Detail-oriented small business owner with several years of extensive experience in medical insurance billing and claims processing. Achievements include reducing scheduling conflicts by 30% and enhancing customer satisfaction by 45%, demonstrating a commitment to improving patient experiences and achieving business objectives.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Business Owner/ Licensed Childcare Provider
Tiny Campers Daycare, LLC
Chestertown, Maryland
04.2023 - Current
Entrepreneurially launched and scaled a family childcare business, reaching full enrollment within seven months while maintaining a waitlist of at least four families.
Maintained all state licensing requirements and continuing education with no non-compliances for the past three years.
Implemented Lillio for attendance tracking, invoicing, payment records, and parent communications, enhancing overall responsiveness to parents.
Communicated daily with children's parents or guardians about daily activities, behaviors and related issues.
Managing financial operations including budgeting, forecasting, and reporting.
Ensured compliance of all enrollment records with state licensing regulations
Managed over twenty emails daily, maintaining efficient communication flow.
Planned educational activities aligned with state early childhood education standards.
Established policies and procedures that streamlined operations and elevated service quality.
Developed marketing strategies that successfully attracted new families to daycare services.
Kept records for production, inventory, income, and expenses.
Encouraged positive interactions between children by providing supervision at all times.
Assisted children in development of social, communication and problem-solving skills.
Used positive reinforcement and behavior modeling to instill discipline in children.
Taught basic skills such as personal hygiene, social manners and appropriate behavior.
Guided children through engaging and productive activities to foster fun learning environment.
Ensured a safe and nurturing environment for children by implementing safety protocols and positive interactions.
Personal Lines Sales Customer Service Representative
State Farm
01.2019 - 04.2023
Increased customer satisfaction and insurance policy sales by 45%.
Advised clients on optimal insurance policies to ensure comprehensive coverage.
Resolved client issues efficiently while ensuring compliance with state guidelines and upholding client confidentiality.
Used Salesforce CRM to manage client records and follow-ups remotely, increasing lead conversion rates.
Coordinated and attended virtual appointments for over 45 clients monthly using Google Calendar, Calendly, and Zoom, reducing no-shows by 20%.
Established rapport with customers through empathetic communication and attentive service.
Lead Office Assistant
Luminis Health
02.2014 - 01.2019
Led a team of four to five front office staff, enhancing daily medical office operations.
Reviewed patient accounts for accuracy, ensuring compliance with insurance and office standards.
Reviewed explanation of benefits to identify billing discrepancies and escalated for resolution, improving accuracy in accounts.
Utilized NextGen and Epic for claims management, resolving discrepancies effectively.
Communicated with insurance providers via phone and online portals for claim follow-ups.
Analyzed performance metrics to identify improvements and implemented targeted staff training, enhancing team skills.
Managed AR and AP issues, ensuring timely resolution and accurate reporting to maintain financial integrity.
Addressed high call volumes, resolving patient account concerns with 30% satisfaction increase.
Acted as liaison between providers and management, facilitating clear communication on account issues.
Scheduled meetings, prepared meeting agendas, attended meetings and recorded and transcribed minutes.
Identified issues and utilized emotional intelligence and diplomatic communication to defuse.
Prepared, finalized, and sent contracts, invoices, and checks to ensure timely processing
Managed scheduling and appointment booking for multiple departments.
Prepared reports containing statistical data on various topics related to office operations and insurance claims.
Front Office Coordinator
University of Maryland Medical Systems
05.2007 - 02.2014
Coordinated front office operations to optimize patient scheduling, insurance verification, and account management.
Maintained electronic health records and updated patient information using EPIC.
Communicated effectively with medical staff regarding patient needs.
Managed high-volume telephone inquiries, screening calls and routing requests to appropriate staff members.
Processed payments from clients in a timely manner.
Took initiative to resolve customer complaints quickly and efficiently.
Maintained patient records with strict adherence to HIPAA confidentiality and privacy regulations.
Performed thorough insurance verifications to ensure accurate billing and minimize claim denials.
Expedited claims processing by submitting accurate documentation on time for optimal reimbursement rates.
Resolved patient issues and inquiries promptly, ensuring satisfaction and maintaining trust.
Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
CUSTOMER SERVICE LEAD/PROVIDER APPEALS SPECIALIST at Blue Shield of CaliforniaCUSTOMER SERVICE LEAD/PROVIDER APPEALS SPECIALIST at Blue Shield of California