Jesseca Lendzion
1725 Clovelly Ave
Summary
Developed robust skills in process improvement and team leadership within dynamic and fast-paced environment. Seeking to transition into new field where exceptional organizational abilities and focus on efficiency can drive success. Proven track record in fostering productivity and enhancing operational workflows.
Overview
14
14
years of professional experience
Work History
Insurance Operations Manager
Great Lakes Psychology Group
09.2020 - Current
- Led a team of 4 Provider Enrollment Specialists and 8 Insurance Verification Specialists.
- Supervised operations staff and kept employees compliant with company policies and procedures.
- Empowered employees to take ownership of their responsibilities, leading to increased accountability and improved performance outcomes.
- Conducted regular performance reviews, identifying areas for improvement and developing action plans to address them.
- Led hiring, onboarding and training of new hires to fulfill business requirements.
- Analyzed and reported on key performance metrics to senior management.
- Managed CAQH Profiles for over 1000 Providers.
- Maintained Enrollments with Aetna, BCBS, BCN, The Alliance, Carelon, Cigna, Cofinity, HAP, Humana, McLaren, Medicare, Multiplan/PHCS, Priority Health, Tricare, and UBH.
- Knowledge and Experience with Availity, Provider Express, Provider Connect, CAQH, PECOS, Prism, and Salesforce.
Insurance Verification Manager
Great Lakes Psychology Group
01.2018 - 09.2020
- Managed a team of verification specialists, providing guidance and mentorship for their professional growth.
- Identified areas for improvement within the verification process, implementing changes that led to increased accuracy and reliability.
- Maintained up-to-date knowledge of industry trends and best practices in order to optimize the verification process.
- Collaborated with cross-functional teams to ensure alignment of verification goals and objectives.
Billing Specialist
Great Lakes Psychology Group
01.2015 - 12.2017
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
Scheduling Specialist
Great Lakes Psychology Group
06.2014 - 12.2014
- Acted as first point of contact and set appointments for prospective clients.
- Provided detailed information about available services and requirements.
Business Administrator
Inner Door Center
04.2011 - 04.2014
- Contributed to economic success by participating in budgeting process.
- Reduced errors in accounting and financial reporting by modifying current processes.
- Oversaw employee onboarding processes, ensuring seamless integration into the company culture from day one.
- Processed employee expense reports quickly to prevent delays in payouts.
- Monitored executive and site schedules to coordinate meetings and corporate events.
- Developed monthly reports.
Education
No Degree - English
Oakland University
Rochester, MISkills
- Problem-solving
- Team leadership
- Operations management
- Decision-making
- Employee relations and conflict resolution
- Planning and implementation
- Staff training
- Project management
- Policies and procedures implementation
- Performance monitoring
- MS office
- Maintaining compliance
Timeline
Insurance Operations Manager
Great Lakes Psychology Group
09.2020 - Current
Insurance Verification Manager
Great Lakes Psychology Group
01.2018 - 09.2020
Billing Specialist
Great Lakes Psychology Group
01.2015 - 12.2017
Scheduling Specialist
Great Lakes Psychology Group
06.2014 - 12.2014
Business Administrator
Inner Door Center
04.2011 - 04.2014
No Degree - English
Oakland University
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