Summary
Overview
Work History
Education
Skills
Accomplishments
Skills
Timeline
Generic

Deborah Kelly

Bay Shore,NY

Summary

Results-oriented Supervisor with a diverse background in retail and healthcare management, insurance, medical billing and customer relations. Strong ability to communicate clearly and effectively with doctors, customers and staff. Dedicated to providing excellent customer service, fostering an environment based on collaboration, support and constructive communication. Take-charge professional delivering executive support and team leadership to business operations. Dependable and detail-oriented with ability to manage multiple tasks and priorities. Broad experience includes office management, surgical scheduling, accounting, accounts receivable, invoicing, database management, vendor negotiations and contract management. Recognized for exemplary customer service, communication and team collaboration.

Overview

26
26
years of professional experience

Work History

Supervisor

Long Island Ambulatory Surgery Center/SightMD
Brentwood , NY
2017.06 - Current

Managed daily operations within the facility by supporting continuous delivery of excellent services and care. Coordinate the surgical schedules by communicating with our doctors in NY, NJ, CT and PA on a daily bases to ensure proper scheduling within our facilities and hospitals for upcoming surgeries. Updated daily logs to track information movements. Purged outdated files. Held daily team meetings to ensure all staff are communicating properly and addressed all concerns. Completed reports, emails, memorandum, letters and releases. Designed training procedures and created training manuals for the facility to help new staff acclimate quickly. Cross trained staff to increase productivity within the center. Increased company efficiency by implementing several process improvements. Maintained 100% compliance with all hospital and government regulations. Efficiently performed insurance verification and pre-certification and pre-authorization functions. Negotiated Medicaid rates with insurance companies that the ASC was non par with to continue focusing on the growth and profit of the company. Directed the installation of improved work methods and procedures to achieve facility objectives. Filed appeals for rejected claims. Actively maintained up-to-date knowledge of applicable state and Federal laws and regulations. Observed strict confidentiality and safeguarded all patient-related information. Carefully reviewed medical records for accuracy and completion as required by insurance companies. Acquired insurance authorizations for procedures and tests ordered by the attending physicians. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Accurately entered procedure codes, diagnosis codes and patient information into billing software and EMR systems. Consistently ensured proper coding, sequencing of diagnoses and procedures. Acted as a liaison between the outside surgical coordinators, business department, billers and third party payers in resolving billing and reimbursement accuracy. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information. Interpreted medical reports to apply appropriate ICD-9 and ICD-10, CPT-4 and HCPCS codes.

Insurance Specialist

LI Ambulatory Surgery Center
Brentwood , NY
2016.09 - 2017.06

Carefully reviewed medical records for accuracy and completion as required by insurance companies. Acquired insurance authorizations for procedures and tests ordered by the attending physicians. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.

Front End Manager and Bookkeeper

Shoprite
Deer Park , NY
2018.08 - Current
  • Optimized personnel coverage, preparing work schedules based on staff availability and forecasted demands.
  • Monitored safety, health and sanitation processes throughout all areas and enforced rules to promote security and safety.
  • Evaluated employee job performance and motivated staff to improve productivity.
  • Filling staffing needs according to payroll, driving sales, security, hiring and terminating employees within HR guidelines, problem solving, daily conflict management, training of all customer front facing employees.
  • Protecting company assets
  • Training and development of new employees.
  • Applied mathematical skills to calculate totals, check figures and correct problems with physical and digital files.
  • Completed closing procedures each night which includes balancing tills and processing deposits as well as reconciling financials for the end of day.

Level 3 Customer Service Representative

Cablevision/Optimum
Melville , NY
2011.03 - 2016.08
Determining requirements by working with customers. Answering inquiries by clarifying desired information; researching, locating, and providing information.Resolving problems by clarifying issues; researching and exploring answers and providing alternative solutions; implementing solutions; escalating unresolved problems.Fulfilling requests by clarifying desired information; completing transactions; forwarding requests.Selling additional services by recognizing opportunities to up-sell accounts; explaining new features.Maintaining call center database by entering information.Keeping equipment operational by following established procedures; reporting malfunctions. Updating my job knowledge by participating in educational opportunities.Enhancing the organization reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. 
Provided onsite training to new hires and those needing to refresh their skills. 

Independent Contractor

Amusement Advantage
2005.01 - 2016.01
  • Provide an independent, objective assessment of entire operations using custom criteria specific to each location.
  • Provide detailed feedback which is used to evaluate cleanliness, customer service, safety and loss prevention.
  • Help identify operational, policy, procedural and training changes or improvements that can be made.
  • Create reports and also document staff behavior that should be coached or developed, as well as acknowledged and awarded.

