Professional extensive experience in medical billing and administrative/clerical work and a detail-oriented understanding of Health Plan relationships between medical groups with the ability to work between multiple payers and understand their special needs. Implemented new operational workflows for recent software upgrade from GE IDX to Epic and merging enrollment operations.
Overview
28
28
years of professional experience
Work History
Enrollment/Eligibility Supervisor
Brown and Toland Physicians
Oakland, CA
07.1997 - Current
Oversee the daily operations of Eligibility Department
Supervise and evaluate personnel including hiring and administration
Serve as liaison with all health plans to resolve eligibility issues
Develop, implement training for Epic/Tapestry Project for department
Assist Claims/Customer Service Departments to resolve eligibility issues
Customer Service Associate Cashier
Ross Dress for Less
Fairfield, CA
10.1997 - 10.2016
Collected payment for customer purchases
Adhered to cash handling policies and procedures using POS cash
register
Processed transactions handling an average of 200 transactions daily
Recognized for providing efficient service with high degree of accuracy
Education
High School Diploma - Business
Chester High School
June 1974
Skills
Operational knowledge of Managed Care software systems (IDX and Epic Systems); Enrollment and Eligibility workflow development and documentation; Manage operational relationships with multiple external payers including Aetna, Blue Cross, Blue Shield, Cigna, Healthnet, Sutter, and United; 3 years of working remote and managing a team that is also remote