Mechele Barbetti
156 Senegal Dr,FL
Summary
A solid history of achievements in Finance Leasing and an exceptionally motivated leader. Skills and Abilities Monitoring Customers and our practice Complex Problem Solving. Provide excellent customer service Critical Thinking Judgment and Decision Making Strong organizational Skills Patient registration
Offering proactive approach and strong willingness to learn and grow within this environment. Brings solid foundation in business principles and analytical thinking. Ready to use and develop strategic planning and client relationship skills in [Desired Position] role.
Overview
25
25
years of professional experience
1
1
Certificate
Work History
Partner Ambassador Equipment Finance
Peac Solutions
12.2021 - 12.2024
- Single point of contact for vendors (partners) with a high-level of professionalism; both verbally and in writing to provide the most positive experience for customers and partners
- Liaison between Program Relationship Managers and vendors while being professional and demonstrating excellent customer/partner experience
- Manage the deal flow from application through to funding by acting as the primary contact throughout the funding process
- Responsible for maintaining excellent service levels with regards to app to fund process
- Submit incoming applications including application entry through to credit decision process, conveying credit approvals/declines along with proactively managing the app backlog by calling our vendors to proactively close transactions
- Ensure that all credit stipulations are cleared including contacting the vendor or customer for missing information, and coordinate clearing applicable stipulations within authority
- Generate and/or process incoming documentation requests from vendors using comprehensive knowledge of policies and procedures to enhance efficiencies and the overall partner experience
- Review of all documentation in a timely manner including following up for missing documentation from the customer/vendor
- Responsible for submitting account adjustments, post booking to modify existing contracts and to correct errors
- Responsible for processing all contract funding in accordance with all state and federal regulations as well as company policies and procedures while maintaining the highest level of service for our customers and partners
- Conducted settlement negotiations and trial for property case with $[Amount] in counterclaims.
Revenue Cycle Coordinator
Wolfson Childrens Rehabilitation
11.2019 - 12.2021
- Ensures the required processing and follow-up work is performed for each claim that is entered into the revenue cycle
- Responsible for calling insurance companies regarding delinquent balances, overpayments, underpayments, and completing the necessary steps to resolve the problem
- Resolves all issues related to CPT codes, ICD 10 codes, NCCI Edits, as well as MUE Edits
- Files appeal to insurance companies
- Posts payments and appropriate non-payments from insurance companies
- Research and resolves inappropriate non-payments from insurance companies and refund requests
- Answers patient questions regarding their account or balance including over the phone or by assisting a PAS Patient Financial Advocate
- Documents all communications with patients and insurance companies
- Reviews patient balances to determine appropriate step in the collections process
- Communicate with a collection agency on new and previously placed accounts
- Reviews charity cases, probate cases, bankruptcy cases and files/adjust accordingly
- Possesses up to date knowledge related to CPT codes, ICD/10 codes, NCCI edits, MUE edits, Payer edits, Payer Authorization processes, as well as any current year changes made by CMS regarding billing & reimbursement rules
- Current Epic and Referrals user
- Epic of the front-end revenue cycle management modules
- Front-End Healthcare Revenue Cycle experience including Patient Access
- Streamlined revenue cycle processes by implementing efficient workflow strategies and reducing claim denials.
Closing Disclosure Analyst
Mphasis Digital Risk
05.2020 - 11.2020
- Preparing and reviewing loan closing packages and paperwork
- Ensuring the accuracy and completeness of all required documents
- Managing and resolving any concerns, problems, and documentation issues
- Acting as an intermediary between all parties involved in mortgage loan transactions
- Ensuring closing details comply with state and federal regulations
- Coordinating mortgage closing proceedings
- Maintaining accurate closing schedules
- Perform complete and in-depth review of mortgage loan files including income assets, credit, and collateral
- Evaluate and ensure overall loan documents are accurate, complete, and compliant
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
Claims Benefits Specialist
Aetna
08.2018 - 11.2020
- Proof entire claim submission to determine, review, or apply medical necessities, coverage benefits, discrepancies, and cost containment measures to adjudicate claim
- Utilize current system functions, applications, and enhancements
- Maintains resource materials such as updated disks, paper references, etc
- Adjudicate Medicare claims according to CMS standards
- Adjust medical claims as needed
- Verified coordination of eligibility
- Handle aged claims reports
- Utilizes all applicable system functions available ensuring accurate and timely claim processing service (i
- E., utilizes Claim Check, reasonable and customary data, and other post-containment tools
- In accordance with prescribed operational guidelines, manages claims on desk, route/queues, and ECHS within specified turn-around-time parameters (Electronic Correspondence Handling System-system used to process correspondence that is scanned in the system by a vendor
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Developed training materials and conducted workshops for new employees, increasing their understanding of company policies and procedures.
