Amanda DeMay

• Assessed claim submissions, obtained necessary authorizations, and confirmed patient information integrity.
• Reviewed and resolved high dollar Medicare claims, focusing on aged and specialty categories to optimize claim outcomes.
• Reviewed claim submissions for accuracy, identifying discrepancies and initiating corrective actions.
• Maintained strict compliance with all relevant regulations, ensuring accurate and timely claim processing.
• Consistently met or exceeded performance metrics within the role by keeping abreast of industry changes and adopting best practices.
• Maintained up-to-date knowledge on changing Medicare requirements and guidelines, ensuring full compliance at all times.
• Maintained strong knowledge of basic medical terminology to better understand services and procedures.
• Generated, posted and attached information to claim files.
• Managed a high volume of daily claims while consistently meeting deadlines and maintaining quality standards.
• Reduced errors in Medicare claims submissions through meticulous attention to detail and thorough review processes.
• Processed and adjudicated Medicare claims, ensuring compliance with federal regulations and company policies.

.

• Delivered exceptional customer service to enhance guest satisfaction and loyalty.
• Coordinated food and beverage orders with kitchen staff for timely service.
• Managed cash register operations, ensuring accurate transactions and balanced cash drawers.
• Implemented efficient workflow strategies to optimize table turnover rates during peak hours.
• Developed strong relationships with regular customers to personalize service experiences.
• Resolved customer complaints swiftly, maintaining a positive dining atmosphere.
• Demonstrated strong multitasking skills by managing multiple tables simultaneously without compromising service quality.

• Supervised front of house operations, ensuring exceptional guest experiences and timely service delivery.
• Trained and mentored staff on customer service excellence, enhancing team performance and engagement.
• Managed inventory levels and supply orders, ensuring adequate stock for seamless front of house operations.
• Increased employee productivity through effective scheduling, training, and performance evaluations for all front of house staff.
• Developed strong relationships with vendors, securing competitive pricing on products and services for the restaurant.
• Resolved conflicts among team members diplomatically while maintaining a positive work atmosphere conducive to collaboration.
• Boosted restaurant revenue with strategic marketing initiatives and promotions to attract new customers.
• Conducted regular staff meetings to provide updates, address concerns, and maintain open lines of communication among team members.

• 3.0 GPA