Dynamic leader and Subject Matter Expert from Optum360 United Health Group, specializing in audit intake with a knack for fostering professional growth and streamlining processes. Excelled in training and mentoring, coupled with strong analytical skills, achieving significant efficiency improvements and quality assurance enhancements. Proven track record in leading complex projects to successful completion, demonstrating exceptional team leadership and problem-solving abilities.
Post all payments received by mail, balancing to deposit and remittance advice
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Research all overpayments and ensure the batches balance with the remittance
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Submit Explanation of benefits (EOB) to billers for secondary insurance billing
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Daily balances and adjusts accounts based on contractual agreement
Coordinates with Bank to ensure all KRMC deposit are process accurately
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Balance all KRMC deposit with the appropriate Daily Close Reports and Cash Reconciliation sheets
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Locates and resolves any deposit discrepancies
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Responsible for all petty cash distribution and balancing with the Business Office
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Credit Card Reconciliation and Credit Card Terminal installation, re-programming and downloads
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Reconciles all mail deposits from insurance companies
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Impute and reconciliation of all EFT payments.
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Assist clinical PSR with batch balancing issues
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Assist with patient payment disputes.
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Created, enforced, and trained a new deposit process for KRMC
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Locates missing payments for Billing/Collectors
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Deposit KRMC mail deposit through EZ deposit check scanner
Received all mail deposits and posted them to the account
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Oversaw the Payment, Adjustments and Denial posting
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Responsible for reconciling the daily deposits and cashiers’ drawers
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Led the team in Customer Service responsible for handling customer complaints
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Multi line phone system
Assisted patients with check in and check out ensuring all information was up to date
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Appointment Scheduling, managed our patients on a routine visit schedule to guarantee the best services possible for our patients
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Procedure Scheduling and Prior Authorizations
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Data Entry and patient registration inputting all demographic and insurance information
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Insurance Verification and eligibility
Taught life skills to mentally and physically disabled children and adults
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Scheduled activates for consumers and other providers
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Maintained monthly progress goals for consumers