Aleacia Carter
Houston
Summary
A diligent worker with a broad range of high efficiency communicative, administrative and leadership skills. My experience has enabled me to be a highly organized individual with exceptionally strong customer service and time management skills. I possess the ability to collaborate well with others to develop, define, and achieve common goals while maintaining awareness of factors impacting daily and long-term operations. It would be an honor to utilize my skills and knowledge to help improve and maintain the high standard of services provided by your company.
Overview
18
18
years of professional experience
Work History
FINANCIAL COUNSELOR
Harris Health System
Houston
02.2023 - Current
- Consistently and accurately validate patient's demographic information, verify insurance, and determine sources of funding, payment methods, collect co-pays/deductibles and resolve outstanding financial issues for all patients prior to discharge.
- Screens patients to identify third-party liability, assists patients with completing related applications and ensures all third-party applications are routed to the appropriate location.
- Conducts thorough evaluation of documents required for Medicaid, Harris Health FAP, Crime Victims and assists with all qualified Medicaid applications.
- Ensures all work queues are monitored and cleared daily to ensure that all elements of the accounts are secured for billing.
- Provides complete and accurate case documentation for each interaction to ensure compliance with hospital and government regulations.
- Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary consents in the Electronic Medical Software.
- Contacts and educates patients on matters related to insurance benefits and payment options or collects past balances including bad debt. Answers any questions posed by the patient related to a billing or financial concern.
- Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility.
- Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
- Communicates in an effective and professional manner with physicians, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families.
- Support team members with questions regarding eligibility information for patients receiving services.
- Provides in-house Financial Counselor training for newly hired employees.
- Collaborates with applicable vendors to identify all sources of potential resources to secure funds for the hospital.
- Takes initiative to learn policies/procedures to assist team members in solving problems.
- Provides financial updates on a regular basis, which can include updating reporting and/or participating in meetings with case management and medical staff to ensure timely discharge planning and financial clearance.
- Interacts successfully in a culturally diverse environment.
TEXAS WORKS SUPERVISOR
Texas Health and Human Services Commission
Houston
12.2018 - 08.2022
- Selected, hired, managed and developed staff through conferences, mentoring, training and performance appraisals.
- Evaluated performance of staff including managing schedules, career coaching, motivating employees, and disciplinary actions of employees.
- Managed a team of staff to consistently meet high production expectations in an effective and efficient manner.
- Led team to consistently meet high production expectations through effective management and staff development.
- Planned, coordinated, and monitored service delivery in assigned area to ensure effective and efficient program operations with high volume activities in all areas.
- Investigated special problems encountered by employees; responded to calls from the public that extend beyond the normal scope of subordinates' responsibilities.
- Planned and implemented operational projects and process improvement initiatives to enhance business development and leadership support.
- Analyzed and effectively redistributed workload to have a positive impact on timeliness, accuracy, and meeting program goals and expectations.
- Interpreted and implemented agency, state, and federal policies, procedures, rules, regulations, and/or standards.
- Reviewed case records to determine compliance with policies and procedures to identify trends and for corrective action.
- Ensured error-free data entry into specified systems for new hires, terminations, promotions, transfers, position changes, etc.
- Performed complex technical, administrative, and management duties while working independently to execute multiple initiatives concurrently.
- Effectively communicated with others (internally or externally) to provide, exchange, or verify information, answer inquiries, address issues, or resolve problems or complaints.
- Created and presented presentations for morning huddles, monthly unit meetings, and annual year-end review presentations.
- Resolved software issues for staff and clarified policy-related inquiries.
- Fostered team engagement through effective communication, inspiration, and education to promote a positive workplace culture.
- Worked under limited supervision with considerable latitude for the use of independent judgment.
TEXAS WORKS ADVISOR
Texas Health and Human Services Commission
Houston
10.2013 - 12.2018
- Interviewed clients and/or authorized representatives via phone and/or in person to verify financial and other information to determine/re-determine eligibility for SNAP (Food Stamps), Temporary Assistance for Needy Families (TANF), and/or Medicaid programs.
- Obtained and verified income and resources to determine financial eligibility and ensure compliance with program guidelines.
- Explained program benefits and/or requirements and documented case records to form a record for each client interaction.
- Used interviewing techniques to obtain personal information, make inquiries, and resolve conflicting statements.
- Provided exceptional customer service, addressing client needs and enhancing their understanding of available resources.
- Adhered to the laws and regulations as specified in the Health Insurance Portability and Accountability Act (HIPAA), which includes maintaining confidentiality and restricted access to clients and/or individual's personal health information.
TELLER
Wells Fargo Bank
Houston
09.2008 - 12.2012
- Delivered exceptional client service during teller transactions.
- Processed cash and check transactions including deposits, withdrawals, transfers, loan payments, savings bonds, traveler's checks, cashier's checks, and money orders.
- Ensured accuracy by adhering to balancing guidelines while managing cash drawer and daily transactions.
- Identified client needs through conversations, cross-selling products/services to support sales staff referrals and achieve quarterly goals.
- Accurately communicated changes to policies, procedures, fees, and distributed forms, how-to-guides, and applications to customers over the phone and face-to-face.
- Performed vault, cash drawer, safe deposit, ATM, night drop and audit duties.
- Opened and closed the branch in compliance with safety guidelines.
- Organized and equipped workstation to complete work as per schedule in a fast, efficient, and friendly manner.
Education
DIPLOMA -
M.B. SMILEY HIGH SCHOOL
HOUSTON, TEXASSkills
- Punctual, reliable, and flexible
- Well-developed analytical skills with high attention to detail
- Excellent people management and project management skills
- Motivated self-starter with a strong ability and desire to learn
- Excellent problem resolution abilities
- Patient and effective when working with a wide range of personalities under pressure
- Advanced computer skills including but not limited to strong knowledge of Microsoft Office Suite and EPIC
Ability to:
- Multi-task
- Prioritize and organize work
- Take initiative to ensure deadlines are met
- Establish and maintain effective communication both orally and in writing
- Maintain the highest level of confidentiality
- Thrive in a challenging, fast-paced, and evolving environment
- Adapt to changes and be open to new and creative ideas or working
- Exercise sound judgment
Timeline
FINANCIAL COUNSELOR
Harris Health System
02.2023 - Current
TEXAS WORKS SUPERVISOR
Texas Health and Human Services Commission
12.2018 - 08.2022
TEXAS WORKS ADVISOR
Texas Health and Human Services Commission
10.2013 - 12.2018
TELLER
Wells Fargo Bank
09.2008 - 12.2012
DIPLOMA -
M.B. SMILEY HIGH SCHOOL