Dora Clark
Holton,Ks
Summary
Experienced with managing client accounts and optimizing client satisfaction through tailored solutions. Utilizes comprehensive knowledge of account management practices to foster long-term client relationships. Track record of effective communication and problem-solving in team-oriented setting.
Overview
17
17
years of professional experience
Work History
Account Specialist
Medallion
2025.12 - Current
- Managed client accounts, ensuring accurate credentialing applications and timely resolution of inquiries.
- Developed comprehensive reports to analyze account performance and identify improvement opportunities.
- Collaborated with cross-functional teams to streamline processes and enhance client satisfaction.
Payor Enrollment Specialist
Zotec Partners, LLC
2020.08 - Current
- Correspond with Medical Insurance
- Work with providers on completing insurance CREDENTIALING
- Complete CAQH applications for providers to keep them updated.
- Work with group on keeping providers current and active.
- Manages 3 Enterprise Clients in 14 states with approximately 350 providers
- Manages daily escalations through alert system.
Billing Specialist
Associated Urologist PA
2019.06 - 2020.03
- Correspond with medical insurance
- Maintain patient and insurance aging reports
- Responsible for accounts receivable
- Skilled in claims submission, claims scrubbing, claims corrections, EOB processing, rejection handling, and claims follow-up
- Understand timely filing limits for insurance carriers, claims clearinghouse functions and navigating insurance company websites
Human Resource Manager
Specialty Pahrmacy Management
2013.05 - 2019.05
- Managed new hires
- Responsible for job descriptions and job postings on various employment websites
- Managed payroll and benefits for approx. 130 employees of 6 companies
- Responsible for insurance payment postings
- Created and mailed patient invoicing
- Researched and consulted with top executives on medical and 401k plans
- Served as a link between employees and the organization’s management
- Assisted the Credentialing Manager with maintaining application and licensing for all DME entities
- Managed liability insurance policies for all entities
- Assisted management with multiple accreditation standards and requirements
- Obtained and maintained certificate of insurances, articles of organizations, licensing, HIPAA compliance
Office Assistant
Colonail Manor
2012.11 - 2013.05
- Responsible for patient receivables for long term care facilities
- Managed resident’s finances
- Responsible for Medicare and commercial insurance claims filing
- Completed patient intake approvals
- Corresponded with insurances for prior authorizations and approvals
Billing Specialist & Pharmacy Technician
SR RXCARE Pharmacy
2009.02 - 2012.10
- Answered multi-line phone system
- Maintained professional appearance and communication with patients in stressful situations
- Corresponded with medical insurance
- Maintained patient and insurance aging reports
- Submitted electronic and paper claims
- Continued and completed job training to enhance knowledge of the job
Education
Associates Degree - Healthcare Administration
Brown Mackie College
2017-03
Diploma - Clinical Medical/ Office Assistant
Bryan College
2009-05
Skills
- Excellent oral and written communication skills
- Ability to interpret and communicate information efficiently and effectively
- Successful completion of Healthcare Sanctions background check
- Ability to work independently, handle multiple task and projects simultaneously
- Strong organizational ability
- Ability to maintain a positive work environment
- Ability to handle confidential information in a professional and sensitive manner
- Skilled in data entry, 10 key, office equipment
- Knowledgeable in Excel
- Proficient in Word
- Knowledgeable in HIPAA and PHI compliance
- Skilled in Medicare and Medicaid
- Skilled in software: Paycor Payroll, Quickbase EHR, Accudata EHR, Brightree EHR, Chart Logic, Advanced MD, Doctrac and Computer RX, Credential Stream, One App
Timeline
Account Specialist
Medallion
2025.12 - Current
Payor Enrollment Specialist
Zotec Partners, LLC
2020.08 - Current
Billing Specialist
Associated Urologist PA
2019.06 - 2020.03
Human Resource Manager
Specialty Pahrmacy Management
2013.05 - 2019.05
Office Assistant
Colonail Manor
2012.11 - 2013.05
Billing Specialist & Pharmacy Technician
SR RXCARE Pharmacy
2009.02 - 2012.10
Diploma - Clinical Medical/ Office Assistant
Bryan College
Associates Degree - Healthcare Administration
Brown Mackie College