Microsoft Office/ Microsoft Suite


A/R RCM FOLLOW UP REPRESENTATIVE Team Leader Healthcare Accountant SUMMARY: Excellent verbal and written communication skills, ability to work independently, reliable, self starter, and team leader. Leadership professional experienced in directing multiple priorities and working collaboratively with a diverse population of staff and clients. Effective leadership skills to initiate, develop, and implement delivery of services. Excellent verbal, written, and interpersonal skills to effectively build relationships with individuals in-person, on the phone, and virtually. Long history of Customer Service background. Payroll experience. Flexible, high achiever w/ability to learn quickly and meet department goals and deadlines consecutively. Organized, detail oriented w/excellent interpersonal skills and can prioritize multiple tasks.
SUMMARY OF QUALIFICATIONS: Medical Billing Microsoft Word/Office, Excel, Kronos & Outlook Training & Development, Project Spreadsheets, End of Month Balance Ledger, Insurance Claim resolution, A3 & Embillz Software. Creative problem solving, Strong verbal and written communications, Familiar with Bookkeeping & Payroll processes, Excellent Customer Service skills ,Time Management, Organized Team Leader that builds positive rapport, inspire trust and guide teams toward achievement of organizational goals. Strong facilitator adept at working cross-departmentally with co-management and top-level leadership. Excellent trainer and mentor.
Built knowledge to process transactions with the goal to demonstrate full proficiency in all brokerage and mutual fund functions designated under the respective training path
Maintained balance between quality and productivity to meet department standards
Stayed current following procedural updates or technology enhancements
Adhered to standard work/workflows, and actively suggests enhancements to processes
Efficiently leveraged online resources to independently meet challenges
Communicated verbally and in written format with clients to clarify incomplete or invalid paperwork
Worked collaboratively to complete complex processing issues and exhibited a sense of urgency and accountability that requests are completed in a timely manner
Participated in conversations around individual and team targets during team meetings, and consistently updated personal goals in a timely fashion
Comfortably participated in Teams on camera meetings
Provided necessary reporting, quality assurance responses, internal audit responses, and relevant paperwork as requested by Vanguard Compliance, Global Security or Assignment Leader.
Supervised a team of 4 customer service representatives
Researched and resolved daily incoming 3 rd party, (Workers Comp/MVA and Commercial insurance) and Medicare/Medicaid docs for Accounts Receivable according to updated policy procedures (cross evaluated complex accounts to ensure timely reimbursement and assessed proper protocol to obtain prompt payment for claims)
Handled large volume of incoming and outgoing calls from and to insurance payors, patients, lawyers, and physicians to resolve denials/issues
Investigated the patient's Coordination of Benefits for proper billing information as well as examined unpaid claims and properly submitted them to the responsible party for processing
Team Lead to Regional employees, Training hires, allowing business related visitors to shadow my production, and completing various projects for Upper Management
Processed monthly A/R ledger balance reports, MEDICAL BILLING REP
Met daily production and quality standards onsite and at home workstation as well as identify and report unusual activity from accounts to supervisors/management
Researched & worked Medicare/Managed Care claims according to updated policy procedures
Daily accessed use of various software including but not limited to Microsoft Word/Office, Excel, Outlook, and Medical Billing databases while typing Type 65-80 wpm, Data Entry 9,000 ks
Worked on A/R reports and forwarded them to the Supervisor for review and ledger balances
To Accounts Payable Executor working clerical Secretarial Admin
Duties shadowing daily A/P roster and processing employee time cards
Managing Payroll Ledger/Bookkeeping
Maintaining Accounts Payable Database
Administrative Duties as assigned
Microsoft Office/ Microsoft Suite
Excel
Outlook
Kronos
PowerPoint
In Career interest I would like to be more involved with the A/R & A/P new program process to learn and evolve in the field
My personal interest are networking with the Resale Community as I am a Reseller of sustainable items such as clothing, jewelry and accessories
I also like volunteering to help serve the homeless with my neighborhood church