Front End Manager

Waldbaum's Grocery store
2006.01 - 2011.01
  • Filling staffing needs according to payroll, driving sales, security, hiring and terminating employees within HR guidelines, problem solving, daily conflict management, training of all customer front facing employees.
  • Protecting company assets
  • Training and development of new employees.

Call center Customer Service Specialist and Internet Customer Service QualityAssurance Supervisor

1-800Flowers.com
2000.01 - 2002.01
  • Assisting incoming phone calls from customers who required assistance with.
  • problem orders and placing orders.
  • Working independently to supervise other chat room employees to ensure they were providing superior customer service.
  • Monitored and evaluated calls, emails and chat communications between employees and customers. 

Senior Merchandise Manager

The Sport's Authority
1998.01 - 2000.01
  • left at time of promotion to Sales Manager for the Long Island District.
  • Job Details: Employee staffing, ordering products, merchandising, Customer relations, training staff on being successful employees and the importance of providing excellent customer service, implementing Plano grams, payroll, employee relations within the store, keeping company structure and enforcing company policy, resolving any and all staff issues, basic store functions when the store manager was not present.
  • Loss prevention
  • Implemented monthly store meetings to keep all of the store managers , assistants and team leads informed to prevent communication problems within the workplace.

Education

Leadership Training

Dale Carnegie Business school

Business Management

Dale Carnegie Business School

Business Management

Nassau Community College

Skills

  • Business operations management
  • Customer-focused service
  • Meticulous attention to detail
  • Skilled multi-tasker
  • Time management
  • Team player
  • Healthcare billing proficiency
  • Problem resolution ability
  • Medical coding capability
  • Competency in procedure development
  • Self-directed
  • Insurance processing
  • HIPAA compliance
  • Claims appeal procedures
  • Deadline-oriented
  • Training and development
  • Quick learner
  • Personable
  • Compassionate
  • Proven patience and self-discipline
  • Conflict resolution
  • Relationship and team building
  • Staff training and development
  • Critical thinking proficiency
  • Claims analysis and review specialist
  • Scheduling proficiency
  • Database management
  • ICD-9/10 coding experience
  • Direct supervisory experience
  • Monthly reporting
  • Strong ability to analyze and access situations

Accomplishments

Implemented procedures at LI Ambulatory Surgery Center that significantly reduced their loss percentage from unpaid insurance claims. In addition, increased profits by securing insurance contract information and presenting it to all the doctors the surgery center participates with who perform I-Stents resulting in an increase from 2 insurance companies to 8 companies. This also became a gateway for the company to focus on the growth potential in the I-Stent field.
Core Value Winner for Communication awarded from SightMD/LI Ambulatory Surgery Center every year from 2018-2023. Consistently ranked in the top 10 of accomplished employees at Optimum every year during my career with Optimum. Ranked in the top 5 accomplished employees in 2013-2015.Received 22 Customer compliment awards in 2015.Received 4 Customer Experience Excellence Awards as well as 3 Quarterly achievement Awards for 2015.

Skills

EMR proficient, ICD-9 and ICD-10 skilled, CPT-4 experience, HIPAA compliance, Medical billing, Detail-oriented, Excellent interpersonal skills ,Time management ,Call center operations, Quality and assurance, Interpersonal, conflict management, Customer relations, excellent customer service, Customer Service, Customer service skills, Data Entry, database, driving sales, employee relations, Filing, Customer Focus, hiring, HR, Listening, loss prevention, meetings, merchandising, Multi-tasking,  payroll, People Skills, personnel, problem solving, promotion, reporting, researching, safety, Selling, sales, staffing, Store Manager, Supervising, Teaching, Phone Skills, Verbal Communication skills, Excels in email and chat communications.

Timeline

Front End Manager and Bookkeeper

Shoprite
2018.08 - Current

Supervisor

Long Island Ambulatory Surgery Center/SightMD
2017.06 - Current

Insurance Specialist

LI Ambulatory Surgery Center
2016.09 - 2017.06

Level 3 Customer Service Representative

Cablevision/Optimum
2011.03 - 2016.08

Front End Manager

Waldbaum's Grocery store
2006.01 - 2011.01

Independent Contractor

Amusement Advantage
2005.01 - 2016.01

Call center Customer Service Specialist and Internet Customer Service QualityAssurance Supervisor

1-800Flowers.com
2000.01 - 2002.01

Senior Merchandise Manager

The Sport's Authority
1998.01 - 2000.01

Leadership Training

Dale Carnegie Business school

Business Management

Dale Carnegie Business School

Business Management

Nassau Community College
Deborah Kelly