AML- Anti Money Laundering
Deutsche Bank
07.2017 - 08.2018
- Identify, escalate, and communicate issues to management in an effective and succinct manner
- Effective making skills and strong problem-solving skills
- Strong knowledge of AML laws (USA PATRIOT Act), Regulations (Fed, SEC, FINRA) and their application to the supported products/business lines
- Investigate transaction monitoring and SAR
- Analyze mindset and the ability to identify, escalate, and communicate issues to management in an effective and sufficient manner
- Making skills and the ability to solve problems until there is an effective solution
- Complete tasks at hand until the case is fully completed
- Excellent team player with the ability to manage the team’s workload independent decision-making skills but escalate when necessary
- Played an instrumental role in identifying complex fraud schemes through meticulous analysis of client behavior patterns and transaction history.
Vendor Account Analyst
CIT Finance LLC
03.2000 - 05.2017
- Processes new transactions from initiation through booking, which includes obtaining credit information on applications, interfacing with all CIT departments through final adjudication, and communicating regularly with the originating vendor and end user
- Tasked with meeting monthly budgeted volume goals and service level agreements (SLA), while remaining within CIT risk management guidelines
- Transactional side of relationships and is the main point of contact with vendors and CIT sales representatives
- Managed the credit application process and works with all CIT functional areas (Credit, Operations, Pricing, Legal, etc.) as advocate for vendors
- Create accurate and complete documentation packages, while ensuring all transactions meet minimum CIT yield requirements
- Handled through resolution escalated service issues identified by CIT Sales and vendors
- Verified data is complete and accurate and meets all quality and compliance checks, reviews, approvals, and release purchase order to vendor
- Processed refunds, adjustments, and all servicing of claims processing/suspension for deals
- Contact’s potential customers to perform verbal audit prior to lease commencement
- Performed regulatory audit checks and identified any regulatory red flags
- Provided final approval of all transactions prior to payment and booking (under their authority limit)
- Strengthened vendor relationships by maintaining open communication and promptly addressing any concerns or issues.
Education
Certified Homeland Security -
AMU (American Military University)
Courses Certification of Continuing Education for Business -
American Institute of Banking
Skills
- Monitoring
- Complex Problem Solving
- Customer Service
- Critical Thinking
- Judgment and Decision Making
- Strong Organizational Skills
- Patient Registration
- Suspicious activity reporting
- Vendor evaluation
- Claim investigation
- Issue resolution
- Customer relationship building
- Team collaboration and leadership
- HIPAA regulations
- Claims analysis
Certification
- Management and Strategy Institute
- Six Sigma Green Belt Certified (SSGBC)
- Six Sigma Yellow Belt Certified (SSYBC)
- Certified Homeland Security
Timeline
Partner Ambassador Equipment Finance
Peac Solutions
12.2021 - 12.2024
Closing Disclosure Analyst
Mphasis Digital Risk
05.2020 - 11.2020
Revenue Cycle Coordinator
Wolfson Childrens Rehabilitation
11.2019 - 12.2021
Claims Benefits Specialist
Aetna
08.2018 - 11.2020
AML- Anti Money Laundering
Deutsche Bank
07.2017 - 08.2018
Vendor Account Analyst
CIT Finance LLC
03.2000 - 05.2017
Courses Certification of Continuing Education for Business -
American Institute of Banking
Certified Homeland Security -
AMU (American Military University)
Linked Profile
Linked Profile: Mechele Mayo Barbetti
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