I am currently looking for a position in an environment that will utilize my exceptional leadership, communication, and customer service skills to help the company advance efficiently and productively.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Client Biller 1
PharMerica
01.2021 - 10.2023
Interpret contract documents to ensure billing is performed in compliance with contract terms
Process changes in information systems to support accurate and efficient billing processes and financial close
Facilitates and ensures accurately and timely billing
Complete interim reviews to ensure accurate charges are billed accurately
Provide customer support via phone and email
Participated in month end and audits as needed
Performed various other tasks as needed.
Senior Data Analyst
Intrado
01.2007 - 01.2020
Performs routine data entry tasks associated with 9-1-1 database maintenance in a timely manner while adhering to established departmental standards and procedures
Build and maintain appropriate data tables
Answers telephone calls and other communications daily from customers and responds to messages in a timely manner
Research and resolve all types of errors including more complex customer reported inquiries
Continuously review the effectiveness of current procedures and strive to ensure improvements are implemented
Participates in quality functions to ensure data integrity and contractual requirements are met
Provides support to co-workers; answering questions, assisting with problem resolution, ensuring issues are resolved and functions are efficiently performed in an accurate, timely, quality-oriented and professional manner while adhering to corporate and departmental procedures
Support supervisor in responding to inquiries and conducting research and analysis
Prepare reports, material and documentation as requested
Establish and maintain quality professional relationships with internal/external customers, team members and department contacts that exceed customer expectations.
Adjudicator
PharMerica
01.2002 - 01.2007
Verifies information to ensure accurate processing and resolve potential clinical and non-clinical issues for contacting payers and other outside agencies
Identified and proactively resolved denied claims prior to medication delivery, working with insurance companies, Medicaid, nursing facilities and family members to ensure minimal loss of non-reimbursed inventory
Working knowledge of multiple billing programs, such as Daytech and ITS; Insurance overrides; Customer service by answering incoming calls and following up as needed
Preparing and processing refund batches for approval
Setting and resolving action dates; Statement of charges and courtesy filing; Entering billing and collection notes; Full credit process; Changing resident’s hierarchies; Running daily reports and queries; Verifying Medicaid eligibility; Reversing of manual variances and payments; Worked cash batches; Created training sheets for new employees using several programs such as; Excel and Microsoft word; Became a small group leader per management request and took on several more tasks such as; goal setting, created , presented, and implementing monthly motivational idea for entire team, conducted team meetings, organized and helped management by creating a calendar and maintained it on a weekly basis, problem solved for entire team, and assisted team by helping other pharmacies obtain goal and preserve POS
Various other job duties.
Upfront Manager
K-Mart Corporation
01.1990 - 01.2002
Create and edit cashier and Service Desk associates’ schedule
Monitor over and shorts for the entire store
Reduce keyed entries
Order supplies for the front end
Trouble-shoot cash registers
Assist cashiers in their performance
Assist with problem solving for customers and associates
Handle refunds and exchanges
Assisted customers in specialty departments such as; Sporting Goods, Garden Shop, Electronics, and Hardware
Complete store forms
Answer multiple phone lines
Other responsibilities have included: Handled all cash office functions (including change orders and bank deposits); Filing of reports; Price list corrections; Orientation of new employees; Filling inventory for all departments; Preparing signage for upcoming ads; Stocking of merchandise; Fashion merchandising/layouts; Mixing of paint; Duplication of keys; Operating of lottery machine; Inputting of Western Union services; Various human resources duties.
Education
High School Diploma -
Boulder High
Boulder, CO
05.1992
Skills
Data entry proficiency
Billing
Conflict Management
Insurance billing procedures
Spreadsheet Management
Month-end closing procedures
HIPAA Compliance
Certification
01/01/2011, 01/01/2012, Advanced Communicator Bronze and Advanced Leader Bronze Certification, Toastmasters International
01/01/2010, 01/01/2011, Competent Communicator and Competent Leader Certification, Toastmasters International
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