Barbara Wekesa
Revere,MA
Summary
Dedicated Reimbursement Specialist with exemplary analyzation and negotiation abilities. Highly skilled in customer service and coverage evaluation. Specializing in all financial classes insurance claims with a well-established knowledge of the general industry. Efficient Reimbursement Specialist with solid background proactively managing claims and preventing insurance issues. Competent in keeping records accurate and current and proactively managing account problems. Excellent customer relations skills combined with analytical approach to handling routine and complex delays.
Overview
4
4
years of professional experience
Work History
Billing and Reimbursement Specialist
American Renal Associates
Boston, Massachusetts
03.2021 - Current
- Lead personnel for claim documentation and audit process, verifying requirements and reporting -goal to assist the account receivables department with submitting clean claims with less rejections
- Worked off advanced excel reports (pivot tables & Ms Word) and work in multiple systems at one time to general weekly Excel reports in excel to run accounts in QMS and track through Monday.com
- Assist in collection imitative and monitoring the billing system
- Assist in internal audits and collector requests
- Maintained HIPPA compliance strict confidentiality of patient personal information
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Employed clinical and billing codes expertise to correct billing inconsistencies.
- Performed Massachusetts and federal regulations compliance audits related to documentation and reporting.
Enrollment Coordinator
Hult International Business School
Boston, Massachusetts
02.2019 - 12.2019
- Managed salesforce leads across North America serving more than 500 students weekly wishing to enroll to master’s programs guiding them through the application process
- Explained eligibility details and afford-ability options potential students with kindness and respect
- Maintained communication and follow up through calling and emailing applicants to set up appointments and explain benefits processes
- Provided prospective or new students with information about educational and career planning, university resources and academic programs.
- Trained and mentored junior enrollment professionals.
- Communicated with people from various cultures and backgrounds on application process.
- Inputted all gathered information and researched data on applicants into computer system using Salesforce.
Account Manager
RBI BOSTON
Boston, Massachusetts
11.2018 - 01.2019
- Increased revenue by cultivating and securing new account and value-added services to existing clients
- Sales and marketing talking to a minimum of 200 people a day
- secured high-value accounts through consultative selling, effective customer solutions and promoting compelling business opportunities.
- Contributed to annual revenue goals by selling new services and developing new accounts.
- Analyzed account details such as usage, sales data and client comments to enhance understanding of effectiveness and client needs.
- Introduced new processes to improve account and market tracking for better data analysis.
Junior Business /Junior Financial Analyst
AUTOXPRESS LTD
02.2015 - 04.2017
- Generated reports each week for senior leadership to use in adjusting business policies and plans
- Helped analyze information and investigate corporate accounts to ensure company goals on credit collection were met
- Monitor all Accounting functions: Account receivables, Accounts payable, General Ledger review and GAAP forecasting
- Gathered and analyzed data for potential business expansion
- Created workflow diagrams and Gantt charts to clearly demonstrate processes and timelines.
- Optimized system and platform performance capabilities in most efficient, practical way possible.
Education
No Degree - Business Analytics/Financial Accountin /Economics
Harvard Business School-online
Boston, MAMaster of Science - Accounting And Business Management
Hult International Business School
Cambridge, MA08.2018
Bachelor of Science - Accounting And Finance
Unites States International University
Nairobi, Kenya08.2014
Skills
- Financial Documentation
- Data Entry Software
- Monthly Reconciliations
- Financial Modeling
- Data Interpretation
- Business Forecasting
- Microsoft SharePoint
- Microsoft Visio
- Test Plan Creation
- User Acceptance Testing (UAT)
- Microsoft Excel
- Google Docs
- Customer Data Confidentiality
- Needs Assessment
Accomplishments
- CERTIFICATIONS:
- Data Analytics Fundamental -gained skills in data visualization (Power BI, Advanced Ms Excel, pivot tables, v- lookups)
- Certified Business Analytist
Timeline
Billing and Reimbursement Specialist
American Renal Associates
03.2021 - Current
Enrollment Coordinator
Hult International Business School
02.2019 - 12.2019
Account Manager
RBI BOSTON
11.2018 - 01.2019
Junior Business /Junior Financial Analyst
AUTOXPRESS LTD
02.2015 - 04.2017
No Degree - Business Analytics/Financial Accountin /Economics
Harvard Business School-online
Master of Science - Accounting And Business Management
Hult International Business School
Bachelor of Science - Accounting And Finance
Unites States International University
Similar Profiles
Teresa AikensTeresa Aikens
Patient Care Technician - CCHT at American Renal Associates Holdings Inc.Patient Care Technician - CCHT at American Renal Associates Holdings Inc.
Shaquoya MorganShaquoya Morgan
Certified Clinical Hemodialysis Technician at Davita, Inc & American Renal AssociatesCertified Clinical Hemodialysis Technician at Davita, Inc & American Renal Associates
Anna AguanzaAnna Aguanza
CCHT at American Renal AssociatesCCHT at American Renal Associates
Tasha WalkerTasha Walker
HOME DIALYSIS TRAINING COORDINATOR /Peritoneal Dialysis Nurse at American Renal AssociatesHOME DIALYSIS TRAINING COORDINATOR /Peritoneal Dialysis Nurse at American Renal Associates
Margaret PernaMargaret Perna
Catering Manager at Craft Food HallsCatering Manager at Craft Food Halls