Merceides Goetzinger
North Kingstown
Summary
Offering unique blend of strong interpersonal skills and genuine interest in human resources, eager to learn and thrive in talent-focused environment. Brings foundational understanding of recruitment processes and human resources practices, with ability to quickly assimilate industry-specific knowledge.Organized and efficient supervisor supporting corporate level officers and senior management personnel with demonstrated expertise in financial and operational leadership. Ready to use and develop communication and organizational skills in Human Resource Specialist role.
Overview
5
5
years of professional experience
Work History
AR Supervisor
Concentra
01.2022 - Current
- Responsible for the success of monetary collections of any workers compensation or pre-employment billing from Concentra's Medical Facilities from Vermont to Connecticut
- Successfully works in conjunction with the Director to efficiently manage a team of 22 associates to perform daily medical billing duties
- Establishes and maintains professional and effective relationships with staff, peers, payers, and other stakeholders
- Serves as a liaison with staff and payers or internal departments to coordinate and troubleshoot various claim, payer, or other industry related issues
- Implemented new procedures and policies in place to maintain successful accounting and aged revenue from numerous departments
- Set reasonable goals throughout the year for all staff who report directly to me while formulating new profound work methods
- Spearheaded cross-departmental collaboration efforts to resolve complex billing discrepancies efficiently and effectively.
- Streamlined AR workflows for improved collection rates and reduced delinquencies.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Conducted routine HR audits to ensure data accuracy in personnel files, payroll records, and benefit enrollments.
- Administered employee leave requests in accordance with FMLA guidelines, maintaining compliance with regulations while providing necessary accommodations for staff members.
- Facilitated smooth onboarding processes for new hires, leading to faster integration into the workplace culture.
- Ensured compliance with federal, state, and local labor laws through regular audits and policy updates.
3rd Party Operations Supervisor
PharMerica
04.2021 - 08.2021
- Responsible for all supervisor duties, and manages a team of up to 30 associates
- Works in conjunction with the 3rd Party Operations Manager to establish analyst level goals, department wide goals, performance tracking and quality assurance metrics
- Clearly communicates roles and responsibilities of analysts and provides guidance and leadership to staff
- Serves as a liaison with staff and payers or internal departments to coordinate and troubleshoot various claim, payer, or other industry related issues
- Maintained open lines of communication with upper management to provide regular updates on operational progress and challenges faced by the team.
- Works to update, or create and maintain Standard Operations Procedures for the department, including clearly outlining training plans for new or underperforming analysts
- Enhanced team productivity by providing ongoing training, coaching, and mentoring to staff members.
HC and Insurance Operations & Claims Senior Specialist
NTT Data
09.2019 - 10.2020
- Provides excellent customer solutions to moderately complex or escalated issues by providing seamless delivery of service from start to finish
- Claims billing specialist, and claims account management
- Ability to be flexible and handle various tasks including call center representative, supervisor, and billing representative
- Responsible for handling day to day operations of Health Care Call center
- Drove change through quality-oriented strategies to help operations accomplish ambitious short- and long-term goals.
- Identified areas in need of critical improvement and implemented strategies to achieve targets.
- Supported department leadership in implementing new policies, procedures and controls.
Education
Associate in Applied Science (A.A.S.) - Business Administration Candidate
Community College of Rhode Island
Warwick, RI05.2025
Associate degree - Paralegal Studies
COMMUNITY COLLEGE OF RHODE ISLAND
01.2016
Skills
- Strong communication skills
- Payment reconciliation
- Performance metrics monitoring
- Human resources software
- Human resources management
- Human resources analytics
- Financial reporting
- Microsoft Products
- Employee supervision
- Leadership development
- Medical Billing
- Coaching and mentoring
Timeline
AR Supervisor
Concentra
01.2022 - Current
3rd Party Operations Supervisor
PharMerica
04.2021 - 08.2021
HC and Insurance Operations & Claims Senior Specialist
NTT Data
09.2019 - 10.2020
Associate degree - Paralegal Studies
COMMUNITY COLLEGE OF RHODE ISLAND
Associate in Applied Science (A.A.S.) - Business Administration Candidate
Community College of Rhode Island
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