Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Public Health Administrative and Financial Consultant
Department of Health and Human Services
01.2021 - Current
Administrative and Financial consultant to local health department (LHD) directors, finance officers, and billing/clerical staff; council and provide assistance with billing and revenue collections, expenditure reporting and utilization of state and federal appropriated funds; monitoring local health departments to assure compliance in relation to state and federal financial reporting and programmatic requirements; provide guidance and recommendations in areas of fiscal, budgetary, and accounting methods; interpretation and guidance of state and federal rules and regulations pertaining to local health departments; provide guidance and recommendations in utilization of the Aid to County (ATC) database system, health department staff time documentation, local accounts receivable system, medical and billing records; provide guidance with organization and re-organization of agency personnel; fiscal and administrative liaison between health department director, fiscal officer and Division of Public Health (DPH) branch managers, section chiefs, and program supervisors; served as liaison between local agencies billing personnel and DPH/Department of Health Benefits (DHB) sections in developing resolutions to billing issues; provide guidance on Medicaid Transformation prepaid health plans and tailored plans relations and issues; identified and developed recommended and/or required trainings for virtual or in-service presentations for local and state public health personnel; provide technical assistance to the branch team and local agencies; assisted in special assigned projects involving clinical billing and coding guidance; researched and trialed vendors for professional personal use and team use of manuals/e-books; knowledge of travel forms and logs; developed team monthly reporting logs; served as team lead to report directly to interim supervisor; interim assigned lead to complete NCDIT Invoices in regards to the section; compile and develop quarterly newsletter to distribute to local agencies;; volunteered as team lead in special assigned team projects; assisted with SWAT trainings and goal development for use within the local agency; monitoring and compiled NC Medicaid bulletins, blogs, and fact sheets to distribute within the team and local agencies; team lead liaison for local health department fee schedule issues
Assisted with deployment needs during special circumstances: Deployed to assist with opening and assigned to FEMA site in Greensboro, NC; Assisted the Operations Manager, FEMA, US Military Branches, NC Emergency Management, and Department of Public Safety during mass Covid- 9 vaccination clinic.
Built strong relationships with LHD staff through consistent communication and exceptional customer service.
Provided ongoing support to LHD billing staff experiencing financial challenges, offering guidance on claim denial resolutions.
Reviewed existing LHD policies, identifying opportunities for development, best practice and compliance with state and federal program guidelines.
Led trainings on health department finance topics to LHD staff about importance of program rules and funding regulation, providing education on financial topics and best practices.
Collaborated with team members to develop strategies for optimizing team reports and documents to provide billing guidance and interpretation on LHD services.
Collaborated closely with other program consultants to ensure full compliance with all applicable laws governing state and federal program guidelines.
Analyzed health department needs and assisted with development of tailored strategies to meet goals.
Accounting Clerk IV
Randolph County Public Health
01.2017 - 01.2021
Billing Administrator: Oversight and Lead for Medical and Dental Billing and Claims Department for local health department.
Certified Medical Coder
Payment processing and reconciliation of patient accounts; completion of patient check-out process; Local Health Department (LHD) CureMD software superuser; LHD Eaglesoft Dental software administrator; LHD NCTracks Administrator; LHD NCID and NCIR administrator; delinquent accounts and Debt Set-off upload and processor; create and maintain clinic schedules/calendars; managed patient accounts receivable; create, upload and processed reports for accounts write-off; LHD NC HealthConnex administrator; created and upload of state service and client reporting (LHD- HSA monthly processing); assist with Health Department Clinic Fees setting; maintanined up-to-date on provider exclusions monthly reports; managed LHD and LHD providers' profile for Provider Data Portal (CAQH); organized Quest Diagnostics contract billing; assisted with off-site clinics (TB, Immunizations, flu, Covid-19, etc.); interpretation of Medicaid Bulletins and Clinical Coverage Policies, Interpretation of Billing and Coding Guidance, Interpretation of CureMD system updates; review and submit Insurance/Medicaid claims, Review self-pay billing for accuracy; Remittance Advice/ Explanation of Benefits payment posting and reconciliation; DHHS CCTO Covid-19 Portal LHD administrator; Interpretation and Translation of documents from English to Spanish; Foreign Language Interpreter and Translator as needed for fill-in for all health department programs including Environmental Health, Animal Control, and Care Management; assisted the Director of Nursing and Clinic Nursing Supervisor as needed; provided training for new employees on use of LHD software systems and job duties; credentialing and re-credentialing with Insurance Companies/Medicaid; assisted clients with completion of Medicaid Applications; developed and managed Company Billing contracts; conducted quarterly financial audits; assisted Accounting Manager with state reports and cost settlement reports.
