Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
16
16
years of professional experience
Work History
Community Outreach Director
Promise Healthcare
08.2022 - Current
Responsible for new hires, promotions, transfers, discharges, and disciplinary measures
Create and manage staff schedules, completes timecard review and approval, and manage paid leave requests from staff
Keep track of all timecards and correct any errors
Ensures staff members are adequately trained and are competent to perform all required job tasks
Provides leadership development for staff
Oversees outreach event coordination
Develop partnerships within the community
Work with grant budgeting and reporting through HRSA, IDPH, CCMHB
Order supplies and enter costs in accounting system and report expenditures to the appropriate grants
Manage inventory of materials used for outreach events
Assist in marketing of events and services offered at the organization
Attending all required meetings both internal and external
Participate in all required training through the State of Illinois and the organization
Oversee and complete Marketplace and Medicaid enrollment services
Report on all enrollment services provided to our organization, the State of Illinois, and CMS as necessary
Develop workflows to better collect data needed for the FQHC
Establish a resource list for our underserved population
Develop surveys for our clients to better understand their needs aligning with the SDoH
Work with our Mental Health Director to assist in meeting the needs of the mental health crisis our community is facing
Work with our dental manager to best meet the huge need for dental care in our community
Develop a process for patients in need to utilize our sliding fee scale
Develop work process for new positions as they are added to the team.
Served as an ambassador for the organization at conferences, seminars, networking events, and other public-facing engagements.
Cultivated a positive work environment that promoted teamwork and collaboration across departments.
Managed a team of outreach professionals, providing guidance, support, and performance evaluations to ensure success in their roles.
Denials Management Team
Vital Skin Dermatology
02.2022 - 07.2022
Improved accounts receivable days for payment from 60 days to 19 days from the date of service on the claims for the denials managed.
Worked on reporting and coding issues with payors.
Used all of the Payor Portals for claims status and appeals.
Answered a very active customer service line to assist in taking phone payments and any other customer service-related issue.
Actively participated in team functions. Remained reliable and focused during the time at VitalSkin.
Pandemic Health Navigator
Promise Healthcare
07.2021 - 02.2022
Help individuals, families, and communities to enhance their health, foster health literacy, access services and improve the conditions during COVID-19 pandemic, especially in low-income and marginalized communities, which have been disproportionately impacted by COVID-19
Develop reporting of appointment data
Compile this data based on applications for Medicaid and Marketplace and how patients having insurance will affect the financial return for the FQHC setting
Work with patients to apply for the sliding scale discount program.
Received License for Navigator assistor for Marketplace insurance applications
Completed process and protocols for several processes for our team.
Contract Specialist 1 and Contract Specialist 2
Health Alliance Medical Plans
06.2014 - 06.2021
Develops financial proposals, evaluated, and monitored contract performance and prepared financial analysis and recommendations
Ensured that all contracts are in compliance with regulatory requirements
Ensured that all negotiated contract terms followed Health Alliance's standards and were successfully implemented in the claims payment system
Managed overall contracting process with providers including preparation of documents, negotiation, follow-up, and documentation of activities in contract management system
Planned proactively for all contract renewals including financial analysis and potential reimbursement changes; completed renewal process.
Reduced risk exposure through diligent monitoring and enforcement of contractual obligations.
Reviewed subcontractor agreements to ensure compliance with all relevant regulations, minimizing risk exposure.
Insurance and Special Billing Supervisor
Carle Clinic Association/Carle Physician Group
05.2008 - 06.2014
Managed 42 team members. Maintained ongoing knowledge of all job functions performed in the areas being supervised as well as maintained a thorough working knowledge of all the systems utilized to perform the work in the areas being supervised
Monitored daily department flow, ensures appropriate staffing and optimal productivity and quality levels of the staff compared against pre-determined performance standards
Prepared and analyzed management summary reports and communicated findings to the appropriate parties
Created and managed staff schedules, completes timecard review and approval and manages paid leave requests from staff
Recommends or initiates personnel actions for hires, promotions, transfers, discharges, and disciplinary measures
Initiates and in collaboration with manager, completes staff performance evaluations
Ensures staff members are adequately trained and are competent to perform all required job tasks.
Reduced discrepancies in billing reports with thorough review processes and diligent follow-ups on outstanding accounts.
Minimized errors in customer billing information through diligent verification practices and prompt issue resolution.
Managed the preparation and distribution of customer invoices within strict deadlines, upholding adherence to company policies and client agreements.
Created detailed reports for management reflecting key financial indicators such as receivables aging analysis, uncollected revenues breakdowns, write-offs statistics, among others contributing valuable insights into the department''s strengths and weaknesses.
Ensured compliance with industry regulations by staying up-to-date on relevant changes and adjusting internal procedures accordingly.
Boosted cash flow by identifying areas for improvement in payment terms enforcement and initiating corrective actions as needed.
Increased staff efficiency through regular evaluations, targeted coaching sessions, and tailored performance improvement plans.
Participated in interdepartmental initiatives aimed at streamlining workflows across various functions, resulting in more efficient resource allocation and improved overall business performance.
Improved billing accuracy by implementing systematic audits and updating procedural manuals.
Maintained a high level of customer satisfaction by addressing inquiries promptly, resolving issues effectively, and consistently delivering accurate invoices within established timeframes.
Routinely conducted internal audits of financial records to detect discrepancies or potential fraud risks, enabling timely intervention and issue resolution.
Education
High School Diploma -
Armstrong High School
Armstrong, IL
05.1979
Skills
Community Engagement
Event Management
Cultural Competency
Nonprofit Management
Multitasking Abilities
Reliability
Excellent Communication
Organizational Skills
Timeline
Community Outreach Director
Promise Healthcare
08.2022 - Current
Denials Management Team
Vital Skin Dermatology
02.2022 - 07.2022
Pandemic Health Navigator
Promise Healthcare
07.2021 - 02.2022
Contract Specialist 1 and Contract Specialist 2
Health Alliance Medical Plans
06.2014 - 06.2021
Insurance and Special Billing Supervisor
Carle Clinic Association/Carle Physician Group
05.2008 - 06.2014
High School Diploma -
Armstrong High School
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