Open To Work
Dawn Stone
Sanford,USA
Work Preference
Summary
Dedicated employee with a strong work ethic and a proven track record in office management. Quick learner with a commitment to mastering all aspects of business operations. Focused on delivering results that contribute to company profitability. Extensive experience ensures valuable contributions to organizational success.
Overview
1
1
Certification
25
25
years of professional experience
Work History
A/R Billing Specialist
Stalls Medical, Inc
Cary, NC
06.2022 - 03.2026
- Monitored and prioritized old AR, focusing on highest monetary value first to maximize recoveries
- Tracked accounts pending dispute to ensure timely resolution
- Correct and resubmit rejected claims
- Research and Appeal insurance claim denials
- Investigated billing order of insurance claims to ensure compliance and accuracy
- Respond to audit requests from insurance payers
- Utilized Availity and various insurance payer portals for claim processing
Office Manager
Lange Eye Institute
The Villages, FL
03.2018 - 05.2022
- Checked clients in and out to ensure smooth office operations.
- Scheduling appointments
- Multi-line phone system
- Collected payments and completed daily deposits to maintain financial accuracy.
- Addressed inquiries and resolved issues promptly, enhancing customer satisfaction.
- Front desk reception delegation of duties
- Optician: assisting patients with purchasing, ordering and fitting glasses.
- Optical Technician: preparing patient for the Doctor
- Claims submission
- Referrals to specialist
Family Services Director
NON-PROFIT ORGANIZATION
Ocala, FL
09.2001 - 03.2018
- Provided support services to address domestic violence issues, enhancing client access to critical resources.
- Provided immediate support to individuals facing crises.
- Developed and maintained 15 standard operating procedures for Parent Services Department and Front Desk, ensuring consistency and quality in service delivery.
- Training Development: Developed and implemented training and technical assistance to over 30 staff. Also developed and provided training to outside agencies on the requirements of our program.
- Managed procurement processes for necessary supplies and materials.
- Manage and maintain the Statewide Wait list for subsidized childcare for over 1700 children.
- Childcare Eligibility Determination
- Quality Assurance
- Contract Compliance
- Monthly and Quarterly Reporting
- Employee Improvement Plans
- Customer Survey Development
- Assisted the State of Florida with creating, testing, and implementing of a new Statewide System.
- Assist in providing feedback and testing for the Office of Early Learning's Statewide Information Systems
- Grant Acquisition
- Collaborated on responses to Requests for Proposals and Invitations to Negotiate, contributing to comprehensive grant proposals.
- Resource and Referral Coordinator Level II
- Resource and Referral Coordinator
- Reviewed and submitted suspected fraud referrals to the Florida Department of Law Enforcement.
- Timesheet Authorization
- Monthly Program Invoicing
- Personal Activity Reports
- Workforce Childcare reports
- Participation on Policy calls for Rule Promulgation with the Office of Early Learning
- Maintained confidentiality of sensitive information in all communications.
- Performed accurate data entry for various records and databases.
- Participation on Policy calls for Rule Promulgation with the Office of Early Learning
Education
Associate's degree - Business Administration
University of Florida
Gainesville, FL05-1990
High school diploma -
Northwestern High School
Rock Hill, SC06-1988
Skills
- Medical Billing
- Medical claims submission/processing
- Medical claim denial management
- Billing software
- EHR/EMR systems
- Patient management software
- Health insurance authorizations
- Insurance verification
- CMS billing regulations
- CMS regulatory compliance
- Commercial insurance knowledge
- Medical terminology
- ICD coding
- HCPCS
- CPT coding
- Medical claims appeals
- Billing dispute resolution
- Management
- Clinical documentation
- HIPPA Compliance
- Referral coordination
- Task prioritization
- Scheduling
- Appointment scheduling
- Data entry
- File organization
- Record keeping
- Healthcare software applications
- Remote access software
- Adobe Acrobat
- Microsoft 365
- Project management
- Process improvement
- Contract management
- Management
- Leadership
- Teamwork
- Employee training
- Employee on-boarding
- Customer service
- Reception duties
- Clerical experience
- Attention to detail
- Healthcare insurance expertise
- Patient advocacy
- Case Management
- Decision making
- Project progress tracking
- Medicaid regulations
- Office administration
- Contract management
Certification
Driver's License
Training
- Proficient in Microsoft Word, Excel & PowerPoint
- Proficient in statewide EFS (Enhanced Filed System) and Family/Provider Portal
- Resource and Referral Level I and II
- Resource and Referral Coordinator Level II
- HIPPA training
- Domestic Violence Intervention training
- State Mandated Reporting for suspected child abuse
- Employee Supervisor Series Training (ADA, FMLA, Employment Law, Workers' Compensation, Anti-Discrimination, Progressive Discipline and Documentation)
- Quarterly Training with the Human Resources Attorney
Additional Information
US for any employer, True
Personal Information
Willing To Relocate: Anywhere
Timeline
A/R Billing Specialist
Stalls Medical, Inc
06.2022 - 03.2026
Office Manager
Lange Eye Institute
03.2018 - 05.2022
Family Services Director
NON-PROFIT ORGANIZATION
09.2001 - 03.2018
Associate's degree - Business Administration
University of Florida
High school diploma -
Northwestern High School