Farrah Mitchell
Charlotte,NC
Summary
Experienced Office Manager with excellent client and project management skills. Action-oriented with strong ability to communicate effectively with technology, executive, and business audiences. Performance-driven professional with a solid background in Medical Claims processing, Customer Service, Data Entry, and administrative support. Known for optimizing processes and implementing efficient solutions, I've successfully resolved customer inquiries, improved data accuracy, and spearheaded organizational revamps. Proactive and detail oriented, I bring a track record of driving positive outcomes in fast paced environments. Positive, upbeat, and dependable team player with an analytical, resourceful, and adaptable approach to solving routine and complex problems. Looking for a challenging new role with the opportunity to make a lasting impact.
Overview
5
5
years of professional experience
Work History
Office Manager/Accounts Receivable
Riverview Medical Center
01.2024 - Current
- Maintained 96% quality, 91% resolution rate and 4.8 CSAT in a high volume PBM call center environment.
- Resolved complex pharmacy claims, including prior authorizations and claim rejections, improving resolution rates to 92%
- Provided excellent communication to disseminate information throughout the organization.
- Used CRM tools (Salesforce, Zendesk), conflict resolution, multitasking, and empathetic communication.
- Proactive Healthcare and Guidance Data Integrity and Reconsolidation
- Resolved complex customer issues, reducing supervisory escalations by 20%
- Discrepancy Resolution, Guided members through app registration, navigation, and troubleshooting while managing 3+ systems simultaneously
- Case Load Management, prevented scheduling errors by demonstrating strong attention to detail while managing daily.
- Complex Problem Solving and Medical Claims Processing
- Medical collections with Epic Resolute Process Medicare and Medicaid claims, management team daily cash flow meetings, process time corrections, etc.
- Take inbound calls for Anthem Blue Cross Assist customers with billing issues Medicaid and Medicare payer knowledge Help explain and process claims
- Managed daily bookkeeping functions with attention to accounts receivable, accounts payable, banking reconciliation, and disbursements.
- Verified items billed against items received and followed up with vendors and employees to reconcile Variances.
- Experienced with Medicare Billing and UB04. Created spreadsheets, Pivot tables, V Lookup tables, and professional presentations on PowerPoint
- Processed Payroll and Benefits, filed all HR documents, and be up to date with HR rules and regulations. Google Suite, MS Teams
Office Manager/Accounts Receivable
Riverview Medical Center
01.2024 - Current
- Maintained 96% quality, 91% resolution rate and 4.8 CSAT in a high volume PBM call center environment.
- Resolved complex pharmacy claims, including prior authorizations and claim rejections, improving resolution rates to 92%
- Provided excellent communication to disseminate information throughout the organization.
- Used CRM tools (Salesforce, Zendesk), conflict resolution, multitasking, and empathetic communication.
- Proactive Healthcare and Guidance Data Integrity and Reconsolidation
- Resolved complex customer issues, reducing supervisory escalations by 20%
- Discrepancy Resolution, Guided members through app registration, navigation, and troubleshooting while managing 3+ systems simultaneously
- Case Load Management, prevented scheduling errors by demonstrating strong attention to detail while managing daily.
- Complex Problem Solving and Medical Claims Processing
- Medical collections with Epic Resolute Process Medicare and Medicaid claims, management team daily cash flow meetings, process time corrections, etc.
- Take inbound calls for Anthem Blue Cross Assist customers with billing issues Medicaid and Medicare payer knowledge Help explain and process claims
- Managed daily bookkeeping functions with attention to accounts receivable, accounts payable, banking reconciliation, and disbursements.
- Verified items billed against items received and followed up with vendors and employees to reconcile Variances.
- Experienced with Medicare Billing and UB04. Created spreadsheets, Pivot tables, V Lookup tables, and professional presentations on PowerPoint
- Processed Payroll and Benefits, filed all HR documents, and be up to date with HR rules and regulations. Google Suite, MS Teams
Claims Manager/Short Term Disability Medical Claims
Benefit Focus
02.2021 - 12.2023
- Analyzed and reviewed accounts receivable according to department guidelines collection of aging accounts over 120 days
- Epic, Kareo, ClaimCenter, Facets, and MS Office Suite (especially Excel).
- Knowledgeable of ICD-10, CPT, HCPCS coding, and familiarity with Medicare/Medicaid, Tricare, HMO/PPO, and Workers' Compensation guidelines.
- Completed statement and account reconciliations and tracked down all discrepancies
- Reduced financial discrepancies, ensuring on-time, accurate deposit balances, incoming checks, available revenues and receipts for investment processes.
- Scheduling for Radiology and Surgery Insurance follow up timely filing claims using EPIC system
- Benefit Verification for Specialist Office Visits Participate in strategic planning to develop the goals and objectives of the hospital
- Scanning documents into electronic medical record and providing other related medical record functions for daily visits and dictation transfer.
Claims Manager/Short Term Disability Medical Claims
Benefit Focus
02.2021 - 12.2023
- Analyzed and reviewed accounts receivable according to department guidelines collection of aging accounts over 120 days
- Epic, Kareo, ClaimCenter, Facets, and MS Office Suite (especially Excel).
- Knowledgeable of ICD-10, CPT, HCPCS coding, and familiarity with Medicare/Medicaid, Tricare, HMO/PPO, and Workers' Compensation guidelines.
- Completed statement and account reconciliations and tracked down all discrepancies
- Reduced financial discrepancies, ensuring on-time, accurate deposit balances, incoming checks, available revenues and receipts for investment processes.
- Scheduling for Radiology and Surgery Insurance follow up timely filing claims using EPIC system
- Benefit Verification for Specialist Office Visits Participate in strategic planning to develop the goals and objectives of the hospital
- Scanning documents into electronic medical record and providing other related medical record functions for daily visits and dictation transfer.
Education
BA - Business Administration
Seton Hall University
Skills
Medical Claims processing
Customer Service
Data Entry
Microsoft Office Specialist Certifications
Accounting procedures
Payroll
Claim and records management
Google Suite
MS Teams
Office Coordinator
Timeline
Office Manager/Accounts Receivable
Riverview Medical Center
01.2024 - Current
Office Manager/Accounts Receivable
Riverview Medical Center
01.2024 - Current
Claims Manager/Short Term Disability Medical Claims
Benefit Focus
02.2021 - 12.2023
Claims Manager/Short Term Disability Medical Claims
Benefit Focus
02.2021 - 12.2023
BA - Business Administration
Seton Hall University
Personal Information
Title: Office Manager