Celinett Rivera
Summary
Accomplished professional with over 20 years of dedicated experience in managing Accounts Receivable for commercial insurance claims within Durable Medical Equipment (DME) sector. Skilled in cultivating positive relationships with clients and vendors, driving efficiency, and resolving complex insurance issues. Seeking a challenging role to leverage expertise and drive continuous improvement.
Overview
21
21
years of professional experience
Work History
Private Insurance Director
United States Medical Supply Inc.
08.2023 - 04.2024
- Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
- Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
- Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
- Orchestrated teams to optimize Accounts Receivable processes and meet organizational objectives.
- Adapts quickly to frequent process changes and improvement.
- demonstrated proficiency in efficiently resolving highly escalated insurance issues and managing offshore vendor.
Private Insurance Manager
United States Medical Supply Inc.
01.2009 - 07.2023
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Spearheaded initiatives to address claim rejections and expedite payments through effective follow-up strategies.
- Recruited, trained, and coached teams to excel in Accounts Receivable driving performance.
- Fostered strong rapport with insurance provider representatives, streaming operations.
- Skilled in performing detailed Q&A work to verify the integrity of content, ensuring adherence to company standards and guidelines.
Private Insurance Supervisor
United States Medical Supply Inc.
01.2005 - 12.2009
- Oversaw daily operations of denials and claim payments in the department, ensuring smooth workflow and timely completion of tasks.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
- Monitored workflow to improve employee time management and increase productivity.
- Experienced in efficiently posting payments from EOBs, identifying discrepancies and resolving issues to ensure accurate financial records.
Private Insurance Associate
United States Medical Supply Inc.
05.2003 - 12.2004
- Maintained accurate records and ensured compliance with insurance coverage and benefits.
- Proactively pursued denials and outstanding Accounts Receivable from commercial payers, optimizing revenue collections.
- Shipping products / orders.
- Experienced in performing detailed insurance verification tasks, including confirming coverage, eligibility and benefits for patients.
- Collaborated with Compliance teams to ensure the timely acquisition of updated medical records, adhering to regulatory standards and organizational policies.
Education
Associate of Arts -
Miami Dade College
Miami, FL12.2003
Skills
- Knowledge in Microsoft Office (Word, Excel, and Power Point) and Microsoft Access
- Well verses in medical terminology
- People Management
- Skilled in different insurance portals
- Fluent in English and Spanish
Timeline
Private Insurance Director
United States Medical Supply Inc.
08.2023 - 04.2024
Private Insurance Manager
United States Medical Supply Inc.
01.2009 - 07.2023
Private Insurance Supervisor
United States Medical Supply Inc.
01.2005 - 12.2009
Private Insurance Associate
United States Medical Supply Inc.
05.2003 - 12.2004
Associate of Arts -
Miami Dade College
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