Experienced and dedicated administrative professional with strong organizational leadership skills. Committed to driving the success of a result-oriented organization by emphasizing continuous process improvement and cost savings initiatives. Aims to enhance strategic directives and contribute to the growth and efficiency of the company.
Overview
18
18
years of professional experience
Work History
Operation Manager
Burlington
07.2022 - 08.2024
Managing the overall execution of operations and receiving SOPS, including the continuous flow process
Manages the Customer Service and Cashier teams, driving compliance to company policies and standards, safekeeping of company funds and property, asset protection, sales, and record-keeping procedures
Guide the Customer Service Supervisors to ensure they are meeting customer service expectations and there is a smooth customer flow at the registers
Coach, train, and develop a team of associates, ensuring they deliver outstanding shopping experiences in a highly professional manner
Monitor the receiving process, transfer, debits/damages, and chargebacks and partner with the Receiving Supervisor to maintain inventory accuracy
Guiding the receiving team associates to expedite the flow of merchandise from the receiving area to the sales floor
Review operational reports and records to ensure adherence to company policies and procedures
Positive communication and demonstrate the company's core values by developing trust and respect among staff, building strong teams and partnerships through collaborative work ethics, and driving business by taking ownership and pride in the company and getting things done
Support the Store Manager and others in interviewing, training, and succession planning
Visual Merchandising
Manage Payroll, Schedule, and Recruiting
Overall responsible for the Front End and Receiving Area
Cashier/Keyholder-Part time
Burlington
01.2019 - 07.2022
Open and close a store and perform other administrative duties in a retail setting
Assist cashiers during high-track period
Drive improvement of friendliness, speed of checkout, and customer feedback surveys by maintaining a customer-first focus and delivering a consistently great experience to all customers with a high level of professionalism
Coordinate meal and break periods and monitor schedule adherence
Maintain a neat and orderly front-end area troubleshooting issues with registers and transactions
Surgical Revenue Charge Representative
Prisma Health
07.2015 - 07.2022
Reconciled surgery schedules/charges for three facilities
Posted daily surgery charges and HCPCS codes
Performs daily charges balancing and reconciles discrepancies
Audits patient charges and coordinates resolution of issues with auditors, corporate compliance, and patient accounts as needed
Accurately posts all surgery charges to patients' accounts daily
Post adjustments to patient accounts when appropriate
Work with Lawson, when needed, to verify the correct pricing of surgical items to charge patient accounts appropriately
Epic and Cerner experience
Capacity to perform under pressure in a deadline-drive environment
Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
Accounts Receivable Analyst
Prisma Health
01.2012 - 07.2015
Post customer payments by recording cash, checks, and credit card transactions
Prepare and send out invoices
Monitors customer account details for non-payments, delayed payments, and other irregularities
Generate aging reports to identify overdue accounts
Contact customers via phone, email, or mail to request payment
Assist with month-end closing
Review and reconcile accounts to ensure proper credit and refund application
Generate financial statements and reports detailing accounts receivable status
Cerner experience
Epic experience
Maintain files and documentation thoroughly and accurately, according to company policies and accepted accounting
Participated in the month-end close process, ensuring accurate reporting of accounts receivable balances and timely submission of data for financial statements.
Physician Billing Representative Primary
Prisma Health
09.2010 - 01.2012
Update the accounts receivable database with new accounts or missed payments
Implemented a new invoicing system that reduced processing time by 50% and improved accuracy by 20%
Reconcile various reports between the bank and invoice totals
Monitor claims for appropriate processing (Medicare, Medicaid, and Commercial Insurance
Lead others by training in processes and advising on problem accounts
Balance account activities and provide daily batch reports
Make accurate adjustments to patient accounts
Post Insurance payments via EOB remittance
Submit medical records upon request
Process commercial and government claims
Appeal processing experience
Investigate claim denials and reimbursement issues, pursuing appropriate corrective actions including the status of accounts, write-offs, refunds, transfers, and billing third-party carriers within established guidelines
Experience in UB and 1500 claim billing
Follow up open insurance claims
Experience processing and adjudicating claims
Work on corrected claims and appeals: Prepare and submit corrected claims and appeals to insurance companies as required promptly to ensure payment
Communicate with insurance providers, patients, and healthcare professionals to resolve billing issues
Review and resolve edits as required for timely submission of claims
Follow up and investigate any billing errors returned from payers
Work with respective team members/supervisors for resolution
Worked with multiple departments to check proper billing information.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Generated monthly billing and posting reports for management review.
Maintained accurate records of customer payments.
Billing Coordinator
Columbia Ambulatory Surgery Center & Endoscopy Center
01.2007 - 09.2010
Supervised Billing associates
Processed accounts for internal collection
Reconciled financial activity monthly
Follow up on open commercial claims
Review daily ICD-9 and CPT codes
Posted daily commercials, government, and patient payments
Work insurance tracking report daily
Posted cash payments and insurance payments
Appeal processing experience
Claim processing experience (Medicaid, Medicare, and commercial insurance
Experience managing multiple teams
Provider enrollment experience
Answered telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
Intake Experience
Completed appeals of denied claims on patient bills.
Referred past due payments to collections department.
Researched and resolved billing discrepancies to enable accurate billing.
Education
Bachelor’s - Business Administration
Allen University
Columbia, South Carolina
05.2006
Certificate - Completion Coding and Billing Class
Midland Technical College
Columbia, South Carolina
12.2023
Certificate - Leadership
Prisma Health (One Palmetto)
08.2013
Skills
Microsoft Office Suite 365
B Planner Plus
Workforce Central Attendance Systems
Kronos
E-time
Medical Terminology
ICD-9
CPT coding
EPIC
MS Word
MS Excel
Effective communication
Training skills
Teamwork
Customer interaction
Customer service
Problem-solving
Team leadership
Decision-making
MS office
Leadership Experience
Ability to manage multiple projects simultaneously and meet tight deadlines, while maintaining the highest standards of quality.
Timeline
Operation Manager
Burlington
07.2022 - 08.2024
Cashier/Keyholder-Part time
Burlington
01.2019 - 07.2022
Surgical Revenue Charge Representative
Prisma Health
07.2015 - 07.2022
Accounts Receivable Analyst
Prisma Health
01.2012 - 07.2015
Physician Billing Representative Primary
Prisma Health
09.2010 - 01.2012
Billing Coordinator
Columbia Ambulatory Surgery Center & Endoscopy Center