HEIROSHNY DISON
Summary
Results-driven and detail-oriented professional with years of experience in the healthcare industry, a proven track record of meeting and exceeding quality and productivity goals. Adapt at independently researching and navigating various documents and databases to process claims accurately, ensuring compliance with established guidelines. Skilled in using claims management software and systems to streamline processes and improve efficiency.
Overview
15
15
years of professional experience
Work History
EXECUTIVE OFFICE MANAGER
Ronald Davis Law Firm, PLLC
04.2019 - Current
- Oversee office operations, ensuring efficiency and effectiveness
- Handle payments, manage bills, and reconcile daily transactions
- Execute employment agreements and oversee payroll accuracy
- Supervise and evaluate non-attorney staff, offering feedback
- Prepare legal documents under attorney supervision
- Manage accounts, achieving 85% on-time payment rate
- Streamline law office operations, manage finances, and oversee staff, while preparing legal documents and maintaining high on-time payment rates
INSIDE SALES
Performance Food Service
08.2017 - 04.2019
- Developed sales strategies increasing revenue, identified new clients, maintained strong relationships
- Achieved top 5% sales ranking, upsold specialty items, exceeded sales targets
- Utilized SAP for trend monitoring, managed pricing, maintained prospect databases
PATIENT CARE COORDINATOR
Golden Alignment
09.2013 - 08.2017
- Conducted proactive outreach to members via phone and home visits to discuss care plans, service plans, and next steps, ensuring alignment with individual needs and available resources
- Collaborated with care managers, providers, and community organizations to ensure the seamless delivery of services, including making referrals for additional support when needed
- Acted as a liaison between members, healthcare providers, and community partners to ensure continuity of care and address concerns related to care plans
- Documented and maintained accurate member records, ensuring compliance with state and regulatory requirements, and facilitated the distribution of records to appropriate providers
- Performed member assessments to evaluate care needs, providing timely support and coordinating with relevant teams to implement changes in care plans
BENEFIT CLAIMS SPECIALIST
Pinnacle Business Solutions
02.2010 - 08.2013
- Processed claims efficiently, boosting reimbursement rates and accuracy
- Collaborated to resolve claim issues, enhancing satisfaction for providers and patients
- Reviewed and appealed denials, showcasing strong analytical skills and recovering funds
- Utilized claims tracking software, ensuring compliance and processing efficiency
- Supported physicians with coding, maintaining precise audit-ready documentation
Education
Diploma -
Little Rock Central High School
Associate of Science -
University of Arkansas at Little Rock
Skills
- Insurance Claims Processing
- Medical Code Validation
- Customer Service
- Detailed-Oriented
- Compliance Management
- Claims Settlement
- Claims Auditing
- Microsoft Excel
- CRM Systems
- Analytical Thinking
- Claims Investigation
- Negotiation Skills
- Database Navigation
- Risk Assessment
- Policy/Procedure/Adherence
- Conflict Resolution
- Regulatory Compliance
- Claims Management Systems
- Data Entry
- Attention to Detail
- Care Coordination
Affiliations
Timeline
EXECUTIVE OFFICE MANAGER
Ronald Davis Law Firm, PLLC
04.2019 - Current
INSIDE SALES
Performance Food Service
08.2017 - 04.2019
PATIENT CARE COORDINATOR
Golden Alignment
09.2013 - 08.2017
BENEFIT CLAIMS SPECIALIST
Pinnacle Business Solutions
02.2010 - 08.2013
Diploma -
Little Rock Central High School
Associate of Science -
University of Arkansas at Little Rock
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