Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
25
25
years of professional experience
Work History
Property Manager
Self-employeed
Thendara, NY
01.2020 - Current
Advised owners on potential improvements or investments that could increase the value of their properties.
Inspected properties regularly to identify deficiencies and schedule repairs.
Polished furniture to remove dust and dirt buildup.
Inspected rooms for cleanliness prior to guest arrival.
Responded promptly to all customer complaints regarding cleanliness issues.
Provided assistance with laundry services when needed.
Swept and mopped floors, vacuumed carpets, and dusted surfaces.
Business Owner
Self-employeed
Inlet, NY
05.2013 - 05.2017
Established marketing strategies, such as social media campaigns, to promote the business.
Monitored cash flow to ensure proper budgeting of resources.
Ensured compliance with all local laws and regulations related to the business operations.
Reviewed financial statements on a monthly basis in order to assess financial health of the organization.
Oversaw daily operations of the business and provided guidance when needed.
Updated website content regularly according to current trends within target markets.
Kept records for production, inventory, income and expenses.
Developed business from ground up and prepared records and operations for smooth handover to new owners.
Created effective business plans to focus strategic decisions on long-term objectives.
Medical Office Assistant
Southwestern Vermont Medical Center
Bennington, Vermont
01.2003 - 03.2013
Scheduled patient appointments, answered incoming calls, and assisted with inquiries.
Collected payments from patients for services rendered.
Performed basic clerical duties such as filing documents, entering data into the computer system, photocopying forms and documents.
Provided guidance to patients regarding their care plan or treatment options.
Followed HIPAA guidelines to ensure confidentiality of patient information.
Assisted with scheduling follow-up appointments for patients after discharge from hospitalization.
Communicated effectively with other healthcare staff members regarding patient care plans.
Communicated with patients to resolve inquiries, schedule appointments and address billing questions.
Answered telephones and directed calls to appropriate medical or adminstrative staff.
Performed bookkeeping duties, preparing and sending financial statements or bills.
Credentialing Specialist
Aetna US Healthcare
Middletown, CT
07.2001 - 12.2002
Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
Maintained detailed records of provider data in the credentialing database system.
Performed initial review for new providers to determine eligibility for enrollment into the network.
Conducted background checks on potential providers utilizing various resources including state licensing boards, OIG and GSA Exclusion List, NPDB.
Processed re-credentialing applications for existing providers according to contractual requirements.
Researched discrepancies between submitted provider data and verified sources when necessary.
Confirmed facility and user credentials to initiate and maintain registration and enrollment processes.
Set up NPI numbers for providers and facilities and updated current profile information.
Performed primary source verifications such as criminal histories, licenses and board certifications.
Claims Specialist
Connecticut Valley Claims
Rocky Hill, CT
01.1999 - 06.2001
Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
Processed payments for valid claims according to established procedures.
Researched medical records to evaluate claim validity and verify the existence of pre-existing conditions.
Provided customer service by responding promptly to inquiries from claimants regarding their benefits or coverage.
Collaborated with other departments within the organization to resolve issues related to claims processing.
Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
Processed claims for payment or forwarded to appropriate personnel for further investigation
Education
Associate of Applied Science - Chemical Dependency
Mohawk Valley Community College
Utica, NY
06.2024
Skills
Maintenance Scheduling
Property Management
Database Management
Payment Collection
Administrative Support
Financial Budgeting and Reporting
Customer Service-Focused
Compliance Monitoring
Timeline
Property Manager
Self-employeed
01.2020 - Current
Business Owner
Self-employeed
05.2013 - 05.2017
Medical Office Assistant
Southwestern Vermont Medical Center
01.2003 - 03.2013
Credentialing Specialist
Aetna US Healthcare
07.2001 - 12.2002
Claims Specialist
Connecticut Valley Claims
01.1999 - 06.2001
Associate of Applied Science - Chemical Dependency