Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of attention to detail.
Overview
20
20
years of professional experience
Work History
Reimbursement Order Management Supervisor
Cochlear Americas
04.2023 - Current
Resolved complex customer issues by working cross-functionally with other departments to identify root causes and implement corrective actions.
Evaluated team performance and provided feedback on areas requiring improvement.
Developed and implemented strategies to improve region and team productivity and efficiency.
Fostered a positive work environment that promoted collaboration, teamwork, ownership, accountability among employees.
Promoted a culture of continuous improvement within the team, encouraging innovation in addressing operational challenges.
Ensured compliance with company policies, procedures, and industry regulations in the handling of all orders.
Participated in strategic planning initiatives to align the order management team's goals with overall company objectives.
Resolved conflicts between team members and addressed complaints or grievances.
Assigned tasks to team members to complete within designated time frames.
Trained new staff on job duties and company policies for rapid onboarding.
Reviewed orders for accuracy, errors and omissions to minimize escalations.
Liaised with management to resolve complex order issues and problems to maximize customer satisfaction.
Managed a team of order management professionals, providing coaching and development opportunities for career growth.
Excellent communication skills, both verbal and written.
Self-motivated, with a strong sense of personal responsibility.
Passionate about learning and committed to continual improvement.
Gained strong leadership skills by managing projects from start to finish.
Demonstrated a high level of initiative and creativity while tackling difficult tasks.
Exercised leadership capabilities by successfully motivating and inspiring others.
Demonstrated respect, friendliness and willingness to help wherever needed.
Pre-Claim Reimbursement Specialist
Cochlear Americas
04.2022 - Current
Performed benefit investigations for Cochlear devices with insurance companies.
Created recipient accounts for order placement.
Initiated Softband/SoundArc initial system orders in Oracle.
Requested and analyzed required medical documents needed for insurance authorizations.
Submitted authorizations to insurance companies via portals, fax and phone.
Discussed orders with clinics, audiologists and recipients.
Collected coinsurance payments and applied them to recipient orders.
Worked with fellow team members to troubleshoot insurance and order issues.
Mentored new staff members and contributed to training.
Attended weekly and monthly team and region meetings.
Contributed to increased team productivity by consistently meeting or exceeding individual processing goals.
Surgery Scheduler
Shoreline Orthopaedics
05.2020 - 04.2022
Scheduled surgeries and acquired authorizations for 5 orthopedic surgeons.
Scheduled pre and post surgery office visits.
Guided patients through total-joint replacement surgeries.
Generated durable medical equipment prescriptions.
Operated closely with surgeons, advanced practice providers and office staff to maintain exceptional patient care.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Elevated patient experience by providing empathetic support throughout the entire surgical journey-from initial consultation to post-operative follow-up appointments.
Enhanced patient satisfaction by providing clear explanations of surgical procedures and addressing concerns promptly.
Received and routed laboratory results to correct clinical staff members.
Updated patient records to reflect upcoming surgeries and medical histories.
Obtained payments from patients and scanned identification and insurance cards.
Office Manager, Surgery Scheduler
Urologic Consultants, P.C
08.2015 - 05.2020
Scheduled surgeries and acquired authorizations for 3 urologic surgeons.
Scheduled procedures and obtained authorizations for third-line therapies for 1 urologic surgeon.
Supervised and led 6 direct reports.
Assisted in supervising 10+ reports at secondary location.
Managed and signed time-off requests and time cards.
Attended meetings for practice engagement with Spectrum and Metro Health Systems.
Worked directly with Spectrum and Metro Health systems to obtain and release surgical blocks.
Answered multi-line phone system.
Handled surgeon and APP surgical issues after hours if needed.
Handled patient and PCP concerns and issues.
Reviewed new candidate resumes and performed interviews.
Trained new staff members.
Worked closely with nursing and billing staff to ensure all patient accounts were accurate and scheduled properly.
Entered new patient paperwork and obtained patient records including images from various health care systems.
Established team priorities, maintained schedules and monitored performance.
Reported to senior management on organizational performance and progress toward goals.
Developed and maintained successful relationships with vendors, suppliers and contractors.
Evaluated employee performance and conveyed constructive feedback to improve skills.
Physical Therapy Coordinator
Urologic Consultants, P.C
07.2014 - 08.2015
Greeted and checked patients into office for scheduled appointments.
Entered patient data into medical database using MedEvolve and UroChart programs while honoring HIPAA compliance.
Answered multi-line phone system.
Validated patient information with numerous insurance companies for eligibility and benefits.
Cleaned and prepared physical therapy treatment rooms.
Worked alongside nurses and doctors to ensure patients were given quality care.
Provided compassionate care while maintaining professionalism in all interactions with patients and their families.
Streamlined appointment scheduling processes, resulting in increased efficiency and patient satisfaction.
Office Manager
Whirlpool Corporation
04.2004 - 07.2014
Kept building stocked with necessary tools for functionality.
Employee management; including 10 direct reports.
Executed all domestic and international shipping.
Managed temporary employees and payroll.
Maintained direct contact with Whirlpool Corporation Corporate Headquarters and its employees.
Managed all daily building operations.
Scheduled daily product deliveries to Whirlpool Corporation laboratories and docks.
Ensured high employee performance through training and compliance programs.
Handled and resolved employee performance issues.
Evaluated employee performance and conveyed constructive feedback to improve skills.
Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
Trained personnel in equipment maintenance and enforced participation in exercises focused on developing key skills.
Updated reports, managed accounts, and generated reports for company database.
Developed and maintained successful relationships with vendors, suppliers and contractors.
Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
Maintained computer and physical filing systems.
Education
Bachelor of Science in Public Health - SociologyPublic Health
The University of Alabama
Tuscaloosa, AL
05.2027
Skills
Team building
Relationship Building
Customer Service
Teamwork and Collaboration
Multitasking Abilities
Task Prioritization
Interpersonal Communication
Public Speaking
Conflict Resolution
Project Planning
Self-Directed
Timeline
Reimbursement Order Management Supervisor
Cochlear Americas
04.2023 - Current
Pre-Claim Reimbursement Specialist
Cochlear Americas
04.2022 - Current
Surgery Scheduler
Shoreline Orthopaedics
05.2020 - 04.2022
Office Manager, Surgery Scheduler
Urologic Consultants, P.C
08.2015 - 05.2020
Physical Therapy Coordinator
Urologic Consultants, P.C
07.2014 - 08.2015
Office Manager
Whirlpool Corporation
04.2004 - 07.2014
Bachelor of Science in Public Health - SociologyPublic Health
The University of Alabama
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