Geralyn Everette
Jacksonville,NC
Summary
Results-driven Compassionate Care Manager with a focus on high productivity and efficient task execution. Demonstrates expertise in patient advocacy, care coordination, and resource management. Strong communication and problem-solving skills foster exceptional care delivery and enhance client satisfaction. Committed to advancing patient-centered care initiatives.
Overview
19
19
years of professional experience
Work History
Care Manager
AllCare Plus Pharmacy
10.2022 - Current
- Perform outbound calls to obtain appropriate information and document accurately
- Responsible for answering in-bound calls and assisting customers with pharmacy related services
- Maintain strict professionalism in all communication methods while providing efficient, courteous, and friendly service
- Contact insurance companies for benefit investigation and coverage eligibility
- Provide prior authorizations and appeals support
- Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs
- Update job knowledge by participating in educational opportunities and training activities. Work efficiently both individually and within a team to accomplish required tasks
- Maintain and improve quality results by adhering to standards and guidelines by meeting quality standards set forth by program KPI’s
- Report ADE’s according to program policy and guidelines Adhere to all HIPAA guidelines May assist with onboarding new employee
- Work with Management to help and assist with the training of New Hires
Processing Specialist-Part Time
Inform Data
11.2021 - 10.2022
- Perform National and Local background screening
- Process and complete records searches
- Enter results from background screenings and case information into CMS
- Cross trained on different teams and helped when needed
Patient Access Representative
Lash Group
Fort Mill, SC
10.2018 - 10.2021
- Verifying patient insurance benefit information
- Prior authorization assistance and tracking
- Advanced alternate coverage research and reporting adverse events as directed
- Works on problems of moderate scope where analysis of data requires a review of a variety of factors
Cash Applications Analyst
American Tower via Vaco Financial
Cary, NC
04.2017 - 04.2018
- Work Global/National Accounts
- Correct misapplied payments
- Submit corrections to billing via Sharepoint
- Process customer payments (coding and entering) daily in Great Plains
- Contributed to the Collections' teams in researching unapplied cash and customer pay histories in CMS
- Reduced the unallocated payments
- Complete all cash transfer requests as initiated by the Collections' and Billings' teams
- Make Customer Service Calls for inquiries of unidentified payments and respond to customer inquiries/requests
- Improved maintaining customer data in Excel
- Assist with delegation of daily work load
- Streamlined the coordinating and training of new hires
Senior Accounts Receivable Specialist
Silver Linings
Cary, NC
09.2015 - 04.2017
- Verify and enter patient insurance and cost share using the practice management coding and billing system
- Claims processing, Re-processing and Follow-up
- Patient collections
- Processing and clean-up of denied claims, credit balances, and contractual write-offs
- Payroll assistance
- Cash receipts posting
Accounts Receivable Specialist/Billing
Easter Seals UCP
Raleigh, NC
04.2015 - 08.2015
- Post client services payments using the Evolv and Great Plains Databases
- Post client services denials, research reasons for denials and appropriate denial code
- Create and enter manual accruals
- Bill services when needed
- Research any missing payments and request information from the agencies
- Research and post any aging payments from prior Fiscal Years
- Worked write off reports
Senior Account Specialist
Saguaro Management & Accounting Services
Raleigh, NC
07.2006 - 04.2015
- Record client payments in appropriate accounts
- Identify and resolve payment discrepancies
- Answer client inquiries as needed
- Resolve customer complaints
- Issue receipts and refunds
- Compute and print bills via billing system
- Journal entry into company Accounting Software
- Read and interpret EOB's
- Successfully Completed Monthly & Weekly Reporting
- Helped with training of New Hires
Education
Associate in Arts (AA) - Accounting
Raleigh, NC01.2012
Skills
- Microsoft
- Claims/billing
- Payment posting
- Follow up/collections
- Quality improvement
- Medical Records
- Account Reconciliation
- Accounts Receivable
- General Ledger Reconciliation
- Salesforce
- Accounting software
- Resource utilization
References
References available upon request.
Timeline
Care Manager
AllCare Plus Pharmacy
10.2022 - Current
Processing Specialist-Part Time
Inform Data
11.2021 - 10.2022
Patient Access Representative
Lash Group
10.2018 - 10.2021
Cash Applications Analyst
American Tower via Vaco Financial
04.2017 - 04.2018
Senior Accounts Receivable Specialist
Silver Linings
09.2015 - 04.2017
Accounts Receivable Specialist/Billing
Easter Seals UCP
04.2015 - 08.2015
Senior Account Specialist
Saguaro Management & Accounting Services
07.2006 - 04.2015
Associate in Arts (AA) - Accounting
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