Justine Wright
Albany,GA
Summary
Versatile Human Resources Specialist offers recruitment, policy development, staff training and development, complex problem resolution and office management expertise paired with outstanding multitasking and communication abilities. Commended for superior performance and consistently going above and beyond to exceed goals.
Overview
10
10
years of professional experience
Work History
Account Resolution Specialist III
Currance Inc
Irvine, CA
03.2022 - Current
- Provides three weeks of training, support, and mentorship to newly hired Account Resolution Specialist I& IIs to improve quality and productivity
- Completes weekly audits of new hire performance to ensure adherence to policies, procedures, and accuracy
- Research, analyze, reviews claim errors and rejections to make applicable corrections for at least 40 accounts daily
- Maintains and utilizes knowledge of rules and regulations relative to Healthcare Revenue Cycle administration
- Participates in, and contributes to daily shift briefings to identify opportunities for performance improvement.
Eligibility Specialist
Unum
Chattanooga, TN
06.2021 - 03.2022
- Determined eligibility and availability of leave time for each employee requesting leave for FMLA, State, and applicable corporate protections
- Performed a policy coverage searches to determine claim filing eligibility and process/triage based on standard and/or customized policy instructions
- Independently determined appropriate status of leave under FMLA and state leave regulations taking into consideration regulatory requirements, company-specific requirements.
Customer Service Representative III
PNC Bank
Pittsburgh, PA
03.2020 - 05.2021
- Provided customer service activities and initiatives for a broad range of products, services, and problem resolution that occurred across multiple channels for our customers
- Investigated and mitigated suspicious bank activity, controlled, and prevented losses related to AML/BSA
- Reviewed transactions and related documents, including collateral and construction requirements
- Performed work processes to ensure completeness, accuracy, and conformance to credit approvals, legal documents, established service levels, and applicable procedures
- Resolved escalations from tier 1 & 2 representatives
- Mentored and assisted with new hire training.
Patient Account Representative
Phoebe Putney Memorial Hospital
Albany, GA
08.2018 - 03.2020
- Processed and monitored billing and follow up of claims submitted for payment to insurance payers, governmental payers, and state agencies across multiple channels for our customers
- Maintained patient records, which included detailing patient treatments and diagnoses as well as updated payment and medical insurance information
- Identified medical coding mistakes, typing errors, as well as patient underpayments or overpayments and rectified them accordingly.
Assistant Manager
Advance America
Phenix City, AL
09.2016 - 08.2018
- Lead and assisted employees in meeting the center's performance metrics as defined by management
- Co-managed the P&L to meet all budgeted numbers and in meeting management’s expectations related to center performance
- Maintained accurate cash controls and ensured that security procedures are in line with Company and Loss Prevention (LP) Standards
- Entered customer and transaction information accurately into the point of sales system and created and maintained accurate customer files with all required documentation.
Education
Bachelor Degree - Human Resources Management
Athens State University
Athens, AL12.2023
Certificate - Human Resources Management Specialist
Albany Technical College
Albany, GA04.2023
Certification - Certified Revenue Cycle Representative
Healthcare Financial Management Association
Online01.2023
Associate of Science - Healthcare Information Technology
Ultimate Medical Academy
Clearwater, FL09.2016
Skills
- Administration and Management
- Policies Implementation
- Decision Making
- Policy and Procedure Writing
- Procedure Compliance
- Report Preparation
- New Hire Onboarding
- Performance Appraisal
- Presentation Preparation
- Performance Management
- Staff Training and Development
- Microsoft Office Suite
- Complex Problem-Solving
- Confidential Document Control
- Data Evaluation
- Customer Relations
Timeline
Account Resolution Specialist III
Currance Inc
03.2022 - Current
Eligibility Specialist
Unum
06.2021 - 03.2022
Customer Service Representative III
PNC Bank
03.2020 - 05.2021
Patient Account Representative
Phoebe Putney Memorial Hospital
08.2018 - 03.2020
Assistant Manager
Advance America
09.2016 - 08.2018
Bachelor Degree - Human Resources Management
Athens State University
Certificate - Human Resources Management Specialist
Albany Technical College
Certification - Certified Revenue Cycle Representative
Healthcare Financial Management Association
Associate of Science - Healthcare Information Technology
Ultimate Medical Academy
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