Maintained organized filing systems for accounting records, ensuring easy access to crucial financial information when needed.
Maintained accounting records utilizing LHD EHR and EDR systems.
Input high volume of monthly invoices with consistent accuracy.
Facilitated timely month-end closing activities by completing accurate reports and account adjustments.
Provided exceptional customer service when addressing patient inquiries related to invoices, payments, or account balances.
Collaborated with staff to maintain a cohesive and supportive work environment, fostering knowledge sharing and continuous improvement efforts.
Supported audit preparations through meticulous documentation review and prompt response to auditor inquiries.
Enhanced financial reporting accuracy by conducting thorough account reconciliations and resolving discrepancies promptly.
Demonstrated adaptability by learning new software tools and accounting practices, ensuring continued professional development and growth.
Assisted in annual budget preparation, ensuring accurate data entry and analysis for informed decision making.
Handled day-to-day accounting processes to drive financial accuracy.
Generated invoices upon receipt of billing information and tracked collection progress.
Effectively communicated with clients about payment needs and kept updated, detailed and accurate ledgers.
Reconciled accounts, managed audits and updated financial records with remarkable accuracy.
Gathered, evaluated and summarized account data in detailed financial reports for presentation of Board of Health meetings.
Processing Assistant III
Randolph County Public Health
08.2012 - 01.2021
Clerical duties: registration/intake of patients, operation of main county switchboard and transferring and directing call appropriately, completed Medicaid presumptive, check-out eligibility for new maternal health patients, payment processing, interpreting for non-English speaking clients in clinical areas, assisted in development of filing system, maintained confidentiality at all times as per HIPPA, basic clerical duties, efficient appointment scheduling, assisted in completion of monthly audits, assisted with off-site clinics (TB, flu, etc.).
Provided valuable support during peak periods, assisting coworkers with their workload as needed to maintain overall team productivity levels.
Assisted with the development of new procedures aimed at simplifying the overall workflow for more efficient daily operations.
Enhanced patient satisfaction by promptly addressing inquiries and resolving issues related to document processing.
Participated in training sessions to stay updated on best practices and improvement of personal skillset.
Managed large volumes of incoming information, accurately categorizing and routing documents for further action within specified timeframes (e.g., release of information, explanation of benefits, etc)
Maintained accurate records and ensured data confidentiality through diligent file management practices.
Actively contributed ideas during team meetings, fostering a culture of continuous improvement and innovation in processing operations (e.g., intake/clinic flow).
Assisted team members in meeting deadlines, ensuring timely completion of all projects.
Developed strong working relationships with cross-functional teams, fostering a positive work environment focused on collaboration and shared success (Environmental Health and Animal Control)
Performed regular audits of processed materials, identifying areas for improvement or necessary corrections.
Foreign Language Interpreter I
Randolph County Public Health
01.2016 - 01.2017
Position reclassification to Foreign Language Interpreter; Same duties as Processing Assistant III with addition of interpreting and translating documents from English to Spanish/Spanish to English for all health department clinics including Environmental Health, Care Management, and Animal Control
Agent Staff
Katy England State Farm Insurance
06.2009 - 08.2012
Interpretation of Life, Auto and Homeowner policies.
Received and processed payments, balancing daily on bank deposit and internal reports
Interpreted for non-English speaking clients
Assisted with customer policy changes with auto, homeowners, and life insurance.
Submission of customer claims regarding auto accidents and/or homeowners inquiries; including follow-up and assistance with timely payment processing.
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