Talented professional considered knowledgeable leader and dedicated problem solver. Brings 6 years of valuable expertise to forward company objectives. Attentive to detail with experience in coordinating projects, programs and improvements.
Overview
14
14
years of professional experience
Work History
Project Manager
United Health Care
05.2022 - Current
Planned, designed, and scheduled phases for large projects.
Monitored project performance to identify areas of improvement and make adjustments.
Coordinated with cross-functional teams to resolve project issues and mitigate risks.
Achieved project deadlines by coordinating with SME's and Project Champions.
Sr. Enrollment & Eligibility Rep/Team Lead
United Health Care
08.2020 - 05.2022
Coached team members in techniques necessary to complete job tasks.
Worked different stations to provide optimal coverage and meet production goals.
Trained new team members by relaying information on company procedures.
Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.
Medical Biller
UnitedHealth Group
02.2017 - Current
Update internal billing systems in order to resolve accounts
File HCFA 1500 claims to(Primary/Secondary) insurance companies and
discount programs for reimbursement
Process and post EOBs from carriers that were not originally applied to
invoices accurately
Provide information to clients/patient regarding Medicare Limited Coverage/
National Coverage Determination.
Acosta, Claims Specialist
Sales & Marketing
06.2012 - 01.2017
Clear all valid claims according to client guidelines in various methods and
systems
Completed daily logs into MS Access databases to update patient accounts
Updated internal billings systems in order to resolve accounts
Including
patient and client issues
File claims to Manufacturers and discount programs for reimbursement.
Manager
Verizon
03.2010 - 02.2012
Medical Coding Medical claims
Medicare Medicaid
Customer service Microsoft office
Develop new and existing customer accounts and services
Handle service inquiries from customers by providing efficient and
courteous customer service
Managed daily/weekly inventory control over all store products and
transactions
Supervised training for new hire employees in order to meet expectations
Maintain knowledge of up-and-coming technologies and trends.
Education
Courses in Business Administration - Business Administration
Southeast Community College
Tampa, Fl
05.2021
Paducah Tilghman High School
Paducah, Ky
05.2001
Skills
Extensive Knowledge with Level Funded
Project Management
Work Flow Planning
SOP Building
Eligibility
SamX, Cirrus, Safes, and other Proprietary Systems
Timeline
Project Manager
United Health Care
05.2022 - Current
Sr. Enrollment & Eligibility Rep/Team Lead
United Health Care
08.2020 - 05.2022
Medical Biller
UnitedHealth Group
02.2017 - Current
Acosta, Claims Specialist
Sales & Marketing
06.2012 - 01.2017
Manager
Verizon
03.2010 - 02.2012
Courses in Business Administration - Business Administration