Highly organized and detail-oriented worker, with a drive to exceed expectations. Ability to analyze data, develop strategies, and provide solutions to complex problems. Seeking to leverage skills and knowledge to contribute to team success.
Overview
17
17
years of professional experience
Work History
Mortgage Servicing Professional Collections Sr.
Cenlar FSB
11.2024 - Current
Provided efficient and courteous service to customers at all times.
Collaborated with departmental leaders to establish organizational goals, strategic plans and objectives.
Developed effective strategies to reduce delinquency rates, increase customer satisfaction, and maximize revenue recovery.
Successfully handled high-volume calls from delinquent customers.
Developed strong communication skills to negotiate payment plans with customers.
Executed collection calls and correspondence to solicit payment on overdue account balances.
Analyzed customer financials for potential solutions to delinquency issues.
Monitored outstanding account balances and determined need for further collections action.
Received payments and post amounts paid to customer accounts.
Arranged for debt repayment and established repayment schedules, based on customers' financial situations.
Proficiently handled high call volumes while maintaining quality service standards.
Met performance goals and call center metrics in fast-paced performance setting.
Answered calls, left voicemails, and scheduled follow-up calls to drive customer engagement.
PROVIDER RELATIONS ADVOCATE SR
UNITED HEALTH GROUP
04.2016 - 11.2024
Adhered to company policies and scripts to consistently achieve call-time and quality standards, also meeting company metrics consistently.
Thoroughly review, analyze, and research complex health care claims to identify discrepancies, verify pricing, confirm prior authorizations, and process them for payment.
Streamlined communication channels through implementation of centralized contact system for providers and internal teams.
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Demonstrated adaptability through cross-training in various roles within pharmacy setting to better serve customers as needed.
Developed comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
Reduced claim denial rates with thorough pre-appeal reviews, identifying potential issues before submission.
Trained team members on new hotel services and products to support promotional efforts.
Strengthened customer loyalty by providing excellent service during interactions with both internal teams and external partners such as insurance carriers or other healthcare organizations.
Enhanced customer satisfaction with proactive communication, timely issue resolution, and continuous process improvement initiatives.
Investigated billing disputes between providers and payers while maintaining positive working relationships with both parties.
Managed day-to-day inquiries from providers via phone or email ensuring prompt response time frames were met.
Provided consultation on contract language, fee schedules, credentialing processes, and other related topics.
Maintained knowledge of federal, state, local laws and regulations related to healthcare industry standards.
GENERAL MANAGER
TMX FINANCE
06.2010 - 04.2016
Trained and guided team members to maintain high productivity and performance metrics.
Implemented business strategies, increasing revenue, and effectively targeting new markets.
Reduced financial inconsistencies while assessing and verifying billing invoices and expense reports.
Organized promotional events and interacted with community to increase sales volume.
Increased profit margins by effectively controlling budget and overhead and optimizing product turns.
BRANCH MANAGER
ACE CASH EXPRESS
01.2008 - 05.2010
Continuously monitored branch performance against key performance indicators, taking actions as needed to ensure objectives were met or exceeded.
Oversaw daily operations for streamlined efficiency, ensuring timely execution of tasks and optimal resource allocation.
Evaluated employee performance regularly through appraisals and feedback sessions to facilitate continuous development of skills and knowledge base within the team.
Strengthened relationships with key clients, securing long-term partnerships and driving revenue growth.
Increased branch profitability by implementing cost-saving measures and streamlining operational processes.
Education
Highschool diploma - undefined
Smart Horizons
FL
Healthcare Transition Certificate - undefined
School of Continuing & Professional Studies at Washington University
MO
Associate Of Business Administration -
University of Phoenix
Tempe, AZ
06.2021
Skills
Insurance Regulations
Healthcare Industry Knowledge
Health plan operations
Project Management
Dispute Resolution
Exceptional written and vocal communicator
Document review
Payment processing
Call center operations
Debt restructuring
Collections management
Document preparation
Teamwork and collaboration
Timeline
Mortgage Servicing Professional Collections Sr.
Cenlar FSB
11.2024 - Current
PROVIDER RELATIONS ADVOCATE SR
UNITED HEALTH GROUP
04.2016 - 11.2024
GENERAL MANAGER
TMX FINANCE
06.2010 - 04.2016
BRANCH MANAGER
ACE CASH EXPRESS
01.2008 - 05.2010
Highschool diploma - undefined
Smart Horizons
Healthcare Transition Certificate - undefined
School of Continuing & Professional Studies at Washington University
Middle School English Language Arts Teacher at Our Lady of Guadalupe Catholic SchoolMiddle School English Language Arts Teacher at Our Lady of Guadalupe Catholic School