Experienced Business Development Specialist offering proven track record of working with customers to achieve solutions and drive company growth. Skilled in networking with industry professionals to build lead pipeline and increase client base.
Overview
24
24
years of professional experience
Work History
Senior Business Consultant
B2B Consulting & Training
09.2013 - Current
Worked with clients to deliver practical, measurable and sustainable results day in and day out
Advised clients on planning and strategy and provided training to strengthen the company’s workforce and build a winning team
Made substantial improvements in clients’ businesses by approaching challenges from the perspective of their customers, integrating new processes, systems, and technology, and ensuring lasting benefits through the transfer of new skills to clients
Supervised a staff of 5 volunteers during workforce training and development classes
Worked as an Independent Contractor based on the “Seasonal” needs of the business.
HOA Board President
Lansing Manor Condominium Association
08.2019 - 08.2023
Initially asked to be MAL (member at Large)
Within 3 months and after other members declined to run for re-election again, I was asked to assume Role of President, Secretary & Treasurer (simultaneously)
For the remainder of my tenure, I was Property Manager of our 24-unit building, enforcing the Rules & Regulations, Declarations, Budget Oversight, and HOA Payment enforcement
I pulled Monthly reports in Buildium for delinquent residents in order to send to collections
I worked in combination with the management company and our Law firm attorneys in the initiation of Judgement enforcements against delinquent unit owners, as well as the enforcement of fines for violators
Oversaw budget management, bill-payment, banking accounts, vendor payments & negotiations, pulled monthly account ledgers in order to reconcile Debits vs Payments and to verify account balances of our Regular HOA and Special Assessments and check for funds moved without Board Authorization
I acquired and vetted vendors to perform maintenance and repairs of said property
I personally oversaw and documented all said repairs on the property
I acquired and worked with a new Accountant to file our yearly tax statements and registration documents with the State of IL, in order to maintain our Non-Profit Status with the State
I organized Quarterly Owner Meetings between the Management Company and Board, at local Library Media rooms
I presented “Statement of Accounts” and “Status of Repairs” to members present, along with reviewing our Financial Statements
I was editor of our monthly newsletter to keep owners abreast of the Going-On’s in the building
I oversaw the Election of a new Board in conjunction with the management company, prior to stepping down.
Marketing Liaison
Mosaic of Lakeshore
02.2018 - 08.2018
Oversaw, generated and increased census by re-establishing relationships with local hospitals, case managers, physicians, social workers and other healthcare professionals
Conducted on-site patient assessments in a timely manner after a referral was given by a hospital discharge planner, case manager, physician, or family member
At the assessment, reviewed patient records, which included diagnoses, history and physical, progress notes, nurse’s notes, labs and x-rays, physician orders; obtained any relevant patient information to facilitate a timely admission to facility
Actively recruited Physicians to staff our Skilled Nursing Facilities
I have educated patients and families on facility services and admission standards
Orchestrated and presented at numerous CEU Lunch and Learns
Any other duties as required.
Sales Counselor
Franciscan St. Anthony Village
08.2017 - 02.2018
Actively marketed Assisted Living and Independent Living in a CCRC facility, and consistently met and exceeded the budgeted occupancy and entrance fee goals
I conducted tours, contract signings, served as counselor to residents and families, counseled and assisted families of deceased residents, coordinated all new resident move-ins & move-outs, resident relocations within the community, oriented new residents, worked effectively with contractors, maintenance, and housekeeping departments to refurbish apartments
Consistently updated census reports
Worked Manager-on-duty weekend and holiday rotations for entire campus, conducted Customer Service portion for new employee orientation for SNF and Assisted Living
Resigned after notification the Facility was being Sold.
