Professional and well-organized office manager with superior accounting and clerical skills as well as medical/dental insurance expertise. Excellent customer/patient care skills.
Overview
36
36
years of professional experience
Work History
Quality Assurance Analyst
Federal BCBS
04.2024 - Current
Participated in regular meetings with cross-functional teams to discuss progress updates, communicate concerns or challenges, and ensure alignment of project goals.
Mentored and coached team members on QA topics and strategies.
Maintained comprehensive knowledge of relevant industry regulations and standards, ensuring compliance throughout the QA process.
Supported company in maintaining work environment focused on quality, communication, collaboration, integration, and teamwork.
Enhanced product compliance with industry standards by diligently verifying adherence to regulatory requirements.
Customized testing environments to simulate real-world usage scenarios, ensuring product robustness and customer satisfaction. (GENESYS)
Customer Service Advocate III
Federal BCBS Of SC
05.2022 - Current
Promoted to this position after being with the company for 1 year and 5 months.
Consistently gave superior customer service experience.
Worked corrected claims as new information received from healthcare providers.
Maintained and managed member demographic information and coordination of benefits files and databases.
Worked deferrals and adjustments to facilitate claim resolution within timeframes set up by company.
Maintained understanding of various benefits offered to members.
Customer Service Advocate II
Federal BCBS Of SC
01.2021 - 05.2022
Promoted superior experience by addressing customer concerns, demonstrating empathy and resolving problems swiftly.
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Provided accurate information about benefits, claims, and payments helping drive high customer retention.
Reached out to customers after resolving issues.
Worked claim deferrals and adjustments to facilitate claim resolution.
Learned and maintained in-depth understanding of benefit information, providing knowledgeable responses to diverse questions.
Office Manager
Bullwinkel Orthodontics
09.2019 - 09.2020
Quickbooks / Accounting (A/R, A/P, G/L)
Reviewed contracts to ensure billing accuracy
Set up cash receipt protocol
Prepared and filed insurance claims & appeals as necessary
Bank reconciliation
Managed budgets, appointment scheduling, employee and event itineraries and accounts to improve productivity initiatives.
Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
Office Manager
Low Country Oral Facial & Implant Surgery
10.2018 - 09.2019
QuickBooks and WinOMS software proficiency
A/R reduction of 50% in first 6 month
Microsoft office proficiency
CPT, CDT, ICD-10, and insurance billing
Physician scheduling
Excellent patient / customer care
Managed budgets, appointment scheduling, employee and event itineraries and accounts to improve productivity initiatives.
Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.