I aim to bring my operational, analytical, and administrative skills, along with my passion for helping people, to a forward-thinking company, ensuring they are utilized for the greater good.
I am an organized and dependable candidate successful at managing multiple priorities with a positive attitude. I have a willingness to take on added responsibilities to meet team goals.
Overview
38
38
years of professional experience
1
1
Certification
Work History
Claims Examiner I-Absence Management Specialist
Reliance Matrix
Portland, OR-Hybrid Remote
07.2024 - Current
Researched claim to deliver solutions and resolve problems.
Interviewed claimants to gather factual information.
Consulted hospital and medical records when needed.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Clarified coverage to claimants and client.
Delivered exceptional customer service to claimants by communicating important information and patiently listening to issues.
Documented information gathered in field and uploaded data to company database for efficient processing using PACS and LeaveLink.
Handled all calls from customers about Short Term Disability processes.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Maintained claims data in PACS and LeaveLink data systems.
Create and send approvals, denials and ongoing decisions documents.
Participated in team meetings and breakout classes regarding process updates, demonstrating an ability to work collaboratively and effectively.
Processed all claims from start to finish.
Worked with health care professionals within the company to determine claim viability.
Accounts Receivable Specialist
Oregon Restoration
Portland, Oregon
07.2023 - 07.2024
Manage receivables, balance ledgers, and deposit funds daily to multiple bank accounts
Send invoices to clients and insurance companies to maintain project progression
Liaise with Mortgage and Insurance firms for timely payments, including estimates, authorizations, invoices, and lien releases
File and resolve liens and small claims as needed, navigating county courts
Calculate and remit Washington Sales tax for local projects
Supervise invoicing for nine project managers overseeing 8-10 jobs each
Address customer billing inquiries promptly
Collaborate with accounts payable clerk to monitor job budgets
Create accounting procedure manuals
Process refunds for overpayments
Handle calls from customers, insurers, and mortgage companies
Multitask to meet departmental needs
Enter data into Excel sheets to share with other departments
Produce month-end sales and profit reports to share with the team/owners
Assist customers with billing questions at the front office
Manage invoicing and payments for home builders contracting with Oregon Restoration
Founder & Proprietor
CoCo Blu
01.2003 - 06.2023
Company Overview: Founded and managed a successful 5-star salon
Produced exponential customer growth to a 400 person loyal roster
Dialed a solid customer journey, providing excellent customer service, communication, fine-tuned protocols and achieved high quality results
Increased client base by 471% since the end of first year in business
Performed accounts receivable reconciliation
Developed promotional material and outreach strategy
Founded and managed a successful 5-star salon
Proprietor and Manager
GCL Construction
01.1994 - 01.2014
Medical Billing Specialist
Legacy Health Care
01.1992 - 01.1994
Handled patient and insurance payments for all ambulatory care clinics
Prepared monthly spreadsheets for corporate accountants
Promoted from Accounts Receivable Rep to Management Administrator
Medical Billing Specialist
Outpatient Radiology
01.1987 - 01.1991
Assisted patients with intake and procedures
Managed payments and communications with insurance companies
Promoted from Receptionist to Patient Accounts
Education
Honors Degree -
NW College of Beauty
01.2003
Certificate - Medical Billing and Coding
01.1987
Diploma - Health Care
Aloha High School
01.1986
Skills
Customer Service
Project Coordination
Event Planning
Financial Reporting
Accounts Receivable
Excel
Quickbooks
POWR
Word
Vagaro
Weebly
PayPal
Google Workspace
Microsoft Teams
Investigative skills
Healthcare procedures
Disability claims process
Workload prioritization
Multitasking Abilities
Certified claims professional
Certification
Notary Public, Oregon, 05/01/23
Honors Degree, NW College of Beauty, 01/01/03
Certificate in Medical Billing and Coding, 01/01/87