Dedicated professional with expertise in claims management and client relations. Proven ability to drive process improvement initiatives and resolve discrepancies, ensuring timely reimbursements and enhanced client satisfaction. Expertise in ensuring compliance and fostering collaboration across teams to enhance operational efficiency and accuracy.
Work History
Revenue Cycle Specialist
1 Year 6 Months
Kai Shin / Sasake Medical Clinic | 10.2024 - 04.2026
Processed patient claims accurately and efficiently to ensure timely reimbursement.
Reviewed insurance eligibility and benefits verification for optimal revenue cycle management.
Collaborated with healthcare providers to resolve billing discrepancies and improve accuracy.
Analyzed payment trends to identify areas for process improvement and efficiency gains.
Utilization Review and Quality Assurance Specialis
3 Years
Kai Shin Clinic | 04.2023 - 04.2026
Conducted thorough inspections to ensure compliance with quality standards and regulations.
Developed and implemented quality assurance protocols, enhancing overall operational efficiency.
Collaborated with cross-functional teams to identify process improvements and streamline workflows.
Analyzed product defects and initiated corrective actions to prevent recurrence.
Account Manager, Prferred Accounts
11 Years 3 Months
NuWay Alliance | 01.2012 - 04.2023
Managed cross-functional teams to enhance client satisfaction and streamline communication processes.
Developed tailored account strategies to align with client goals and drive long-term partnerships.
Analyzed market trends to identify growth opportunities and inform strategic decision-making for key accounts.
Led contract negotiations, ensuring favorable terms while maintaining strong client relationships.
Education
Information Processing Specialist Program
WI Indianhead Technical College | Rice Lake | 05-1998
Skills
Claims review
Professionalism and ethics
Insurance verification
Paperwork management
Timeline
Revenue Cycle Specialist
Kai Shin / Sasake Medical Clinic
10.2024 - 04.2026Read More
Utilization Review and Quality Assurance Specialis