Resourceful and high energy professional with strong leadership, and management experience in healthcare administration, scheduling, project coordination, and contracting. Highly organized and results-oriented, with ability to multitask and prioritize workload, with strong attention to detail.
Overview
23
23
years of professional experience
Work History
Account Specialist
Joint Commission Resources
07.2023 - Current
Prepares and processes proposals, pricing, and contracts for individual, non-system, or small system clients
Adhered to standards of quality and service as well as all compliance requirements.
Resolved complex billing and payment issues for balanced, accurate accounts.
Provides scheduling and operational support for Joint Commission Resources product lines, or International Accreditation
Developed and managed data reports for internal management (performance trend analysis)
Meets the needs of client engagements/events and other activities, based on skill sets, time length and utilization goals
Responsible for all facets of scheduling functions
Completes all monthly activities associated with supporting and completing consultant or surveyor payroll
Reviewed and processed all SOW's and invoices associated with client contracts
Supported invoicing for all appropriate department activities
Reviewing and releasing all billing set per engagement contract
Collaboration with internal accounting, legal, and IT departments for contract and billing support
Back-up for Account Managers for contract review.
Testing Coordinator
Niles West High School
08.2022 - 07.2023
Administered standardized testing to over 2500 referred students for purpose of assisting teacher, and other professionals in determining class placement and/or program eligibility
Created numerous reports for purpose of conveying information and/or statistics to school principal and testing organizations
Maintained web page for purpose of communicating school news and information
Scheduled student tests for purpose of evaluating students in accordance with state requirements
Developed student rosters, prepared room assignments, procured proctors and worked with building maintenance in coordinating logistics for testing
Conducted proctor training sessions for all staff
Monitored testing conditions throughout school during testing in accordance with testing regulations
Worked with testing companies for ordering and returning of exams, payments for exams as well as resolving discrepancies or incidents under direction of Assistant Principal.
Trained and developed new testing team members and provided continuous mentoring.
Reimbursement Specialist
Myriad Genetics
08.2021 - 04.2022
Worked on aging patient accounts, processed appeals, or corrected claims, researched and reconciled credit balance accounts, and processed adjustments as needed
Documented any point of contact changes for providers, updated internal systems with new information
Established and maintained strong professional rapport with providers, and internal team members
Provided information and set follow-up time to call and discuss questions and concerns providers may have about enrollment with third-party authorization vendors
Appropriately resolved or escalated provider concerns or issues to management
Interacted with patients, clinicians, insurers, Reimbursement Supervisor and Billing management to ensure timely collection of accounts
Participated in Quality Assurance plan
Complied with all applicable CLIA and HIPAA regulations.
Prevented delays and claim denials by correcting information prior to submission.
Created documents in accordance with payer guidelines and submitted to appropriate parties.
Compiled department-specific reports to help senior managers identify trends and improve progress.
Library Information Specialist (LIS) Assistant
Park Ridge- Niles School District 64
11.2016 - 07.2021
Manage up-to-date circulation and online catalog system consisting of over 20,000 titles
Develop and provide various reports for all library materials, including overdue items and available titles
Manage inventory and distribution of professional and technological materials
User level experience with Business Objects Web Intelligence reporting
Independently developed solutions to issues that came about in the functioning of the LRC
Partner with the Library Information Service (LIS) Director on special library projects such as reading clubs, contests, holiday activities and support and maintain the projects throughout the school year
Maintain resource lists and Destiny Discover Collections database system for various curriculum topics
Analysis and Data reporting to develop enhancements for the Learning Resource Center
Manage relationship with Public Library Staff to facilitate school loans of books, periodicals, professional books, reference materials, databases; and promote library programs to students
Maintain and support a collaborative, flexible and positive working environment in the Innovation and Instructional Technology Department and school district libraries
Implement improvements on administrative functions to ensure appropriate and timely communication is distributed to faculty and students.
Managed collections of print and electronic data for public and private access via reference and borrowing.
Introduced and implemented advanced media systems, collections and tools into traditional library system.
Kept up-to-date records of materials, maintained inventory and corrected cataloging errors.
Classified and coded different types of materials according to library policies and organizational standards.
House Manager
Rasic Household
02.2005 - 11.2016
Managing finance
Volunteering
Fundraising.
Medical Billing & Reimbursement Manager
NovaMed EyeCare Specialists (Surgery Partners)
02.2003 - 02.2005
Supervised operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management
Working knowledge of policies, standards, and methodologies pertaining to charge capture and reconciliation, reporting, documentation, and general compliance
Provided and/or coordinated the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques
Evaluated performance and provided recommendations for personnel actions; motivated employees to achieve peak productivity and performance
Mentored employees to achieve peak productivity and performance
Developed and directed patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection
Prepared and analyzed accounts receivable reports, weekly and monthly financial reports, and insurance contracts in performance with Practice Administrator
Safeguarded that the activities of the billing operations are conducted in a manner that is consistent with the department protocol, and follow Federal, State, and payer regulations, guidelines, and requirements
Understood and remained updated with current coding and billing regulations and compliance requirements
Assessed and interpreted operational data to assess need for procedural revisions, and enhancements
Contributed to the design and implementation of specific systems to enhance revenue and operation efficiency
Served as the practice expert and go to person for all coding and billing processes.
Reviewed billing and collections process and determined improvements to streamline workflows.
Observed strict data confidentiality procedures to protect patients' information.
Held weekly staff meetings and implemented team building exercises, which promoted positive working environment.
Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
Medical Billing Experience
Northwest Community Hospital
09.2001 - 02.2003
Education
MBA - Healthcare Administration
Indiana Wesleyan University
Bachelor of Science - Healthcare Management
Indiana University
Skills
Microsoft Office Suite
Customer Service
Leadership
Google Suite
Data Analysis
Customer Engagement
Salesforce
CRM Software
Revenue Growth
Timeline
Account Specialist
Joint Commission Resources
07.2023 - Current
Testing Coordinator
Niles West High School
08.2022 - 07.2023
Reimbursement Specialist
Myriad Genetics
08.2021 - 04.2022
Library Information Specialist (LIS) Assistant
Park Ridge- Niles School District 64
11.2016 - 07.2021
House Manager
Rasic Household
02.2005 - 11.2016
Medical Billing & Reimbursement Manager
NovaMed EyeCare Specialists (Surgery Partners)
02.2003 - 02.2005
Medical Billing Experience
Northwest Community Hospital
09.2001 - 02.2003
MBA - Healthcare Administration
Indiana Wesleyan University
Bachelor of Science - Healthcare Management
Indiana University
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