commerical plans)
- Very experienced in clearing houses and payor portals (Availity, Prism, UHC, changeHealthCare, etc)
- Credentialing providers beginning to end of process
- Fund Allocation for A/R and P/R for CPA reports
- Collect copayments, submit statements to clients
- Verification of Benefits for all levels of Care
- Claim correction for resubmission
- Report claim details (payor payments, outstanding A/R, timely filing deadlines, etc)
Cleaning Manager
Maid N Family
04.2020 - 10.2022
- Maintained adequate supplies of cleaning materials and equipment and placed orders to conserve stock levels.
- Established routine inspections to monitor standards of cleanliness and developed and implemented improvement methods to meet evolving business needs.
- Coordinated, directed and monitored cleaning staff in duties by use of manual tools and equipment.
- Cleaned Homes and offices
Network Recruiter
Beacon Health
04.2013 - 10.2016
- Maintained and managed provider network for 5 states (FL, KY, GA, IL, WV)
- Assisted Providers/facilities to join network
- Audited credentialing applications based on state regulations and joint commission standards
- Assisted in denied claims, coordinated with providers to resubmit properly for claims payment
- Data Entry
- Census reports and audits to make sure credentialing flow was efficient
Clinical Intake Coordinator
Brighton Center For Recovery
08.2004 - 04.2013
- Scheduled appointments with clients and sent precertification letters under direction of nurse case manager and medical adjusters.
- Assisted with entering and transcribing medical notes from providers.
- Balanced incoming load from high-volume telephonic reporting system with great time management and multitasking abilities.
- Verification of Benefits for all levels of Care
- Billing assistance for assessments (UB 92/CMS 1450, HCFA 1500 forms training)
Education
Associate of Arts - Liberal Arts/Music Education
Oakland Community College
Waterford04-2007
Skills
- Works well independently and Group
- Able to create software to make programs and job more efficient
- Self starter and problem solver
- Customer Service and building rapport with clients and payors
- Think thinker
- 7 days a week worker
Professional References
James Boudreau
Founder/CEO - Inspire Autism
(248) 308- 6945
james@inspireautism.com
Nikolaus Fullbright
MD for Henry Ford Ascension (South Lyon)
Cleaned home and made home repairs for 2 years
nfulbri1@hfhs.org
Timeline
Billing/Credentialing/Claims Manager
Inspire Autism
08.2022 - 10.2024
Cleaning Manager
Maid N Family
04.2020 - 10.2022
Self Employed - Lash Artist
Self
10.2016 - Current
Network Recruiter
Beacon Health
04.2013 - 10.2016
Clinical Intake Coordinator
Brighton Center For Recovery
08.2004 - 04.2013
Associate of Arts - Liberal Arts/Music Education
Oakland Community College
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