Results-oriented professional seeks role in a supportive environment that encourages growth. Demonstrates strong reasoning and decision-making skills, thriving under pressure with minimal supervision. Quick learner with a proven ability to organize and manage multiple tasks efficiently. Skilled in various Windows-based systems and programs.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Lead Revenue Cycle Specialist
Centra Medical Group
Lynchburg, VA
01.2022 - Current
Achieved top performer status for 12 consecutive months in 2022 and maintained performance into 2023.
Processed third-party medical claims, ensuring accurate and timely submissions to enhance reimbursement rates.
Collected and entered claim information, validated and corrected rejected claims, and submitted claims to third-party payers for reimbursement.
Works with the computerized practice management system for the validation, submission, and processing of insurance and self-pay claims.
Assigns and monitors workload and process workflow for an assigned group of employees.
Provided ongoing education and on-the-job training to staff, identifying opportunities for skill enhancement and knowledge improvement.
Work closely with management to set key performance indicators, monitor performance, and provide feedback up and down the department chain.
Long Term Care Insurance Agent
Genworth Financial
Lynchburg, VA
11.2017 - 04.2021
Served as licensed insurance agent across all 50 states, guiding clients in selecting appropriate long-term care insurance solutions.
Completed specialized training in Partnership Program for NY, IN, CA, and CT, enhancing expertise in state-specific insurance offerings.
Earned top performance rating in 2018 for delivering exceptional service and client satisfaction.
Senior CSR/LTC Problem Resolution Specialist/Agent(support)
Genworth Financial
Lynchburg, VA
04.2011 - 11.2017
Licensed to sell LTC in all US states
Frontline Representative for Long Term Care Division.
Processed assigned tasks efficiently in accordance with departmental guidelines.
Facilitated onboarding and training of new hires on company procedures, ensuring effective integration into the team.
Earned multiple awards, including Wall of Stars, Excellence Award, and DALBAR, for outstanding contributions and service excellence.
Customer Care Agent/GBM Disconnects Agent/ Account Support Representative
StarTek- Qwest Communications
Lynchburg, VA
08.2008 - 03.2011
Managed account and base for global business clients, including service reviews, inventory maintenance, contract renewals, customer calls, and meetings.
Managed billing processes by reviewing invoicing, resolving issues, making credit adjustments, and handling soft collections, ensuring accurate account management.
Responded to customer inquiries and concerns effectively.
Qualified customer disconnect requests and submitted disconnect orders.
Followed up to resolve outstanding billing issues from disconnect requests, facilitating smoother customer transitions.
Managed order implementation and tracking, including all orders, billing, and follow-up.
Provided after-hours support via pager, ensuring ongoing care for client needs.
Role model to team based on quality and knowledge base of disconnect processes and procedures
Developed expertise in VOIP products, enhancing support capabilities.
Recognized as Employee of the Month in January 2009 for exceptional performance.
Recognized for Excellence, Wall of Stars, Principles luncheon, several Excellent CTS ratings, and customer kudos
Office Director
Access World Talent
Denver, CO
05.2007 - 04.2008
Managed daily office operations, focusing on talent selection and development to enhance team capabilities.
Managing staff to include, Talent Executive, and casting personnel.
Oversaw photo shoot scheduling, booking, and procurement of studio locations to ensure seamless execution of projects.
Demonstrated extensive knowledge of industry trends and practices.
Office Director
One Source Talent
San Diego, CA
06.2005 - 04.2007
Oversaw Open Call evaluation process, presentations, scout orientation, hiring, and training to ensure effective talent acquisition.
Managed staff including Talent Specialist, Talent Coordinators, assistants, and interns to foster a collaborative work environment.
Managed daily office operations, including talent selection and development.
Oversaw photo shoot scheduling and booking, including procurement of studio locations, to facilitate seamless production operations.
Demonstrated extensive knowledge of industry trends and practices.
Project Manager
AT&T
Southfield, MI
06.1999 - 04.2005
Implemented corporate and customer service installation orders, ensuring timely execution in local service division.
Collaborated with support organizations to align services with customer expectations.
Scheduled daily local operations to ensure adherence to order due dates.
Facilitated communication with customers, vendors, sales staff, and operations team to address inquiries and resolve issues.
Technical knowledge of Frame relay, ATM, T-1, channel-bank and other CPE issues.
Skills
Revenue cycle management
Claims processing
Medical billing
Medical coding
Claims review
Claims proficiency
Insurance verification
Payment posting
Payment reconciliation
Denial management
Analyzing claims
Insurance collaboration
Accounts receivable management
Billing expertise
Workflow optimization
HIPAA compliance
Financial forecasting
Customer relationship management
Project management
Problem solving
Project management
Certification
• Life Insurance/health insurance with Specialty in Long Term Care (all US states) • Medical/Retail Collections (NY state 1992) • Medical billing • CPT AND ICD9 coding (NY state 1989) • AHIP Designation (2015) Long Term Care Professional • LOMA Certified in Long Term Care (2015) * LEAN Six Sigma Certified * AI knowledgeable
References
available upon request
Timeline
Lead Revenue Cycle Specialist
Centra Medical Group
01.2022 - Current
Long Term Care Insurance Agent
Genworth Financial
11.2017 - 04.2021
Senior CSR/LTC Problem Resolution Specialist/Agent(support)
Genworth Financial
04.2011 - 11.2017
Customer Care Agent/GBM Disconnects Agent/ Account Support Representative
Senior Account Administrator - Senior Full Cycle Biller - Revenue Cycle Specialist at Vein Specialists of AmericaSenior Account Administrator - Senior Full Cycle Biller - Revenue Cycle Specialist at Vein Specialists of America