Avis Morris
Victorville,CA
Summary
Cultivated a reputation for professionalism and integrity in customer service roles. Led initiatives to enhance communication and problem-solving strategies within teams. Navigated complex client needs with resourcefulness and adaptability. Streamlined organizational processes to prioritize tasks and meet deadlines. Fostered a proactive approach to detail management and corrective actions. Pursued opportunities for growth and leadership in diverse environments. Willing to relocate for suitable positions across the US.
Overview
28
28
years of professional experience
1
1
Certificate
Work History
EOB Payment Analyst/Patient Accounting - Reimbursement/Appeals
Desert Valley Hospital / Medical Group
12.2020 - Current
- Reviews clinical and medical records for completeness and determines administrative or clinical appeal. Assigns reviews to physician advisers and medical directors for those requiring medical necessity reviews. Enters all data related to appeals and case reviews into a database.
- Reviewing and analyzing financial transactions, ensuring accuracy, and resolving discrepancies. Play a crucial role in managing payment processes, monitoring accounts, and collaborating with internal teams to ensure financial integrity and compliance
- Assist patients with all hospital billing issues
- Check incoming paperwork (correspondence, invoices etc.) and make copies before distributing
- Sort all papers alphabetically and according to content, dates, significance etc.
- Create or update records with new files and information
- Store all paperwork in designated places securing the important documents
- Enter paperwork into an electronic system either by data entry or by using optical scanners
- Deal with all requests to access files and keep logs of borrowed papers
- Develop an efficient filing system to make updating and retrieving files easier
- Follow policies and confidentiality dictations to safeguard data and information
- Monitor inventory of files, office supplies,etc. and report shortages
- Dependable with a respect to confidentiality and policies
- Excellent organizational skills
- Great attention to detail
- Trained as coverage for self pay desk
- Works special projects as assigned by management for corporate office
- Worked claims daily, as well as handled billing request subpoenas from attorneys offices
- Worked the vendor invoices for hospital business office
- Update patients’ insurance information
Warehouse Associate II
Cardinal Health
01.2019 - 08.2019
- Welcome delivery trucks
- Receive and track shipments
- Embark merchandise in delivery trucks using appropriate tools
- Accommodate and carefully handle fragile merchandise
- Track and document exact shipment arrival and departure times
- Tag and label merchandise
- Label and stockpile merchandise according to size, shape, and type.
- Pick, box, wrap and pack merchandise in accordance with relevant procedures and standards
- Prepare all orders for shipment
- Record and manage all impaired or damaged merchandise items
- Operate adequate merchandise management tools (for example, forklift)
- Enter data in inventory and logistics software programs
City Carrier Assistant
USPS
11.2018 - 01.2019
- Deliver and collect mail all through the year in assigned city area.
- Maintain professional relations with city clients.
- Collect mail weighing up to 35 pounds on shoulder satchels or other carriers.
- Handle loading and unloading mail containers weighing up to 70 pounds.
- Categorize mail delivery on established city route.
- Organize mail in slots of mail rack to facilitate delivery.
- Deliver mail to residences and business offices along city route.
- Write delivery forms, collect charges and obtain signature on receipts on mail delivery.
- Revise address changes in route book and re-address mail.
- Deliver special mails and designate parcel-post carrier.
- Ensure to drive vehicle over assigned city route. Worked as a postal support clerk at front window doing customer service , as well as scanning parcels, distributing mail & parcels to PO boxes.
