Highly organized, motivated and results-focused leader with thirteen (13) years of management experience. Seeking a challenging and rewarding position where I can showcase my superb customer service and communication skills.
Overview
22
22
years of professional experience
Work History
Supervisor, Premium Billing and Collections
MVP Health Care
01.2010 - 01.2023
Manage and develop staff to improve overall team processes which align to company goals
Manage staff of 30 billing representatives, across 3 regional locations, with varying skill sets
Responsible for interviewing, hiring and onboarding of billing staff
Administer and execute coaching and corrective action plans up to and including termination
Conduct frequent refresher courses to increase quality and reduce administrative costs
Perform daily/weekly audits to identify root cause issues, trends and areas for improvement
Handle state and federal regulatory reports, invoices and delinquency letters
Serve as the Accounts Receivable Dept Lead resulting from 3 implementations of company acquisitions (Preferred Care/Diamond/Facets)
Execute and deliver projects with difficult deadlines on high priority or urgent issues
Facilitate meetings with mid and senior level management to keep them apprised of the departments Key Performance Indicators (KPI's)
Mitigate financial exposure through automation of internal processes
Assist with the Child Health Plus Audits for NYS to ensure all credits/debits are accurate and documentation is thorough.
Trusted to handle highly confidential,sensitive and proprietary materials
Create and modify departmental policies and procedures to keep documentation current at all times
Facilitate meetings for Senior staff, regular staff and the State of Vermont to keep them informed of changes or to brainstorm on how to fix issues that are not beneficial to our productivity or MVP’s financial growth
Collaborate with Customer Care, Reception, IT, Eligibility and Sales to find resolution to any issues for our groups, brokers and members
Reverse and allocate misapplied payments in system
Premium Billing and Collections Specialist
MVP Health Care
01.2009 - 01.2010
Reconcile 4,000 group accounts monthly
Communicate with Health Benefit Administrators and Brokers on a daily basis to rectify any issues or concerns they may have
Trainer for the Rochester Accounts Receivables staff
Assist Supervisors and staff with different issues that may arise
Work with Eligibility and Sales with Group account and subscriber affairs that are in question
Execute Weekly, Monthly, Suspense and Over 90 Day reports by their deadlines
Follow procedure every month with reconciling groups and resolving issues to our department’s standards.
Group Service Representative
CDPHP
01.2008 - 01.2009
Reconcile group accounts through a workflow queue
Contact groups and Brokers to notify them balances on accounts
Assist other department with any questions that have to be rectified pertaining to billing issues.
Senior Premium Billing and Collections Specialist
MVP Health Care
01.2005 - 01.2008
Reconcile 900+ group accounts that are assigned directly to me
Advise and follow up with Health Benefits Administrators and Brokers on billing issues
Work with Sales on terminations, cancellations, eligibility status, rate issues and other billing issues
Assist Management with staff members, group billing issues, staff meetings and other miscellaneous projects
Schedule staff meetings that relate to different production issues, policies and procedure questions and general concerns they may have
Oversee with Management a staff of 7 Accounts Receivable representatives and take charge over issues that cannot be handled by our representatives
Train new hires and staff on reconciling group accounts, system upgrades and the process of Membership Accounting
Trained our merging company, Preferred Care
I have trained different departments within MVP such as the Eligibility and Group Service Center in related areas that MVP uses with our different systems and JP Morgan Bank
Assist in interviewing candidates for open positions within our department
Research missing checks and transfer funds back into the correct group accounts
Execute Weekly, Monthly, Suspense and Over 90 Day reports by their deadlines
Process check requests for accounts that are owed refunds and process manual credit/debits for accounts
Follow procedure every month with reconciling groups and resolving issues to our department’s standards
Quality Control our department’s work to ensure all reports and reconciliations are completed properly.
Premium Billing and Collections Specialist
MVP Health Care
01.2004 - 01.2005
Reconciled group accounts that are assigned directly to me
Spoke with Health Benefits Administrators about questions/concerns for billing
Worked with Marketing on group terminations and their billing issues
Researched payments that are missing through JP Morgan bank
Produced weekly and monthly spreadsheets on where my groups stand every month
Processed all reconciliations and issues in a timely manner and to our department’s standards.