Talented professional, knowledgeable leader, and dedicated problem solver. Brings 17+ years of valuable expertise to forward company objectives. Attentive to detail with experience in coordinating projects, programs, and improvements.
Overview
18
18
years of professional experience
1
1
Certificate
2
2
Memberships
Work History
Paraprofessional Educator
Lake County Public Schools
12.2019 - Current
Provided support to help students with special needs learn and grow.
Assisted with classroom management and document coordination to maintain positive learning environment.
Provided support during classes, group lessons, and classroom activities.
Supported student learning objectives through personalized and small group assistance.
Documented student behaviors, interventions, and outcomes to enable lead teacher to address pertinent issues.
Project Manager
Buffalo Underground & Buffalo Concrete
07.2019 - Current
Planned, designed, and scheduled phases for large projects.
Monitored project performance to identify areas of improvement and make adjustments.
Kept detailed track of daily progress and productivity and analyzed data to identify and correct holdups.
Increased revenue by handling all operations and contractors effectively.
Reviewed project scope, required materials, and labor pricing to develop competitive bids.
Achieved maximum cost effectiveness by providing value engineering for construction means and methods.
Directed day-to-day operational aspects of project and scope and monitored progress of construction activities.
Prepared and submitted project invoices for review and approval.
Monitored project progress, identified risks, and took corrective action as needed.
Credentialing Specialist Lead
Advanced Dermatology And Cosmetic Surgery
10.2013 - 07.2019
Credentialed and re-credentialed providers in 180+ locations nationwide.
Improved office efficiency by effectively managing internal communications and correspondence.
Conducted primary source verifications such as background checks and board certifications.
Obtained NPI numbers for providers and facilities and updated existing profiles.
Vast experience with commercial managed care plans, Medicare, and Medicaid.
Knowledgeable in obtaining new contracts in multiple states.
Experienced with contract negotiations, specifically Medicaid HMO plans.
Conducted DEA registrations and renewals.
Created and maintained supervision relationship between physician assistants and physicians.
Managed Care Specialist
Urology Consultants
11.2010 - 10.2013
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Organized and maintained patient chart filing system to promote quick data finding for staff.
Achieved insurance pre-authorizations to enable timely patient procedures.
Prepared and processed patient referrals and transfer requests.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Established and maintained relationships with insurance providers for productive communications.
Complied with HIPAA guidelines and regulations for confidential patient data.
Accounts Receivable and Payable Specialist
Healthcare Administrative Partners
02.2006 - 09.2010
Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
Developed and maintained positive relationships with clients to maximize collections.
Monitored accounts to verify compliance with payment terms and schedules.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Communicated with insurance companies to research and resolved coding discrepancies.
Managed collections and follow-up on past-due accounts to speed up payments and minimize risk.
Education
Bachelor of Science - Business Administration And Management