Claims Supervisor
Valence/Evolent Health
10.2016 - 08.2017
Responsible for management and oversight of a team of 36 Claim Adjudicators
Supervised a multi-functional unit of claim professionals and support staff
Ensured timely adjudication of claims for Indiana Medwise to ensure all Federal, State and Client requirements are met timely and efficiently in accordance with regulations and client guidelines
Provided day to day leadership to claim team in support of department initiatives and strategies in cost containment, case file handling, customer service and quality
Monitored workflows to maximize accuracy and efficiency; maintaining an acceptable level of service and customer satisfaction and retention
Provided input in the quality review process
Monitored unit goals, objectives, processes, procedures and systems
Stayed abreast of changes in health plan benefit and pricing methodologies
Facilitated periodic project tracking to management as needed
Validated and ensured my department's compliance to company requirements
Contractor
Patient Admission Liaison
Vitas Hospice –Chicago Central
07.2015 - 08.2016
Met with the client and gathered the necessary consent forms required for being added to service with Vitas
Sat with and comforted families who’ve just received the devastating news that the medical professionals have done all they can for their loved ones, and they must make other arrangements for their final care
Explained hospice and what services Vitas will provide to help in assisting their loved ones make a smooth transition
Made myself readily available to answer any questions they may have in the process going forth
Additionally, when referrals were slow due to low census, I was re-assigned to assist the Account Sales Reps in Marketing efforts to numerous Hospitals and Nursing Homes in hopes of generating new referrals and renewed interest in Vitas, dispelling any negative information they may have received regarding our services
Accepted assignments from the General Manager, such as assisting in building our SNF Contact list for use by our Account Sales Reps., Presenting as a Vendor at numerous Healthcare Conferences
Arranged, Orchestrated and presented at numerous CEU Lunch and Learns before groups of Medical Professionals
After PAL position was phased out, I was transitioned to the Marketing team permanently
Any other duties as assigned.
Service Account Manager Associate
United Healthgroup
08.2014 - 07.2015
Provided hands-on customer service to one of our largest and most prestigious accounts, The University of Chicago
Assumed full responsibility for managing day-to-day customer service issues associated with client's insurance benefit plan
Investigated and responded to written and verbal inquiries from internal and external sources
Interacted with other company operational areas for resolution of customer issues
Participated in face-to-face meetings with members when necessary to assist in issue resolution
Conducted “Open Enrollment” educational seminars throughout the campus for incoming students
Prepared analysis, complete case synopsis, and recommendation for corrective action for management review
Called members and providers routinely as an advocate to resolve issues
Investigated and resolved high profile cases with internal and external departments for case resolution
Accurately completed special projects, tasks, reports and other duties on a timely basis as directed by management
Answered incoming calls regarding benefits, claims, eligibility and other inquiries as it related to health insurance
Acted as a member advocate via liaison between Broker and Member
Thoroughly reviewed and investigated claim problems and routed appropriately for resolution
Interacted with other company operational areas for resolution of customer issues
Identified trends relating to member/provider dissatisfaction; routed documented findings to Management for quality control purposes
Prioritized workload for timely resolution
Attended in-service meetings, maintained resource materials and attended classes as determined by Supervisor/ Manager
Handled all calls courteously, politely and professionally
1 yr
Temp Assignment
Outreach Representative
Sovereign Health of California
10.2013 - 03.2014
Developed and executed a business plan to give the Sovereign Health treatment programs brand recognition in the Chicago market
Augmented “foot-traffic” to their website and created increased volume in their Intake Call Center, resulting in new subscribers to the Sovereign Health programs from Chicago and the surrounding market area
Presented as a Vendor at numerous Healthcare Conference
Independent Contractor
Community Relations Specialist
Harmony Wellcare
03.2011 - 06.2013
Implemented programs to develop relationships with organizations to build community coalitions and promote health awareness in managed care
Developed and implemented approved marketing strategies for events to interested candidates in the service area according to prescribed rules and regulations
Marketed WellCare through a combination of relationship building, event coordination, and community relations activities
Developed and fostered strong partnerships with healthcare providers and community associations
Implemented community programs with the purpose of providing meaningful programs for community residents, strengthening corporate commitment to the community, building community coalitions, and promoting WellCare
Developed relationships with community-based organizations to secure opportunities to promote WellCare
Presented as a Vendor at numerous Healthcare Conferences
Laid off.
