Experienced business professional with strong focus on team collaboration and achieving results. Skilled in operations management, strategic planning, and resource optimization. Known for flexibility in adapting to changing needs and providing reliable leadership. Prepared to make significant impact in driving business success and fostering team growth.
Overview
17
17
years of professional experience
Work History
Owner/Operator
Faul Candle Company
01.2023 - Current
Created business of manufacturing and sale luxury non-toxic home fragrance products while obtaining and maintaining legal business licensure and bookkeeping.
Managed daily operations for optimal efficiency, streamlining processes to reduce costs.
Provided exceptional customer service, addressing issues promptly to ensure customer satisfaction and repeat business.
Increased customer satisfaction by providing high-quality services and timely communication.
Oversaw end-to-end business processes to maintain proficiency and profitability.
Consulted with customers to assess needs and propose optimal solutions for customized products.
Witwer Children's Therapy- Insurance Specialist
UnityPoint Health St. Luke's Hospital
10.2023 - 06.2024
Managing referral workques daily by accepting and placing Inbound/Outbound pediatric clinic phone calls
Calling and receiving phone calls from Pediatrician offices or parents to schedule initial evaluation appointments for Occupational Therapy, Physical Therapy Speech Therapy and Lactation consultations across 2 clinic locations for over 20 providers
Managed provider schedules via series appointments for continued therapy sessions quarterly
Verify insurance eligibility and benefits for each discipline prior to appointment, document in Epic and transparently relay cost information to parents prior to appointments
Determine if plans require preauthorization, submit authorization and supporting medical documentation to commercial and state funded insurance plans via various online provider portals
Manage master excel spreadsheet logs used for tracking patient status and authorization status
Manage spreadsheet logs for authorization renewals, submitting new authorizations prior to expiratory dates in order to keep ongoing appointments and avoid delay in care
Coordinate multiple discipline evaluations
Managed scheduling logs for continued sessions-once a series patient discharged from a providers schedule times are added to spreadsheet log and then called down waitlist to fill open time slots 3 months at a time
Review and process insurance denials by providing requested medical documentation, or submitting for recoding/reprocessing to coding team
Therapy Plus Downtown- Scheduling and Financial Specialist
UnityPoint Health St. Luke's Hospital
02.2015 - 07.2023
Clinical setting; Greet patients upon arrival to clinic for outpatient physical and occupational therapy appointments
Verify information via Epic and check patients in for appointments
Collect orders, insurance card/information and Driver's licenses for documentation
Schedule appointments for various providers across4 Therapy locations also in conjunction with Work Well clinic for Job Task Assessments in Systoc and Epic
Verify patient insurance eligibility/benefits with various insurance carriers and explain benefits/billing to patients prior to appointments
Collect pre authorization/authorization for patient visits
Review therapist documentation and charges daily for errors in notes and CPT billing codes prior to submitting billing to insurance, adding modifiers if needed
Inbound and Outbound phone calls from patients and other physician offices to place orders for scheduling appointments as well as coordinate recurring appointments for patients
Assist therapists in room sterilization and turn over between patients
Was in charge of ordering clinical and office supplies
Completing multiple stats spreadsheets daily and monthly audits for clinic charges, utilization of hours, number of visits
Completed bi-weekly payroll for my clinic
Worked in conjunction with hospital inpatient/outpatient therapy staff and4 outpatient clinics to get patients to best provider for their specific care
Helped new staff members with training and support beyond training
Accounts Receivable Specialist
MediRevv
10.2012 - 11.2014
Medical claims processing and denial management liaison between the hospital, insurance company and patients while maintaining and upholding HIPPA and PHI laws
Followed claims from creation on date of service through denial management until the final payment is made from the insurance company or patient for completion of claim
Online denial management follow-up with multiple payers and web portals as well as abiding by strict HIPPA laws when placing and receiving outbound and inbound phone calls to/from the insurance company and patients
Multichannel Sales Specialist
Best Buy
06.2010 - 10.2012
Certified to complete successful customer interactions over the phone, in store and online
Processing sales, making orders and taking payment over the phone as well as provide outstanding customer service to clients face to face and over the phone
Knowledge of all in store departments to ensure outstanding phone support, and problem solving over the phone as well as in store
Customer Specialist
Best Buy
06.2008 - 06.2010
Drive and engage customer interactions on the sales floor, coach/train/motivate all department employees, drive positive revenue on all interactions, ensure fast and accurate processing at all POS transactions, develop skills of coworkers as well as myself, offer Best Buy Financing promotions, services and loyalty invitations to customers and process Best Buy card applications
Education
Some College (No Degree) - Biology
Mount Mercy University
Cedar Rapids, IA
High School - undefined
Cedar Rapids Jefferson High School
Cedar Rapids, IA
01.2009
Skills
Microsoft Office Products
Staff training and development
Documentation and reporting
Strategic planning
Payroll processing
Relationship management
Business operations management
Regulatory compliance
Strong work ethic
Decision-making
Dependable and reliable
Schedule management
Accurate record keeping
Attention to detail
Verbal and written communication
Documentation skills
Timeline
Witwer Children's Therapy- Insurance Specialist
UnityPoint Health St. Luke's Hospital
10.2023 - 06.2024
Owner/Operator
Faul Candle Company
01.2023 - Current
Therapy Plus Downtown- Scheduling and Financial Specialist
UnityPoint Health St. Luke's Hospital
02.2015 - 07.2023
Accounts Receivable Specialist
MediRevv
10.2012 - 11.2014
Multichannel Sales Specialist
Best Buy
06.2010 - 10.2012
Customer Specialist
Best Buy
06.2008 - 06.2010
High School - undefined
Cedar Rapids Jefferson High School
Some College (No Degree) - Biology
Mount Mercy University
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