Diana Smith
Romeoville,IL
Summary
Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Goal-oriented manager with distinguished experience in 4 industries and proven leadership abilities. Expert in increasing productivity and customer satisfaction while driving revenue and sales. Committed to streamlining procedures while optimizing employee talent.
Overview
30
30
years of professional experience
1
1
Certification
Work History
District Manager
Geriatric Professional Services
03.2012 - 11.2023
- Supervised 36 locations to enforce high-quality standards of operation.
- Ensured compliance with company policies and procedures as well as federal/state regulations by conducting regular audits of operational practices at each location within the district.
- Oversaw successful office openings, coordinating logistics, staffing, training, and promotional efforts to ensure smooth transitions for new locations.
- Worked diligently to resolve unique and recurring complaints, promoting loyalty, and enhancing operations.
- Managed accounts receivable and payable.
- Responsible for managing legal documents such as malpractice and finacial collections.
- Managed and oversaw customor servie department.
- Managed and oversaw the medical department.
- Managed and oversaw patient billing and insurance.
- Built positive and productive relationships with store and field leadership.
- Met deadlines by proactively managing individual and team tasks and streamlining processes.
- Enhanced company reputation through community involvement, developing partnerships with local organizations and participating in charitable events.
Accounting Manager
Joliet Doctors Clinic
04.2005 - 11.2011
- Managed journal entries, collection efforts, reconciliations, and payroll processing.
- Managed banking reconciliations and monthly balance sheet statements.
- Managed relationships with external vendors, ensuring timely payments and accurate recording of expenses.
- Completed bi-weekly payroll for company employees.
- Tracked business revenue and expenditures and reconciled accounts to maintain high accuracy.
- Developed and implemented various procedures to improve accounting process.
- Reduced discrepancies in financial data with thorough account reconciliations and adjustments.
- Applied proper codes to invoices, files, and receipts to keep records organized and easily searchable.
- Coordinated efforts between the accounting team and other departments to ensure accuracy in interdepartmental transactions recording and proper cost allocation.
Senior Medicare Specialist
Unicare Insurance
04.1997 - 03.2005
- Enhanced overall customer experience with empathetic listening and clear communication during interactions.
- Contributed to the successful implementation of new software systems designed to streamline workflow processes for greater efficiency within the department.
- Collaborated closely with healthcare providers to ensure accurate billing and coding practices.
- Conducted thorough audits of Medicare claim submissions, identifying errors and recommending corrective actions.
- Implemented preventative measures for potential fraud or abuse cases by diligently reviewing claim submissions for inconsistencies or red flags.
- Participated in ongoing professional development opportunities to stay current with industry trends and maintain expertise in the field of Medicare management.
- Educated patients on their benefits, coverage limits, and rights under the Medicare program, empowering them to make informed decisions about their healthcare needs.
- Provided constructive feedback to peers and management during regular team meetings, fostering an environment of continuous growth and development.
Medicare Specialist
Blue Cross Blue Shield Of Illinois
03.1994 - 01.1997
- Implemented preventative measures for potential fraud or abuse cases by diligently reviewing claim submissions for inconsistencies or red flags.
- Improved patient satisfaction by effectively managing Medicare claims and resolving issues promptly.
- Analyzed departmental performance metrics, identifying areas for improvement and implementing targeted strategies to achieve results.
- Conducted thorough audits of Medicare claim submissions, identifying errors and recommending corrective actions.
- Assisted in the development of training materials for new Medicare Specialists, fostering a knowledgeable team environment.
- Served as an internal resource for coworkers seeking guidance on complex or challenging Medicare-related situations, promoting a collaborative work environment.
- Provided timely responses to inquiries from patients, healthcare providers, and colleagues regarding Medicare policies and procedures.
- Handled escalated calls from dissatisfied customers with professionalism and tact, ultimately resolving issues efficiently.
- Participated in ongoing professional development opportunities to stay current with industry trends and maintain expertise in the field of Medicare management.
Education
Associates Degree in Psychology -
Joliet Junior College
Joliet, IL05.1989
High School Diploma -
Romeoville High School
Romeoville, IL05.1985
Skills
- Leadership skills
- Recruiting and Hiring
- Strategic Planning
- Customer Service
- Attention to Detail
- Goal Setting and Performance Metrics
- Sales management
- Operations Management
- Customer Relations
- Financial Management
- Multi-unit management
- Action Plans
- Decision-Making
- Team Building Practices
- Sales Reporting
- Conflict Management
- Proficient in Mics, Practice Fusion, AdvancedMD, Athena, Optimantra charting
Certification
Medical Billing and Coding
Medical Terminology
Business Management
Credits Discount and Audit Company
Timeline
District Manager
Geriatric Professional Services
03.2012 - 11.2023
Accounting Manager
Joliet Doctors Clinic
04.2005 - 11.2011
Senior Medicare Specialist
Unicare Insurance
04.1997 - 03.2005
Medicare Specialist
Blue Cross Blue Shield Of Illinois
03.1994 - 01.1997
Associates Degree in Psychology -
Joliet Junior College
High School Diploma -
Romeoville High School
Medical Billing and Coding
Medical Terminology
Business Management
Credits Discount and Audit Company
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