Motivated Assistant Business Office manager, offering valuable contributions in all facets of administrative activities. Dedicated to contributing exceptional skills to cultivate a productive and friendly work culture. Very goal oriented and committed towards meeting professional and personal goals.
Overview
8
8
years of professional experience
Work History
Assistant Business Office Manager
Lakeside Nursing and Rehab Center
04.2022 - Current
Faxing weekly insurance clinical reviews
Completion of the morning census process
Attending PPS meetings as needed
Submitting insurance appeals via Kepro
Scheduling and assisting with the completion of Medicaid applications and re-certifications, including meeting with Residents and/or family members as needed
Assisting with the verification of insurance coverage
Maintaining accounts payable
Processing of monthly resident statements, quarterly trust fund statements and all co-insurance payments to secondary insurance companies
Assisting with receiving/posting payments from residents and/or family members
Utilizing Excel to post month-end charges in preparation for monthly billing
Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of the team
Established and developed strong administrative team by delivering ongoing coaching and motivation and fostering career advancement
EMR- Point Click Care
Front office specialist
Precision Imaging Centers
07.2021 - Current
Ran form copies, faxed information and made phone calls to patients, other providers and insurance companies
Check in/Check out – Scanning patient’s demographics and info into computer (photo ID, insurance cards, paperwork)
Maintain incomimg faxes including placing correct doctors orders and authorizations into the correct patients chart
Scheduled appointments, sent reminders and updated master calendar
Restocked supplies and placed purchase orders to maintain adequate stock levels
Processed payments and informed individuals of further financial responsibility to facilitate timely payments
EMR- Meditab
Provider Relations Specialist
CVS Aetna
08.2021 - 04.2022
Communicating with providers to provide necessary benefits per the member’s plan including educating and ensuring thorough comprehension
Processing claims referrals and new claim hand-offs
Maintained high production and superior survey scores
Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
Managed large volume of medical claims on daily basis.
Very knowledgeable of ICD codes
Med Surg PCT
Mayo Clinic
11.2019 - 03.2021
Cardiopulmonary resuscitation if needed
Continuous face to face patient interaction and care
Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing
Obtained biological specimens for ordered tests and prepared for laboratory transport
Transported patients between rooms and appointments or testing locations
Delivered individualized patient care by recording vital signs, documenting observations, administering treatments and evaluating patient needs
EMR- Epic
Fraud Analyst
Fanatics
10.2015 - 10.2019
Analyzed large amounts of data to find patterns of fraud and anomalies
Reviewed reports and individual transactions which appeared suspicious to uncover possible fraudulent activity
Contacted customers directly to notify of fraudulent activity and minimize impacts
Volunteer- GI Unit
Mayo Clinic
06.2018 - 02.2019
Cleaning and making patients beds
Restocking necessary materials for on duty nurses
Conducted inpatient comfort care rounds to promote patient satisfaction.
Education
Bachelor of Arts - Health Administration
University of North Florida
Jacksonville, FL
12.2023
Associate of Arts Degree -
Florida State College
Jacksonville, FL
04.2019
Skills
Accounts Payable and Receivable
Excellent communication skills
Strong analytical skills
Attentive to details and accuracy
Proficient in Microsoft Office
Intuit QuickBooks
Team Management
Office Management
HIPAA Regulations
Timeline
Assistant Business Office Manager
Lakeside Nursing and Rehab Center
04.2022 - Current
Provider Relations Specialist
CVS Aetna
08.2021 - 04.2022
Front office specialist
Precision Imaging Centers
07.2021 - Current
Med Surg PCT
Mayo Clinic
11.2019 - 03.2021
Volunteer- GI Unit
Mayo Clinic
06.2018 - 02.2019
Fraud Analyst
Fanatics
10.2015 - 10.2019
Bachelor of Arts - Health Administration
University of North Florida
Associate of Arts Degree -
Florida State College
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