Medical Front Office
Strimling Dermatology Laser & Vein Institute
09.2016 - 05.2017
- Greet patients as they arrive into facility and provide them with appropriate information
- Answer telephone and guide callers regarding medical procedures
- Schedule and reschedule patients’ appointments
- Cancel patients’ appointments and provide them with new dates
- Provide medical billing and coding duties
- Take and record patients’ vitals
- Provide education to patients regarding medical procedures
- Prepare patients for medical procedures
- Obtain patients’ information and record it in the database
- Pull patients’ records for doctors’ review
- Arrange for hospital admissions
- Direct calls and messages to appropriate hospital or medical office staff
- Call up patients and remind them of their appointments
- Manage filing and record keeping activities
- Order supplies and forms for the medical office
- Manage inventory of office supplies
- Submit insurance claims
- Update patients’ insurance information
- Ensure completeness and accuracy of patients’ insurance forms prior to submitting
- Assist doctors by providing limited procedural support
- Obtain and process new patients’ referrals
- Take and record patients’ demographic location information
- Initiate and maintain correspondence with patients and families
- Liaise with insurance companies
- Verify clients’ insurance information
CSR - Customer Service Representative ( MetLife Total Absence Management)
Sutherland Global Services
04.2016 - 09.2016
- Inbound call center CSR rep for Metlife TAM Team (Intake for leaves of absence)
- Answer incoming customer phone calls and take appropriate action for each call
- Maintain customer satisfaction ratings based on explicit criteria set forth by the company
- Attend mandatory training sessions to stay updated on company policy changes
- Use company policies to determine if there can be an immediate resolution to a customer issue or if that issue requires managerial input
- Input data into the company computer platform to keep each customer record updated
- Resolved customer information and complaints
- Answered general questions
- Assisted customers with a warm and professional attitude
- Provided policy and service information
- Performed data entry for customer information
Recovery & Resolution Admin /Employer Installation Coordinator - Provider Contracts/ HCSA Rep
United Healthcare Group/Optum
02.2011 - 09.2015
- Managed all daily administrative processes and Report management for Subro/COB
- Assisting with all aspects of administrative management, directory maintenance, logistics, equipment and storage
- Managing inventory of assets and supplies, sourcing for suppliers (vendors) and submitting invoices
- Coordinating between departments and operating units in resolving day-to-day administrative and operational problems
- Scheduling and coordinating meetings, interviews, events and other similar activities
- Sending out and receiving mail and packages
- Preparing business correspondence, agendas, and presentations, typically using Microsoft Office (Word, Excel, PowerPoint, Access, Outlook)
- Sending faxes and emails
- Managing documents and files
- Performing multifaceted general office support
- Sending and receiving documents for the company
- Answering the phone
- Assisting in various daily operations
- Operating a range of office machines such as photocopiers and computers
- Managing mailing or distribution lists as needed
- Greeting guests and visitors
- Aided in increased productivity by helping to decrease backlog
- Assist Subrogation reps with liens & processing of checks
- Trained employees in implementing daily administrative duties for Subro/COB/CIR
- Only Person to maintain & run all weekly & monthly reports for over 4 years for Subrogation
- Aided in the installation process of DRG Pricers & updates to claims computers
- Assisted with MSP (Medicare Secondary Payor) & checking member eligibility on claims
- Processing of Claims & Provider Contracts
- Responsible for Auditing contract loads for adherence to quality measures and reporting standards
- Analytical and Researching techniques to trend or quantify projects Preparing, processing, and maintaining new group installation and renewals Research and respond to all claims processing inquires from Client Management, Clinical, and other internal departments Perform claim testing to ensure accurate claim adjudication Conduct installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education material Overall employer contract loading using various databases and /or source documents.
- May research installation issues and develop customer specific resolutions which may include auditing contract loads for adherence to quality measures and reporting standards Utilize Facets claims processing system.
