Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Ambitious, career-focused job seeker, anxious to obtain a financial planning entry-level position to help achieve company goals.
Overview
8
8
years of professional experience
Work History
Commercial Loan Servicing Specialist
VALLEY NATIONAL BANK
West Palm Beach, FL
01.2022 - Current
Responsible for escrow processing and analysis, loan processing and payment applications
Research missing or misapplied commercial loan payments
Processing loan payment reversals
Create and provide payoff letters
Perform maintenance for payment schedules, rates and billing records.
Performed detailed loan servicing activities, including payment processing and reconciliation of loans.
Analyzed customer data to ensure accuracy in the system and compliance with regulations.
Conducted research on mortgage loan documents to review accuracy of terms and conditions.
Consultant and Analyst
MERIDIANX MEDICAL BILLING
Lake Park, FL
01.2019 - 01.2022
Working with PCP providers and Home Health Agencies to review increasing their performance to reach a higher standard of quality
As well as review of AR backlogs and denied claim resolution
Outlined problem areas in compliance, accuracy, and productivity
Recommended process improvements with contracting
Provided support with HEDIS, Care Gaps and Provider performance
Experience with health care provider negotiations
Experience with presenting and communicating negotiation strategies and results at senior levels
Experience negotiating contracts with successful outcomes
Review customer feedback by email.
Developed and implemented customized strategies to meet client needs.
Analyzed complex information from multiple sources to identify patterns or trends that could be used as a basis for decision-making.
Reviewed existing policies and procedures and suggested improvements where necessary.
Local Claims Research Analyst
AMERIHEALTH CARITAS – PRESTIGE INSURANCE
Palm Beach Gardens, FL
01.2016 - 01.2019
Develops reports, analyzes AR trends, and resolves provider reimbursement issues
Performs research of Medicaid rules, provider manuals, and managed care requirements
Contributed to process change implementation for maximizing net revenue by analyzing revenue cycle reports, workflows, and processes for efficiency, identifying factors that affect reimbursement
Collaborated with leadership and team members, providing recommendations on workflow coordination, issue resolution, provider reimbursement, and issue resolution through project management and problem solving
Interpret and review contract terms, reimbursement rates and payment structures
Demonstrated strength in working independently and establishing influential relationships
Established and maintained influential business relationships, leveraging network contacts to facilitate resolution of provide complaints
Negotiate vendor or provider contracts and manage implementations and ongoing relationships, educate providers on contract language
Compliance and customer complaints
Analyzes financial impact of contracts and terms
Management-level Meetings -Improved leadership decision-making by attending management-level meetings, providing metrics and feedback of provider inquires
Educates and provides individualized support to providers.
Education
Medical Billing and Coding Specialist - Medical Billing And Coding
MCI Institute of Technology
West Palm Beach
08-2010
Some College (No Degree) - Business Administration
Southern New Hampshire University
Hooksett, NH
Some College (No Degree) - Business Administration
Palm Beach Community College
Palm Beach Gardens, FL
Some College (No Degree) - Business Administration