Michelle R Riddick
Camp Springs,MD
Summary
Highly skilled and agile in the approach of assessing challenges and resolving with outside-the-box strategies. My years of experience have afforded me the ability to be proactive in identifying and mitigating possible risks. In my professional experience, I have demonstrated a knack for customer resolution, financial and data analysis, account management and contracts. Demonstrate a high regard in providing operational excellence by being proficient in Microsoft Word, Excel, Power Point, and Access.
Overview
23
23
years of professional experience
Work History
Real Estate Consultant to Developer
M & G Services, Inc
08.2014 - Current
- Illustrate contractual fiduciary responsibility as well as utilizing-enforcing the contracts as law
- Enforce the Code of Ethics with Standards of Practice that promote the fair, ethical and honest treatment of all parties in real estate transactions
- Review and explain clauses and addendums (Contracts)
- Plan, facilitate and conduct seminars
- Coordinate with multiple facets involving the real estate transaction -title, lenders, HOA's, and public records
- Provide an overview of current market conditions and projections
- Communicate with multiple vendors pertaining to utility installation for electricity, gas, and water
- Coordinate / verify with necessary authorities for licensing and permits for structural and utility installations
- Implement operations and procedures to ensure compliance with federal and state laws
- Research on ownership and legal description of property; compiled reports
- Arrange meetings via scheduling and assigning contractors for demolition, installations, and general construction
- Coordinate written or verbal correspondence necessary to maintain business operations
- Manage reports and data entry: Frequently create, direct, and proofread written correspondence and spreadsheets to illustrate financial reporting
- Identify gaps / inefficiencies in the process; revise, reconstruct documents, and processes for better workflow
Data Specialist
North Carolina Department of Health and Human Services (DHHS)
02.2021 - 12.2024
- Data-Entry- effectively manage large amounts of data while maintaining confidentiality according to HIPA
- Manage Reports- explore data, archive data, disseminate data, view data patterns and trends and communicate findings
- Research / Update recipient files (death, births, marriages abortions and paternity data)
- Ensure data integrity of databases used to enforce COVID Federal and State laws
- Assist in the COVID-19 Community Emergency Vaccination Site
- Community Service
- Work with internal and external teams of local government and military in coordinating workstations for COVID vaccinations
- Other projects as assigned by management
Cash Auditor/ Cash Operations and Systems
Kaiser Permanente
12.2007 - 06.2014
- Internal business consultant to (4) medical centers -defining contractual terms and timelines
- Conducts unannounced and routine audits (site visits)
- Report suspected fraudulent behavior to Kaiser's Compliance/Security Department for immediate corrective action
- Granted user(s) to different facility access and different levels of system applications
- Managed facility using a tracking system and metrics to maintain better internal controls
- Provide necessary training for centers to consistently stay updated with all processes and procedures required by federal mandates
- Verify billable charges that have been 'dropped' from the system to be later investigated
- Create close relationships with facility managers to ensure that site audits are most effective
- Communicate strategies and directions from policymakers to medical center/ facility management to ensure proper conduct is incorporated in the day-to-day processes
- Transactions and payments are reconciled using very detailed spreadsheets and system reports
- Perform training to front-end users to adequately ensure contract terms and expectations are met
- Supervise staff in maintaining performance targets that impact audit trends and root causes
- Provide analytical support to medical centers/facility management in reviewing collection statistics via reports providing graphs and numeric evaluations
- Train users in understanding their vital role in the revenue cycle and how it impacts the overall goal of the organization
Coordination of Benefits (COB)
Kaiser Permanente
01.2002 - 12.2007
- Audit all Direct-Pay and Group-member monies received at the regional office
- Balance and reconcile all batches after monies have been posted to members' accounts
- Work in a prompt and efficient manner to successfully meet billing deadlines for each revenue type
- Perform extensive research on checks received for Direct Pay or Group members
- Document and Record discrepancies
- Manage and maintain extensive data entry with support of internal / external databases
- Perform Daily Reconciliation: Accounted for all monies received/ post monies appropriately
- Evaluate and supervise Working Aged Specialists according to contractual requirements
- Support management with status reports regarding the unit's performance in accordance with the reimbursement schedules provided by Medicare/Medicaid
- Corresponded with inter-departmental and intra-departmental units regarding Kaiser's questions and concerns relative to billing Medicare and Commercial primacy determination
- Customer/Patient support using verbal and written communication
- Develop and implement written correspondence to members to comply with HCFA guidelines and contractual obligations with the legal department
- Create documents, forms, policies and procedures
- Address any concerns not aligned with contractual terms with patient or staff
- Assist in developing work plans and allocating work
- Illustrated an understanding of regulations by assisting in the development of policies and procedures for billing and reimbursement
- Assisted with the development of system upgrades with IT in retrospect to implementing applications to support internal/ external contractual terms
- Maintained communications with members and management using Microsoft Word, Excel, Access and Emails
Education
Business Administration -
North Carolina State University
01.1987
Business -
Kaiser Permanente Business Trainings
Rockville, MD01.2011
Professional Development -
Execu-Train
01.2000
Real Estate Curriculum -
Coldwell Banker
01.2000
Skills
- Contract negotiation
- Data management
- Financial Analysis
- Audit
- Risk assessment
- Regulatory compliance
- Communication skills (oral, written)
- Attention to detail
- Problem-solver
- Customer service
Timeline
Data Specialist
North Carolina Department of Health and Human Services (DHHS)
02.2021 - 12.2024
Real Estate Consultant to Developer
M & G Services, Inc
08.2014 - Current
Cash Auditor/ Cash Operations and Systems
Kaiser Permanente
12.2007 - 06.2014
Coordination of Benefits (COB)
Kaiser Permanente
01.2002 - 12.2007
Business -
Kaiser Permanente Business Trainings
Professional Development -
Execu-Train
Real Estate Curriculum -
Coldwell Banker
Business Administration -
North Carolina State University
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