Heather Brown
Charlestown,IN
Summary
Detail-oriented Office Manager with excellent clerical and team support skills. Successful at satisfying customer needs while tackling daily office priorities. With 3 1/2 years of experience in supporting day-to-day operational functions to provide smooth-running private practice. Highly dependable, ethical and reliable. Crucial assistance to office staff and customers with eagerness and attentiveness.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Claims Processing Representative 2
Humana
Louisville, Kentucky
01.2023 - Current
- Works independently and with minimal direction
- Determines to redirect, deny, or pay claims following organizational policies and procedures.
- Focus on interpretation of area/department policy and methods for completing assignments
- Work within defined parameters to identify work expectations and quality standards
- Follow standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion
- Collaboration with peers and team leads for resolution on more complex claims
Office Manager
Northeastern Professional Counseling, PC
Elizabeth City, NC
08.2019 - Current
- Works independently to maintain standard operating procedures
- Coordinates patients appointments/care
- Maintain the therapists' calendars
- In charge of office correspondence
- Maintain confidential medical records
- Responsible for coding patient diagnoses and billing insurance claims
- Track payments and monitor patient's accounts
- Managed office inventory and placed new supply orders.
- Elevated customer satisfaction ratings by resolving client and case issues effectively.
- Oversaw day-to-day office operations, including receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
- Handled scheduling and managed timely and effective allocation of resources and calendars.
Founder
Heather Marie Health And Wellness Coaching
Elizabeth City, NC
01.2018 - Current
- Run an online coaching membership program for women to achieve overall health and well-being
- Encourage and motivate my clients to take their health into their own hands by giving them strategies that work for their specific needs and lifestyle
- Created wellness programs and guidelines for clients to utilize for their personalized wellness plan
- Designed my program modules using a multi-dimensional approach to wellness (physical, nutritional, spiritual, emotional, social, etc.)
- Collaborate with clients to make positive and lasting changes to their total well-being using a holistic approach
- Work with clients via in person/office, telephone, video chat, email, and social media
- Utilize food plan/recipe and membership digital applications to accommodate clients
- Coach adolescent girls as a group, via secure digital platform, who struggle with body image issues, weight, bullying, etc
- Designed my business website
Youth Mentor (Coach) And Assistant
Kids Rank (Non-profit For Military Children)
Highland Park, IL
08.2013 - 12.2017
- Spoke with military children, sharing positive life experiences to encourage improved self-esteem and boost socialization
- Recommended coping mechanisms and offered guidance to military children dealing with intense transitions that military life brings
- Created and participated several community outreach projects for the military children
- Responsible for social media promotion and communicating to the parents of military children
- Organized events for military families
- Solicited contributions and participation from local businesses to promote and improve community events and activities for our non-profit organization
Beneficiary Service Representative
Humana Military (Tricare)
Louisville, Kentucky
05.2000 - 04.2002
- Answered multi-line phones in a courteous and timely professional manner to assist the beneficiaries with any problem or concern they had
- Responded to beneficiary needs concerning enrollment, ID cards, eligibility, and general benefit information
- Maintained current working knowledge of the coverage benefits and administrative regulations and policies of the Tricare Senior Programs
- Shared responsibility in cross-training newer employees for the Tricare Prime (Senior) program (retirees over the age of 65)
- Took pride in my work and was always willing to further educate myself to benefit the needs of the company and my department
Healthcare Scheduler
Naval Hospital Beaufort (Humana Military/Tricare)
Beaufort, SC
10.1997 - 11.1999
- Verified patient eligibility in DEERS (DOD system) and enrollment in Champus
- Provided immediate and courteous attention to beneficiary needs in a professional manner by adding a personal touch and creating a positive experience
- Responded to beneficiary telephone appointment needs by scheduling within prescribed standards for timeless and quality of service
- Maintained current working knowledge of the coverage benefits and administrative regulations and policies of the Champus and Tricare programs
- Worked in close cooperation with counselors in the Tricare Service Center
- Assisted on-call nurse with triaging patients for their appointment needs
Education
Some College (No Degree) - Healthy Lifestyles Coaching
Arizona State University
Tempe, AZCertified Transformational Nutrition Coach - Nutrition Coaching
The Institute of Transformational Nutrition
2019
Associate of Applied Science - Health Education And Promotion
College of Lake County
Grayslake, IL05.2017
Skills
- Typing (80 wpm)
- Medical Terminology
- ICD coding knowledge
- Quick and avid learner
- Detail orientated and organized
- Empathetic and compassionate
- Active listener
- Energetic team player
- Medical triage experience
- Data entry
- Customer relations
- Billing
- Scheduling and calendar management
- Invoicing and billing
- Microsoft Office
- CAS/MACESS
- CIS PRO
- CIS
Certification
- National Board Certified Health and Wellness Coach (NBC-HWC) ICHWC
- Certified Wellness Coach (College of Lake County)
- Certified Personal Trainer (College of Lake County)
- Consumer Wellness Advocate Certification (College of Lake County)
Websites
Timeline
Claims Processing Representative 2
Humana
01.2023 - Current
Office Manager
Northeastern Professional Counseling, PC
08.2019 - Current
Founder
Heather Marie Health And Wellness Coaching
01.2018 - Current
Youth Mentor (Coach) And Assistant
Kids Rank (Non-profit For Military Children)
08.2013 - 12.2017
Beneficiary Service Representative
Humana Military (Tricare)
05.2000 - 04.2002
Healthcare Scheduler
Naval Hospital Beaufort (Humana Military/Tricare)
10.1997 - 11.1999
Some College (No Degree) - Healthy Lifestyles Coaching
Arizona State University
Certified Transformational Nutrition Coach - Nutrition Coaching
The Institute of Transformational Nutrition
Associate of Applied Science - Health Education And Promotion
College of Lake County
- National Board Certified Health and Wellness Coach (NBC-HWC) ICHWC
- Certified Wellness Coach (College of Lake County)
- Certified Personal Trainer (College of Lake County)
- Consumer Wellness Advocate Certification (College of Lake County)
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