Accomplished Healthcare IT, Administrative Associate, Medical Billing & Implementation Specialist with a proven track record at Medical Advantage Group and United Healthcare. Experienced in software implementation, Medical Billing & Coding and Customer service.
Well versed in many systems including but not limited to: Paycom, eCW, Experity, Birdview, Oracle, Iris, Microsoft office, Teams, and several medical billing systems.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Healthcare IT & Implementation Specialist
Medical Advantage Group
08.2022 - 01.2024
Managed multiple implementation projects concurrently, maintaining strict deadlines without compromising quality or scope.
Developed strong relationships with clients, fostering trust and confidence in the implementation process.
Delivered exceptionally high level of professionalism and support to each client, upholding company's commitment to service.
Maintained up-to-date knowledge of industry trends and best practices in order to provide the most relevant solutions for clients'' businesses.
Provided ongoing support to clients post-implementation, addressing any concerns or issues promptly and professionally.
Enhanced customer satisfaction with timely resolution of issues during project implementations.
Configured, installed and handled troubleshooting tasks for variety of different applications.
Focused solutions on industry-specific workflow, client base and protocols, tailoring implementations to client needs.
Served as a subject matter expert for both internal teams and clients during the implementation process, providing guidance and clarification when needed.
Evaluated third-party vendors for compatibility with existing systems during integration planning phases.
Coordinated Travel for myself and various other employees throughout the company including car rentals, Hotel accomodations, and time sensitive arrangements.
Monitored system performance to identify potential issues.
Created user accounts and assigned permissions.
Installed, configured and maintained computer systems and network connections.
Maintained servers and systems to keep networks fully operational during peak periods.
Broke down and evaluated user problems, using test scripts, personal expertise, and probing questions.
Medical Billing Specialist
United Health Group, Optum
08.2015 - 08.2022
Communicated with insurance providers to resolve denied claims and resubmitted.
Posted and adjusted payments from insurance companies.
Communicated effectively and extensively with other departments to resolve claims issues.
Located errors and promptly refiled rejected claims.
Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Precisely completed appropriate claims paperwork, documentation and system entry.
Precisely evaluated and verified benefits and eligibility for Various Insurance agencies.
Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
Filed and updated patient information and medical records for Medicare Claims and Transplant Patients.
Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Prepared billing statements for patients and verified correct diagnostic coding.
Enhanced interdepartmental communication by serving as a liaison between the billing department and clinical staff regarding Medicare-related issues.
Reduced claim denials by meticulously reviewing and correcting billing data prior to submission.
Assisted in maintaining HIPAA compliance, safeguarding patient information during the billing process.
Trained new staff members on Medicare billing procedures and best practices, improving team efficiency.
Posted payments and collections on regular basis.
Assisted pharmacist by correctly billing prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.
Monitored and reported trainee progress, introducing new learning tools to address individual needs.
Scheduled and taught in class and online courses to increase learning opportunities.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Updated account information to maintain customer records.
Assisted customers in navigating company website and placing online orders, improving overall user experience.
Assistant Director of Education
KinderCare Learning Centers
03.2011 - 07.2015
Promoted a positive school culture by advocating for inclusivity, diversity, and equity in all aspects of the educational environment.
Increased parental involvement in educational activities by creating engaging programs, workshops, and events.
Recruited, trained and mentored faculty and staff in best practices for instruction.
Enhanced curriculum development by incorporating innovative teaching strategies and diverse learning techniques.
Observed teachers and students in classrooms to gather data and improve instruction.
Worked closely with management to provide effective assistance for specific aspects of business operations.
Oversaw purchasing and organization of classroom materials, food inventory and off site field trips
Increased student engagement by incorporating real-life examples and hands-on activities in lesson plans.
Handled weekly student tuition Payments and communicated with Families in an effective and empathetic manner.
Coordinated field trips along with off-campus activities that promote experiential learning opportunities outside the classroom setting.
Established team priorities, maintained schedules and monitored performance.
Maintained professional demeanor by staying calm when addressing unhappy or angry Parents/Guardians.
Entrusted by families with Infants ages 6 weeks and up.
Maintained proper classroom ratios and teaching certifications required by the State of Kansas.
Assisted New Families with Tours of the Center, answering questions effectively and promoting a positive experience for staff and families.
Maintained First aid and CPR requirements.
Opening and closing of the Center along with being "on call".
Education
Associate of Arts - Business Administration
Johnson County Community College
Overland Park, KS
05.2001
Skills
Team Leadership
Customer Relations
Employee Scheduling
Staff training/development
Hiring and Onboarding
Performance Improvement
Performance Evaluations
Patient Billing
CPT Knowledge
Administrative Support
Certification
Director's Certificate of Early Childhood Education