LA'COLA WALKER
McCormick,SC
Summary
Energetic Office Manager equipped to support day-to-day operational functions and accomplish business goals. Blends advanced organizational, technical and business expertise to enhance workflows. Focused on attentively assisting office staff and customers and identifying opportunities for improvement.
Overview
5
5
years of post-secondary education
7
7
years of professional experience
Work History
Office manager
Edgefield Post Acute
11.2023 - Current
- Obtained managed care and Medi-Cal or Medicaid authorizations, including bedholds, to ensure proper patient coverage.
- Handled insurance inquiries to facilitate timely resolution of patient concerns.
- Managed denials and followed up on insurance claims to expedite reimbursements.
- Initiated appeals for claims that were paid incorrectly or denied to secure proper compensation.
- Posted adjustments and transferred responsibility for payments to insurance or patients to maintain accurate records.
- Maintained patient census and reported status changes to ensure accurate and up-to-date records.
Office manager
McCormick Post Acute
05.2020 - 07.2023
- Managed billing and payment processes, including preparation of bank deposits, to ensure accurate financial records.
- Negotiates settlements and sets up payment arrangements with insurance carriers and patients.
- Works with precertification department to obtain authorizations.
- Keeping claims current to avoid untimely denials for appeals and corrected claims.
- Maintained up-to-date claims to facilitate timely processing. to avoid untimely denials for appeals and corrected claims.
- Led team by sharing knowledge and skills to foster a collaborative work environment.
Customer Service Rep
Check into Cash
04.2019 - 05.2020
- Managed cash collections process
- Analyzing customer financials to determine loan amounts
- Analyzed customer financials to determine appropriate loan amounts
- Reported sales data to office management for performance tracking
- Answered customer phone calls to address inquiries and provide support
- Implemented marketing campaigns
Education
Associate in Applied Science - Business Administration
Piedmont Technical College
Greenwood, SC 08.2014 - 08.2019
Skills
- Claims processing
- Managed Care
- Medicaid
- Medicare
- Settlement negotiation
- Supplemental Insurance
- TriCare
- Champ VA
- VA
- HIPAA Problem Solving
- VA
- Customer Service
- Claims management
Timeline
Office manager
Edgefield Post Acute
11.2023 - Current
Office manager
McCormick Post Acute
05.2020 - 07.2023
Customer Service Rep
Check into Cash
04.2019 - 05.2020
Associate in Applied Science - Business Administration
Piedmont Technical College
08.2014 - 08.2019