Open To Work
Carmella Worton
Toms River,United States
Summary
Dynamic Insurance Specialist with proven expertise at Wakefield & Associates Inc. in managing claims and enhancing accounts receivable processes. Skilled in policy analysis and regulatory compliance, I excel in documentation and negotiation, driving efficiency and accuracy in financial planning. Committed to delivering exceptional results and fostering strong client relationships.
Overview
21
21
years of professional experience
Work History
Insurance Specialist
Rubin and Raine/ RMB/ Wakefield & Associates Inc.
05.2005 - Current
Supervised management of accounts receivable and collections operations. Reports- Collection forecast- accounts receivable- credit and adjustments- billing- insurance follow up and appeals. Managed a high dollar queue, with positive results and turn around time.
Developed proficiency in Navinet, Availity, Cerner, Citrix, Epic, and Athena.
Education
GED - General Studies
03.2006
Trade School - Accounting
09.2002
No Degree - Medical Billing
06.1993
Graduated 98%
Skills
- Documentation skills
- Policy analysis
- Regulatory compliance
- Reporting skills
- Account management
- Documentation
- Financial planning
- Negotiation
Accomplishments
Successfully managed a portfolio of 350k to over 2 million high dollar accounts. Managed to reverse denials to a positive return. Worked closely with the management team for the future forecast in revenue. Experience in managing staff- of 25 employees and managed annual reviews.
Work Preference
Work Type
Full TimeLocation Preference
RemoteTimeline
Insurance Specialist - Rubin and Raine/ RMB/ Wakefield & Associates Inc.
05.2005 - Current
Toms River East - GED, General Studies
PC - Trade School, Accounting
Star Tech - No Degree, Medical Billing