Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet company goals.
Overview
17
17
years of professional experience
Work History
Human Resources Training Compliance Specialist
Aspire Health Partners
06.2022 - Current
Collect and analyze information to monitor compliance outcomes and identify and address non-compliant trainings.
Maintain up-to-date knowledge of applicable laws and regulations.
Identify gaps in existing compliance processes and recommend updates when necessary.
Maintain training records for all company employees.
Conduct regular audits of training and personnel records to ensure compliance, and communicate non-compliance issues to managers, including follow-up to ensure resolution.
Provide audits and reports to managers regarding training compliance as needed.
Serve as liaison to employees regarding individual questions and concerns.
Assist management and maintenance of online training offerings.
Assistance team members with assignments as needed.
Provide customer service support to internal and former employees.
Patient Account Representative
Aspire Health Partners
08.2018 - 06.2022
Processed Inpatient claims to all billable payer sources in a timely manner.
Worked with outside entities to resolve issues with billing, claims and payments.
Generated and distributed monthly customer statements.
Established relationships with customers to encourage payment of delinquent accounts.
Analyzed client financial records to determine appropriate payment source.
Post payments and processed refunds.
Monitored and processed all remit denials.
Process paper claims to all secondary payer source.
Assist team members with prior auth and insurance verifications.
Scheduling Specialist
Aspire Health Partners
07.2014 - 08.2018
Provided accurate high quality customer service.
Act as first point of contact for both active and prospective clients, when scheduling appointments for multiple providers and programs.
Responsible for completing weekly provider volume reports.
Maintain emails, faxes, voice mails, and internal referrals.
Disability Advocate
Aspire Health Partners
06.2012 - 07.2014
Interview clients for possible SSI, and SSDI disability benefits.
Responsible for processing disability applications in a timely manner.
Kept accurate records for client files and handled related paperwork.
Assisted clients in completing disability forms and ensuring all requested forms were submitted.
Accountable for obtaining individual case determinations prior to closing files.
Skilled at working independently and collaboratively in a team environment.
Oversee form documents and department supplies.
Representative Coordinator
Aspire Health Partners
01.2008 - 07.2014
Accountable for interviewing parents and reviewing applications for state funding.
Collected, arranged, and input information into database system.
Responsible for completing and maintaining required state documents.
Attended community staffing meetings to present case load for uninsured adolescents.
Business Office Specialist
Aspire Health Partners
03.2006 - 03.2009
Provide professional customer service.
Performed clerical duties by typing, filing, copying, faxing and completing and submitting forms.
Responsible for completing registrations in a timely manner.
Accountable for verifying insurance eligibility and documenting in clients electronic file, using Avatar software.
Obtain prior auth from third-party payers for inpatient service's.