Results-driven financial professional with a history of surpassing financial targets. Expertise in improving accuracy and compliance through effective issue resolution and process analysis. Demonstrated leadership and collaboration skills that enhance organizational efficiency and support team success.
Overview
14
14
years of professional experience
Work History
Lead Patient Financial Associate
Baptist Health
Boynton Beach, Florida
05.2016 - Current
Motivated team to consistently meet monthly and quarterly financial quotas.
Investigated and resolved discrepancies in financial accounts, ensuring accuracy and compliance.
Ensured that all bills are paid accurately and in accordance with policies and procedures.
Planned, organized, and coordinated financial work assignments.
Processed customer bills using financial software, card payments, and cash collections.
Effectively communicated file status progression from pre-admission schedules, and pending verification, to inpatient and/or outpatient conversion.
Demonstrated strong working knowledge of regulatory requirements.
Adhered to departmental controls and regulations, reinforcing ethical conduct in financial processes.
Performed process analysis and communicated recommendations to management.
Analyzed workflow, briefed, and supervised the night staff.
Benefit Manager
Aetna Life Insurance Company
Plantation, Florida
05.2014 - 02.2016
Administered STD, FMLA, and LOA disability claims to ensure compliance and support for affected employees.
Collaborated with team members to streamline processes for timely return-to-work outcomes.
Coordinated with healthcare providers to obtain detailed information on treatment plans and range of motion.
Helped employer create modified work schedules to facilitate a timely and safe return to work RTW for all.
Reviewed medical records and processed payments with timeliness and accuracy.
Requested legal and medical escalation for further determination of cases.
Performed root-cause analysis to identify potential resolutions.
Maintained advanced knowledge of systems and tools used by the department.
Organized workflow to ensure department responsibilities are satisfied.
Coordinated all human resource activities including, new employee orientation, personnel policy implementation, benefits management, credentialing of centers licensed independent practitioners.
Maintained personnel files while identifying and addressing staff training requirements to ensure compliance and development.
Conducted Environment of Care (EOC & EOA) risk assessments and monitoring activities to uphold ongoing compliance with center's EOC plans.
Chaired the EOC Committee, guiding its initiatives.
Established and managed process for receiving, documenting, tracking, investigating, and resolving reported violations, enhancing organizational accountability.
Supported team operations during temporary role.
Education
Master of Science - Accountancy
University of Phoenix
Phoenix, AZ
01-2020
Master of Science - Business Administration And Management
DeVry University
Miramar, FL
11-2010
Bachelor of Science - Hospitality Management
Johnson & Wales University
North Miami, Florida
01-2006
Skills
Healthcare finance and billing accuracy
Financial compliance and reporting
Regulatory compliance and knowledge
Analytical thinking and problem solving
Team coordination and collaboration
Effective communication skills
Patient advocacy and relations
Compliance management and oversight
Claims processing and administration
Leadership and team management
Process improvement and workflow organization
Risk assessment and conflict resolution
Credentialing documentation and privileging
Employee benefits management and payroll administration
Assistant Healthcare Administrator / Patient Financial Services Coordinator at Destiny Home Care LLCAssistant Healthcare Administrator / Patient Financial Services Coordinator at Destiny Home Care LLC