Summary
Overview
Work History
Education
Skills
Timeline
Generic

Bonita Grantham

Blountstown,FL

Summary

With a proven track record at the Florida Department of Health, I excel in business process improvement and fostering teamwork. My expertise in organizational development and client relationship management has significantly enhanced operational efficiency and staff productivity, demonstrating my ability to lead and innovate in challenging environments. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

39
39
years of professional experience

Work History

Senior Management Analyst

Florida Department Of Health
11.2016 - Current
  • Managed daily operations for optimal performance, ensuring smooth workflows and timely completion of tasks.
  • Maintained open lines of communication with upper management to provide regular updates on operational progress and challenges faced by the team.
  • Conducted regular performance evaluations for direct reports, identifying areas for improvement and setting development goals accordingly.
  • Enhanced team productivity by providing ongoing training, coaching, and mentoring to staff members.
  • Supervise team that assist all sixty-seven County Health Departments with billing issues with Medicare, Medicaid, Medicaid MMAs, Florida Blue and other commercial plans.
  • Prepare and present any Insurance news items to team and County Health Departments






Government Operations Supervisor II

Florida Department Of Health
03.2016 - 11.2016
  • Claim submission, claims analysis, correct data coding, review of unpaid and denied claims for resubmission, Payor source verification (FMMIS).
  • Processing claim payments.
  • Provided prompt and accurate technical support to County Health Departments regarding health care services billing.
  • Created service descriptions, tested changes, composed instructions, and assisted counties with implementation.
  • Accomplished multiple tasks within established timeframes.

Health Services Facilities Consultant

Florida Department Of Health
01.2013 - 03.2016
  • Technical support to sixty seven County Health Departments. Resolving claims denials and claims processed incorrectly.
  • Provided on-going training to CHDs including FMMIS, Availity, Change Healthcare,
  • Claims electronically submission setups.
  • Electronically start up on various Payers.
  • Working with Managed Care Plans.


Health Services Facilities Consultant /Fiscal Assistant

Florida Department Of Health
07.2003 - 03.2016
  • Provided Staff training
  • Clerical Supervisor
  • Chief Deputy Register handled birth and death certificates.
  • Worked with all Payers web portals.
  • Payment posting to individual client's accounts.
  • System Administrator for HMS billing program. Made updates or entered new requirements for billing.
  • Handled scheduling of Building and grounds maintenance.
  • RMLO, handle all inquires regarding medical records, responsible for preparing medical records for approval of destruction when Time requirements met.




Medical Office Manager/Physician Assistant

The Medical Center
04.1997 - 07.2003
  • Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
  • Managed daily administrative tasks to ensure smooth operations within the medical office environment.
  • Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and safeguarding against potential data breaches.
  • Administrative functions related to insurance, billing, and accounts receivable.

Medical Office Manager/Physician Assistant

Manuel Lopez MD
02.1990 - 04.1997
  • Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
  • Managed daily administrative tasks to ensure smooth operations within the medical office environment.
  • Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and safeguarding against potential data breaches.
  • Administrative functions related to insurance, billing, and accounts receivable.

Ward Clerk/ER Registration Clerk/Insurance Specialist

Calhoun General Hospital
04.1985 - 01.1990
  • Organized paperwork for doctors, nurses, and patients.
  • Assisted nursing staff with daily tasks, contributing to a well-organized and functional ward environment.
  • Documented information in and printed paperwork.
  • Improved patient care by effectively communicating with medical professionals regarding patient information.
  • Assisted in reducing wait times by swiftly processing insurance information.
  • Streamlined workflow for emergency room staff through accurate data entry and recordkeeping.
  • Managed multiple responsibilities simultaneously while maintaining keen attention to detail in a fast-paced emergency room setting.
  • Enhanced patient satisfaction by efficiently managing patient registration and check-in processes.
  • Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
  • Processed eligibility and benefits verification and authorization requests.
  • Followed up on denials, late payments, extensions and other special circumstances.
  • Resolved discrepancies in insurance payments by collaborating with carriers.
  • Reduced claims processing time by effectively collaborating with adjusters, claimants, and internal departments.
  • Maintained a high level of industry expertise through continuous professional development courses and certifications in the field of insurance specialty.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Investigated and processed claims swiftly to keep customers satisfied.
  • Monitored changes in insurance industry to stay compliant with relevant laws and regulations.

Education

GED -

Liberty County High School
Bristol, FL

Associate of Arts - Business Administration And Management

Chipola College
Marianna, FL

Skills

  • Business process improvement
  • Organizational Development
  • Client Relationship Management
  • Business Analysis
  • Teamwork and Collaboration
  • Problem-Solving

Timeline

Senior Management Analyst

Florida Department Of Health
11.2016 - Current

Government Operations Supervisor II

Florida Department Of Health
03.2016 - 11.2016

Health Services Facilities Consultant

Florida Department Of Health
01.2013 - 03.2016

Health Services Facilities Consultant /Fiscal Assistant

Florida Department Of Health
07.2003 - 03.2016

Medical Office Manager/Physician Assistant

The Medical Center
04.1997 - 07.2003

Medical Office Manager/Physician Assistant

Manuel Lopez MD
02.1990 - 04.1997

Ward Clerk/ER Registration Clerk/Insurance Specialist

Calhoun General Hospital
04.1985 - 01.1990

GED -

Liberty County High School

Associate of Arts - Business Administration And Management

Chipola College
Bonita Grantham