Dynamic Billing Operations Specialist with a proven track record at Centene Corp, excelling in complex billing issue resolution and process optimization. Adept in Microsoft Excel and recognized for exceptional organizational skills, I streamline workflows and enhance client relationships, ensuring accuracy and compliance in all financial transactions.
Overview
13
13
years of professional experience
Work History
Billing Operations Specialist
Centene Corp/WellCare Health Plans, Inc.
09.2019 - Current
Responsible for completion of monthly billing processes for specialized billing accounts for the states of Missouri and New York. Including, but not limited to auditing, quality and verification checks, invoice compilation, invoice adjustments and maintaining exceptional relationships with both internal and external account contacts.
Research and resolve complex member billing issues. Collaborate with internal team and external client to research and resolve any disputes or discrepancies in billed amounts and/or payment transactions.
Maintain open communication with business associates and/or members regarding account balances, inquires and/or complaints.
Took a proactive approach to develop and streamline workflow processes. Including creating and/or updating company Step Actions which serve as instruction on billing functions.
Created personal audit systems to ensure accurate work.
Research and process refunds, reconcile member accounts and prepare bad debt write-offs.
Document all collections efforts and transaction records.
Initiate refunds to members in accordance with federal and state requirements, as well as company policy.
Created Microsoft Excel training workbook to help business associates with instruction on how to use functions helpful in our position.
Implemented office operations by client correspondence, record tracking and data communications.
Full Charge Bookkeeper
Chicago Steak Outfit, Inc.
12.2015 - 08.2019
Responsible for full cycle accounting duties, including, but not limited to, Accounts Payable/Receivables/General Ledger, Account/Bank Reconciliations, Journal Entries and Balance Sheets.
Prepared and tracked invoices for clients and vendors, processed incoming/outgoing payments.
Prepared monthly, quarterly and year end reconciliation and financial analysis reports.
Compiled/balanced monthly bank and sales tax reports.
Tracked and recorded team expenses and reconciled accounts to maintain accurate, current and compliant financial records.
Performed billing, collection and reporting functions for office generating over $1 million annually.
Compared vendor prices to ensure optimal savings.
Liaised with customers/vendors and addressed inquiries, requests and billing questions.
Implemented office operations by client correspondence, record tracking and data communications.
Produced high-quality documents, spreadsheets and presentations for internal and customer-facing needs using QuickBooks and Microsoft Excel, using both V-look-up and Pivot Tables.
Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
Completed bi-weekly payroll.
Managed costs and billing and resolved financial discrepancies effectively through organizational management of account information.
Improved customer satisfaction through application of superior conflict resolution and problem-solving skills.
Streamlined office operations by automating processes, managing customer communications, scheduling payments and tracking records and documents.
Billing Analyst
Sykes Enterprises, Inc
06.2012 - 11.2015
Accurate and timely preparation of over 150 client invoices/month for global operating activities in multiple currencies and formats based upon business requirements.
Compared, reconciled and resolved invoice discrepancy's to source data, site reports, forecasts and other supporting documentation and made appropriate edits and adjustments.
Verified information for accuracy, completeness and compliance with statutory regulations, contractual requirements, company policies and internal control procedures.
Worked directly with Account Managers to ensure accurate and timely invoices sent to client.
Responsible to ensure accurate currency exchange.
Responded to billing inquiries from clients, auditors, and senior management/site operations in a timely and professional manner.
Organized and maintained supporting documentation to facilitate inquiries.
Generated relevant reports and account reconciliation.
Education
Bachelor of Science - Mathematics
University of Kansas
Lawrence, KS
Skills
Proficient in all Microsoft Office programs, Lotus Notes, and Bullhorn
Software experience: custom Oracle programs, Xcelys, QuickBooks, Lawson, SharePoint, ADP, Paycom, Paychex, and Kronos; experienced in C and C programming languages
Strong verbal and written communication skills
Detail-oriented, with a focus on quality and accuracy
Excellent organizational skills
Effective time management skills
Strong, independent, analytical, and problem-solving skills
LPN / Prior Authorization Nurse at WellCare Health Plans Inc. / CENTENE Management CoLPN / Prior Authorization Nurse at WellCare Health Plans Inc. / CENTENE Management Co
Sales Execution Field Traffic Manager at Centene Corporation (Wellcare Health Plans, Inc.)Sales Execution Field Traffic Manager at Centene Corporation (Wellcare Health Plans, Inc.)
Program Specialist at Centene Corporation (Merged with WellCare Health Plans 2020)Program Specialist at Centene Corporation (Merged with WellCare Health Plans 2020)