Seeking a new role with the opportunity for personal and professional growth. Gifted with the ability to quickly master new skills as well as identify and resolve problems. Dedicated professional with demonstrated strong work ethic bringing a positive attitude and effective communication skills. Flexible, hardworking, and driven, I am motivated to perform beyond expectations.
Overview
27
27
years of professional experience
Work History
Associate Service Manager / Client Service Admin
Optum Financial (formerly ConnectyourCare)
Hunt Valley / REMOTE, MD
11.2017 - Current
Responsible for managing client relationships as point of contact for service and operational services. Dedicated to high-profile client.
Responds to inquiries quickly and efficiently to provide positive client / customer experience meeting or exceeding service level agreements.
Works with team to improve processes and problem-solving efforts and creating standard operating procedures.
Coordinates with internal teams across departments to identify and resolve member and client issues efficiently.
Identifies and alerts management of possible trends and escalations to ensure timely response and resolution.
Conducts training and mentors team members to promote productivity and accuracy.
Billing Supervisor, Office Manager
GML Physical Therapy, LLC
Forest Hill, MD
06.2005 - 11.2017
Office Manager
Managed schedule for office staff and therapy staff to cover business needs.
Maintained computer and physical filing systems.
Oversaw migration of paper claims and medical records to electronic claims and medical records.
Managed office operations while scheduling appointments for patients.
Created and implemented organizational policies and procedures, ensuring compliance with HIPAA regulations.
Billing Supervisor
Maintained updated knowledge of coding requirements and verified correct coding on claims.
Precisely completed claims paperwork, documentation's and data entry submitting claims timely.
Collected payments from insurance companies and patients, posting payments and adjustments.
Verified patients' eligibility and benefit requirements with Insurance Companies.
Assisted patients by determining financial assistance available and setting up payment plans.
Researched and followed up on denied insurance claims.