Billing professional with proven track record in financial management and billing accuracy. Known for improving billing procedures and resolving discrepancies efficiently. Reliable team collaborator focused on achieving results and adapting to changing needs, with keen eye for detail and problem-solving skills, post billing of EoBs and other recorded receipts.
Overview
22
22
years of professional experience
Work History
Billing Specialist
Northern Lighthouse, Inc
Presque Isle, ME
08.2018 - 07.2026
Managed end-to-end insurance billing processes, ensuring accuracy and compliance with regulations.
Secured timely payments, following up on outstanding claims with insurance companies.
Processed Mainecare claims with attention to detail, ensuring compliance with regulations and reducing discrepancies through the PIMSY program and MIMHS Portal.
Assisted colleagues during peak workload periods, demonstrating strong teamwork and commitment to overall departmental success.
Monitored, downloaded, created and input authorizations for services through the Accentra program required by Mainecare for approval of services.
Children's Targeted Case Manager
Northern Lighthouse, Inc.
Mars Hill, ME
01.2013 - 07.2018
Coordinated individualized service plans for children with diverse needs.
Facilitated communication between families and service providers, ensuring seamless coordination of comprehensive care.
Conducted assessments to identify strengths and needs for improvement in child development.
Offered ongoing support to families through regular check-ins, addressing concerns and celebrating successes together.
Developed and implemented strategies to improve children's access to essential community resources, fostering better support for families.
Monitored progress towards goals, adjusting plans as necessary for optimal outcomes.
Educated families on available services, fostering informed decision-making regarding care options.
Identified service gaps and advocated for new programs, enhancing resource availability to meet diverse client needs.
Assistant Group Home Manager
UCP of Maine
Bangor, ME
03.2004 - 02.2010
Coordinated client care plans, fostering individualized support for residents' needs and preferences.
Supported staff training and development initiatives, contributing to enhanced service delivery and team cohesion.
Assisted in staff training and development to enhance team performance and service delivery.
Monitored resident progress and provided actionable feedback to management, improving care strategies and resident outcomes.
Facilitated communication among families, staff, and external agencies, ensuring coordinated and comprehensive support for residents.
Supported daily operations, ensuring compliance with state regulations and quality standards.
Coordinated community outings for residents, enriching their lives with socialization opportunities outside the group home setting.
Billing Specialist at Clinical Administrative Solutions / Whole Mind PsychiatryBilling Specialist at Clinical Administrative Solutions / Whole Mind Psychiatry