Pharmacy Clerk/Technician/Checker
Stater Bros. Pharmacy
12.2005 - 09.2010
- Answering telephones, forwarding calls, taking messages, assisting customers, stocking shelves, operating cash registers, cleaning work areas and sterilizing containers, order medications, organize supplies and label drugs as well as work directly with patient data and preparing insurance forms and maintaining patient profiles
- Typing and Filling prescriptions
- Managed all Administrative processes and Audit management
- Aided in increased productivity by 30% making this pharmacy the top producing store
- Created programs and events to increase business to the pharmacy
- Trained employees in implementing the new computer system QS1
- Promoted within a year to a pharmacy technician
Retail Sales Associate/Merchandiser/Manager/Cosmetics
Harris-Gottschalk's Department Store
04.2001 - 12.2005
- Maintained top producer status in a million dollar plus store in the retail chain
- Assisted in inventory planning and control
- Cosmetics Assoc/ counter manager - Clarins Paris/ Fashion fair
- Planned and supervised all store events and fashion shows
- Promoted within a year to a merchandiser
- Supervised all merchandising of department floors
Medical Receptionist/Biller
Steinberg Diagnostic Medical Imaging
09.1999 - 01.2000
- Greet patients, vendors, pharmaceutical representatives, and other visitors to our medical office
- Answer patient questions and provide assistance and directions when necessary
- Field all phone calls that arrive using our general office number
- Respond to emails that arrive using our general office email address
- Utilize our medical office software to schedule new and follow-up appointments for our patients
- Register new patients and update necessary records
- Distribute forms and paperwork to patients and then check them over to ensure that required fields are completed appropriately
- Process bills, invoices, and patient payments in office
- Maintain confidentiality of all patient records and X-rays
- Manage inventory of necessary office supplies and coordinate reordering
- Ensure that the waiting room environment remains quiet, calm, and welcoming
- Uphold the positive reputation of our medical office by always treating visitors in a friendly, welcoming, and compassionate manner
- Cross trained in medical billing within a month of being with the company
Collections Rep
Household Credit Services
02.1999 - 08.1999
- Assisted my team in maintaining #1 status in the company at mid stage collections
- Managed debt resolution and consolidation
- Maintained customer needs assessment and account relationship management
- Fast paced work, call center environment, professional atmosphere
- Outbound service operations
- Customer loyalty
Office Manager
Cash back Catalog
02.1998 - 12.1998
- Office management and cash management
- Managed accounts payable and receivable
- Trained and managed other employees
- Balanced employees till drawers and safes
- Payroll and invoice coding
- Bank Deposits
- Assign and mentor clerical, administrative and secretarial responsibilities and tasks among office staff allocate available resources to enable successful task performance co-ordinate office staff activities to ensure maximum efficiency evaluate and manage staff performance recruit and select office staff organize orientation and training of new staff members coach, mentor and discipline office staff design and implement filing systems ensure filing systems are maintained and current establish and monitor procedures for record keeping ensure security, integrity and confidentiality of data design and implement office policies and procedures oversee adherence to office policies and procedures analyse and monitor internal processes implement procedural and policy changes to improve operational efficiency prepare operational reports and schedules to ensure efficiency co-ordinate schedules, appointments and bookings monitor and maintain office supplies inventory review and approve office supply acquisitions handle customer inquiries and complaints manage internal staff relations maintain a safe and secure working environment
Head Hostess
Harley-Davidson Café
07.1997 - 02.1998
- Assisted with VIP Relations
- Managed front office operations
- Customer management
- Workflow planning
- Supervised implementing of company policies and procedures
Education
Business Administration - College
UNLV
Las Vegas, NV12.1997
General Studies - College
Victor Valley College
Victorville, CA12.1996
General Studies - High school diploma
Eisenhower High School
Rialto, CA12.1990
Skills
Streamlined administrative operations to optimize overall efficiency
Certification
- Food Handler Certification
- Driver's License
Timeline
EOB Payment Analyst/Patient Accounting - Reimbursement/Appeals
Desert Valley Hospital / Medical Group
12.2020 - Current
Warehouse Associate II
Cardinal Health
01.2019 - 08.2019
City Carrier Assistant
USPS
11.2018 - 01.2019
Medical Front Office
Strimling Dermatology Laser & Vein Institute
09.2016 - 05.2017
CSR - Customer Service Representative ( MetLife Total Absence Management)
Sutherland Global Services
04.2016 - 09.2016
Recovery & Resolution Admin /Employer Installation Coordinator - Provider Contracts/ HCSA Rep
United Healthcare Group/Optum
02.2011 - 09.2015
Pharmacy Clerk/Technician/Checker
Stater Bros. Pharmacy
12.2005 - 09.2010
Retail Sales Associate/Merchandiser/Manager/Cosmetics
Harris-Gottschalk's Department Store
04.2001 - 12.2005
Medical Receptionist/Biller
Steinberg Diagnostic Medical Imaging
09.1999 - 01.2000
Collections Rep
Household Credit Services
02.1999 - 08.1999
Office Manager
Cash back Catalog
02.1998 - 12.1998
Head Hostess
Harley-Davidson Café
07.1997 - 02.1998
Business Administration - College
UNLV
General Studies - College
Victor Valley College
General Studies - High school diploma
Eisenhower High School