Fee Basis Clerk
Edward Hines Jr. VA Hospital
06.2009 - 06.2010
Provided technical support in budgetary and time and attendance areas
Prepared, received, and verified documents and processed transactions
Handled requests for information and compiled statistical reports
Processed incoming and outgoing materials such as correspondence, reports, memorandums, edited letters, and composed letters or reports
1-year Term assignment
Marketing & Admissions Director
Franciscan St. James Manor & Villas
06.2008 - 12.2008
Implemented the marketing, sales, and public relations plans for the Assisted Living Health Campus, including conducting assessments of potential residents, arranging and organizing campus tours, creating and planning promotional events, and building referral sources
Secured admissions for the Skilled/LTC Campus
Increased the average census from 53% to 88% by developing new relationships with local hospitals, case managers, physicians, social workers, and other healthcare professionals
Conducted on-site patient assessments in a timely manner after a referral was given by a hospital discharge planner, case manager, physician, or family member
Educated patients and families on facility services and admission standards
Orchestrated pre-admission care planning
Supervised a nursing home staff of more than 60 as Manager on Duty
Presented as a Vendor at numerous Healthcare Conferences
Facility Sold-Displaced
Regional Placement Coordinator
Alden Mgmt Services
10.2007 - 06.2008
Oversaw, generated and increased census for 12 Alden facilities by developing relationships with local hospitals, case managers, physicians, social workers, and other healthcare professionals
Conducted on-site patient assessments in a timely manner after a referral was given by a hospital discharge planner, case manager, physician, or family member
Educated patients and families on facility services and admission standards
Orchestrated pre-admission care planning
Presented as a Vendor at numerous Healthcare Conferences
Any other duties as required
Took position closer to home.
Benefits Authorizer & Community Relations
Chicago Lakeshore Hospital
03.2006 - 10.2007
Initially worked as an Agency Assigned Benefits Authorizer, verifying benefits, obtaining Authorizations & Pre-cert, and securing promissory notes
Moved into the Marketing Dept
As Community Relations
Oversaw, generated and increased census for the facility by developing relationships with local hospitals, case managers, physicians, social workers, and other healthcare professionals in the southern suburbs and NW Indiana areas
Conducted on-site patient assessments in a timely manner after a referral was given by a hospital discharge planner, case manager, physician, or family member
Educated patients and families on facility services and admission standards
Orchestrated pre-admission care planning
Presented as a Vendor at numerous Healthcare Conferences
Any other duties as required.
Customer Service Rep.
United HealthCare Insurance
08.2000 - 04.2002
Handled calls for the member line, verifying coverage, providing authorizations, verifying pre-certifications, correcting provider billing errors, and explaining EOBs to members
Transitioned to the Member/Provider split, handling calls from physicians in addition to member duties and working as a Call Monitor while training others.
Education
Business Administration -
Olive Harvey City College of Chicago
04.1989
Business Administration -
Training Inc.
06.1982
Skills
Medical terminology
Windows 11
MS Word, PowerPoint, SharePoint, Excel, Access Publisher, Outlook France & Lotus Notes
Lucent, Nortel Networks Call Pilot 20, Centrex & Dimensions
Buildium and Easy HOA
Corel Video Studio, Pro Corel Paint Shop Pro, Corel Media One,
Print Master, Roxio Creator Premiere, Sony Picture Utility
Objective
My objective is to utilize my talents and skill set, to the best of my ability, in furthering the mission of the company I work for. Putting God first, enjoying what I do for a living, and cherishing my family life.
Michelle “Shelly” Thoms, Business Office Manager/Franciscan Communities, (219) 669-6821
Olivia Higgins, Dean of Students/Chicago Public Schools, (773) 468-0019
Timeline
HOA Board President
Lansing Manor Condominium Association
08.2019 - 08.2023
Marketing Liaison
Mosaic of Lakeshore
02.2018 - 08.2018
Sales Counselor
Franciscan St. Anthony Village
08.2017 - 02.2018
Claims Supervisor
Valence/Evolent Health
10.2016 - 08.2017
Patient Admission Liaison
Vitas Hospice –Chicago Central
07.2015 - 08.2016
Service Account Manager Associate
United Healthgroup
08.2014 - 07.2015
Outreach Representative
Sovereign Health of California
10.2013 - 03.2014
Senior Business Consultant
B2B Consulting & Training
09.2013 - Current
Community Relations Specialist
Harmony Wellcare
03.2011 - 06.2013
Fee Basis Clerk
Edward Hines Jr. VA Hospital
06.2009 - 06.2010
Marketing & Admissions Director
Franciscan St. James Manor & Villas
06.2008 - 12.2008
Regional Placement Coordinator
Alden Mgmt Services
10.2007 - 06.2008
Benefits Authorizer & Community Relations
Chicago Lakeshore Hospital
03.2006 - 10.2007
Customer Service Rep.
United HealthCare Insurance
08.2000 - 04.2002
Business Administration -
Olive Harvey City College of Chicago
Business Administration -
Training Inc.
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