Experienced professional with strong attention to detail, critical thinking and problem resolution skills. Authorized to work in the US for any employer
Overview
1
1
Language
1
1
Certification
22
22
years of professional experience
Work History
Revenue Process Improvement Specialist
Community Hospital
05.2022 - Current
Research payer denials related to referral, pre-authorization, notifications, medical necessity, non-covered services, and
billing resulting in denials and delays in payment.
Medicare,Medicaid, and third-party guidelines , policies and procedures.
Submit retro-authorizations in accordance with payer requirements in response to authorization denials.
Identify denial patterns and escalate to management as appropriate with sufficient information for additional follow-up,
and/or root cause resolution.
Make recommendations for additions/revisions/deletions to work queues and claim edits to improve efficiency and
reduce denials.
Review payor communications, identifying risk for loss reimbursement related to medical policies and prior
authorization requirements; escalates potential issues to clinical stakeholders, managed care contracting, and Revenue
Cycle leadership as appropriate.
Identify opportunities for process improvement and actively participate in process improvement initiatives.
Paralegal
Stephen L. Laiche P.C.
07.2020 - 05.2022
Assisted with casework, took instructions, maintained up-to-date case files, and drafted legal documents to support case progression.
Implemented any recommendations made by attorney following monthly file reviews ensuring that these were dealt
with promptly
Ensured compliance with file management.
Visited inmates in jail and assisted with hearings and trials in the courtroom.
Managed outlook calendar and ensured deadlines were met.
Client Success Specialist
Picaboo Yearbooks
02.2019 - 06.2020
Facilitated onboarding process for new clients to ensure smooth integration into services.
Performed video demos and software walkthroughs via GoToMeeting
Worked closely with development team regarding bug issues, logged tickets and addressed them to development team
if needed
Managed account renewals for clients in absence of assigned Account Executive to maintain service continuity.
Processed customer account changes.
Participated in sales and tech meetings to discuss project updates.
Recorded and organized customer interactions to effectively track requests, issues, and resolutions.
Attended sales/tech meetings when needed.
Legal Assistant
Wegener Scarborough Younge & Hockensmith, LLP
01.2015 - 01.2019
Kept cases organized by establishing and organizing files; monitored file databases in case management software;
confirmed case status with attorneys.
Assisted in trial/mediation preparation, analyzed and compiled data, received, sorted and delivered incoming mail to the
correct parties. Opened/closed new matters. Drafted emails and correspondence.
Coordinated communication with courts regarding petition statuses and granted orders, ensuring accurate and timely processing.
Night Auditor
Springhill Suites by Marriott
01.2014 - 01.2015
Responded to incoming calls in a professional manner in a professional manner/making reservations; Performed check-ins and check-outs efficiently, ensuring a smooth transition for guests; posted/corrected
charges to guest accounts; balanced the revenue from all sources accurately and managed nightly hotel operations.
Reconciled nightly folios, payments, and transactions to complete accurate audit closeout.
Balanced front desk cash drawers and corrected discrepancies before morning handoff.
Processed late check-ins, early departures, and guest requests with professional service.
General Manager
Sunglass Depot
04.2012 - 11.2012
Managed daily operations efficiently. closing/opening register, closing/opening credit card machine, putting money in a safe, making
schedule, calculating employee's hours, meeting the day's sale goal, organizing new merchandise.
Directed daily store operations to maintain merchandising standards, inventory accuracy, and customer service consistency.
Led sales associates through coaching, scheduling, and performance expectations aligned with revenue goals.
Managed inventory control, replenishment, and shrink reduction across high-volume sunglasses assortments.
Sales Clerk/photographer
Old Time Photos
04.2009 - 01.2012
Welcomed customers into store; provided information about photo styles, took photos, previewed photos, printed and framed.
Assisted guests with portrait package selection and explained photography options clearly.
Processed sales transactions accurately using point-of-sale systems and cash-handling procedures.
Coordinated customer check-in, order details, and photo pickup with consistent attention.
Office Clerk
ALROSA Ltd
01.2005 - 01.2007
Processed documents using MS Word for accurate presentation. ;entered data for reports, collected and organized reports from internships,
created Excel documents; answered the telephone and represented the company in a professional and businesslike
manner.
Managed incoming and outgoing correspondence, ensuring timely document routing and tracking.
Organized filing systems for contracts, invoices, and personnel records.
Maintained accurate data entry in office databases and spreadsheets.
Education
Psychology - Bachelor's degree
Colorado Mesa University
Grand Junction, CO
01-2028
AA - International Relations
Siberian Institute of International Relations &Regional Geography
Novosibirsk, RU
05-2009
High school diploma - undefined
Mirnyy High School
Mirnyy, RU
01-2007
Skills
Claims processing
Denial management
Healthcare regulations
Appeals
Document analysis
Data analysis
Process optimization
Time management
Technical aptitude
Microsoft Office
Excel
Microsoft Word
Google Workspace
Google Docs
BQE Core Software
Sage Timeslips
CRM Software
Databases
Zendesk
DocuSign
Slack
Adobe Acrobat
Office administration
Administrative experience
Records management
Paralegal experience
Legal research
Legal drafting
Customer service
Client assistance
Customer relations
Microsoft Office
Business development
Communication skills
Attention to detail
Critical thinking
Problem solving
Outlook
Microsoft PowerPoint
Editing
GoToMeeting
IAM
Administrative experience
Sage Timeslips
Administrative experience
Microsoft PowerPoint
Denial management
Data analysis
Litigation
Process optimization
GoToMeeting
Certification
Certified Notary Public
Driver's License
Languages
Russian
Native or Bilingual
Timeline
Revenue Process Improvement Specialist
Community Hospital
05.2022 - Current
Paralegal
Stephen L. Laiche P.C.
07.2020 - 05.2022
Client Success Specialist
Picaboo Yearbooks
02.2019 - 06.2020
Legal Assistant
Wegener Scarborough Younge & Hockensmith, LLP
01.2015 - 01.2019
Night Auditor
Springhill Suites by Marriott
01.2014 - 01.2015
General Manager
Sunglass Depot
04.2012 - 11.2012
Sales Clerk/photographer
Old Time Photos
04.2009 - 01.2012
Office Clerk
ALROSA Ltd
01.2005 - 01.2007
High school diploma - undefined
Mirnyy High School
AA - International Relations
Siberian Institute of International Relations &Regional Geography