Highly-motivated and dedicated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills with over 20 years in the healthcare industry & business management. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
20
20
years of professional experience
Work History
Store Manager of Operations
Easy A Furniture, LLC
Tallulah, Louisiana
01.2023 - Current
Implemented effective cost-control measures to maximize profitability.
Developed relationships with vendors to negotiate better prices on supplies.
Reviewed financial statements including profit and loss reports.
Recruited, trained, coached and mentored staff members in customer service skills.
Identified areas of improvement in store operations processes.
Built customer confidence by actively listening to concerns and complaints and quickly resolving issues.
Reviewed financial statements and sales or activity reports to measure productivity or goal achievement.
Increased sales revenue by doubling our accounts in the first year.
Office Manager /Insurance Verification Specialist
Southern Flex Rehabilitation & Consulting, LLC
Tallulah, LA
12.2015 - 12.2022
Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
Prepared new charts, updated existing charts and uploaded all documentation in to Net Health EMR.
Analyzed ins. claims, detecting coding and billing errors, and verified medical coverage while managing the revenue cycle.
Completed claims forms for different types of denials and billing issues, and facilitated resolutions with patients and insurance companies.
Initiated and followed the contracting process with multiple insurance companies in relation to contract management issues when our office opened.
Answered 50-60 average daily phone calls to schedule appointments, address patient inquiries, prior-authorization issues, billing questions and issues.
Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
Examined claims, records and procedures to grant approval of coverage.
Licensed Practical Nurse
Dr. E. Wade Brown Clinic
Tallulah, LA
07.2004 - 11.2015
Collected and documented vital signs to track current patient conditions.
Communicated concerns regarding patients' status, care and environment to nursing supervisor and physician.
Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
Directed implementation of improved patient care and documentation methods and procedures to achieve quality objectives.
Answered patient and family questions to educate on optimal treatment procedures.
Updated patient and insurance data and input changes into company computer system.
Entered data in EMR database to record payer, authorization requirements and coverage limitations.
Checked documentation for appropriate coding, catching errors and making revisions.
Education
Practical Nursing - Nursing
Louisiana Technical College
Tallulah, LA
06.1999
High School Diploma -
Tallulah Academy
Tallulah, LA
05.1993
Skills
Medicare, Medicaid, and Private Insurance knowledge
Prior Authorization and Benefit Verification
Coordination and Scheduling
Staff Management
Store operations oversight
Sales Strategies
Work Planning and Prioritization
Problem-Solving
Friendly and Positive
Communication and Interpersonal Skills
Analytical Thinking
Equipment Troubleshooting and Maintenance
Organization and Time Management
Medical Billing and Coding
Multi-tasking and prioritization
Staff Supervision
HIPAA Compliance
Additional Information
Professional and personal references available upon request.