Felice Landry
Saint Petersburg,FL
Summary
Dynamic Accounts Receivable Specialist with proven expertise at Lee Senior Services, excelling in claims management and detailed financial analysis. Enhanced operational efficiency through innovative solutions and mentorship, while ensuring compliance with regulations. Adept at utilizing Microsoft Excel for data analysis and delivering exceptional customer support in fast-paced environments.
Overview
27
27
years of professional experience
Work History
Accounts Receivable Specialist
Lee Senior Services
12.2022 - 03.2025
- Utilized Electronic Health Record (EHR) software, Dr Chrono and eClinical Works (eCW) for claim submission and reconciliation to ensure timely reimbursement.
- Ensured the accuracy of patient records in internal systems by updating contact information, payment terms, and other relevant data as appropriate.
- Routinely reviewed 20-30 accounts daily to track outstanding balances and guide collection efforts based on a Net Collection Rate (NCR) .
- Monitored managed care accounts to verify compliance with payment terms and schedules.
Coordination of Benefits Specialist
RNA Partners (Recruited) Elevance Health -AnthemBC
10.2021 - 10.2022
- Responsible for managing the electronic COB process and managing communications with external payers via their websites.
- Observed strict procedures to maintain data and plan participant confidentiality.
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone and email interactions.
- Update patient data system as needed to reflect benefit-related changes accurately, maintaining up-to-date records for all members.
Senior Healthcare Consultant
Reingruber&Co./Saltmarsh,Cleavland&Gund
01.1998 - 10.2021
- Conducted quarterly onsite billing audits to ensure compliance in the healthcare sector.
- Developed customized healthcare solutions for clients related to their current practices of healthcare billing and collections resulting in enhanced operational efficiency.
- Recommended streamlined workflow processes, resulting in increased productivity, reduced operational costs, and greater reimbursement.
- Engaged in diverse portfolio of team consulting engagements, consistently delivering high-quality results under tight deadlines all while coming in under budget.
- Conducted data analysis to identify areas of improvement for multiple healthcare systems, driving positive change initiatives.
- Mentored junior team members, helping them develop essential skills required for success in the rapidly evolving healthcare industry.
- Assisted healthcare organizations with regulatory compliance, reducing potential risks and penalties.
- Created and implemented organizational policies and procedures.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage for clients during times of electronic outages or transition in personnel.
Education
High School Diploma -
Tarpon Springs High School
Tarpon Springs, FL06-1971
Skills
- Customer Support Assistance
- Microsoft Excel Proficiency
- Claims Management
- Detailed Financial Analysis
Accomplishments
- Supervised team of 20 staff members.
- Documented and resolved three year old accounts which led to 3 million dollars reimbursement.
Languages
English
Professional Working
Timeline
Accounts Receivable Specialist
Lee Senior Services
12.2022 - 03.2025
Coordination of Benefits Specialist
RNA Partners (Recruited) Elevance Health -AnthemBC
10.2021 - 10.2022
Senior Healthcare Consultant
Reingruber&Co./Saltmarsh,Cleavland&Gund
01.1998 - 10.2021
High School Diploma -
Tarpon Springs High School
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