Summary
Overview
Work History
Education
Skills
Work Availability
Quote
Timeline
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Michel Fines

Fredericksburg,VA

Summary

Highly creative Accounts Receivable/Payable Clerk with over 40 years in accounting and finance. Result oriented and solution focused professional. Medical Biller proficient in Medicare, Medicaid, Advantage Plans and Anthem – also backup for commercial insurance. Accounting skills in problem solving; auditing, appealing and maintaining accuracy on payment billing. Possesses an insatiable drive to achieve and exceed goals. Accounts Payable clerk committed to accurate tracking across all company departs. The goal is to use skills and enthusiasm within the organization to be a professional asset. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Dedicated customer service professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Dynamic Customer Service with extensive experience in customer service. Highly organized professional establishes relationships with customers. Stays calm under pressure.

Overview

38
38
years of professional experience

Work History

SENIOR ACCOUNT REPRESENTATIVE II SPECIALIST, Manager

OPTUM / United Health Group
08.2007 - Current
  • Reason for applying - company is now outsourcing all billing; payments and customer service functions
  • Collaborated with other departments to address customer needs and service requests.
  • Increased customer satisfaction ratings through proactive and actionable resolutions to questions, concerns, or challenges.
  • Analyzed accounts for delinquencies and other ongoing issues.
  • Contacted customers to assess satisfaction and current needs.
  • Facilitated successful internal and external audits through contracts and documentation
  • Composed effective accounting reports summarizing accounts payable data
  • Medical billing for all insurances, Medicare, Medicaid, Anthem and all other insurances
  • Appeal all claims that do not meet contracted pricing in Contract Management System
  • Work directly with customer and insurance companies
  • Audit accounts to make sure patients are not over billed and contact patients if information is needed.
  • Help or train other team members as needed daily
  • Strong customer service internal and external
  • Managed over 60 accounts per day to decrease A/R hold times
  • Accomplished multiple tasks within established timeframes

OFFICE MANAGER, Manager

Fix-it-Fines & Company
06.2001 - 12.2007
  • Reason for leaving : Husband had heart attack, 22405-2804
  • Accounts Receivable / Accounts Payable functions
  • Calculate job costs and submit bids
  • Collect payments
  • Purchase equipment and materials for jobs
  • Established mapping locations for set up work schedules
  • Make appoints for projects
  • Strong customer service skills
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving

Accounting Clerk

Randstadt North America
07.2004 - 08.2005
  • Reason for leaving : received full time permanent work, Composed effective accounting reports summarizing accounts payable data
  • Fuel Reimbursement Department
  • Daily calculations on fuel use on 75 gas stations to reimburse their assigned percentage agreed upon on contract
  • Complete A/P; A/R and G/L figures
  • Maintained accurate and complete documentation to facilitate accounting and filing functions

Customer Service Representative

GEICO Direct
01.1998 - 07.2005
  • Handled customer inquiries and suggestions courteously and professionally.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Managed 65 customer calls daily and promptly to avoid on-hold wait times.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Updated account information to maintain customer records.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.

JUNIOR ACCOUNTING REPRESENTATIVE

North American Die Casting Corp
01.1986 - 01.1995
  • Reason for leaving: did not wish to move to Louisiana
  • Fixed Asset calculations and costs plus billing
  • Full A/P duties including customer service duties
  • Full A/R duties including customer service duties
  • Kept journals and documented accounts payable and cash disbursements
  • Maintained clean and organized files by keeping accounts payable records up-to-date
  • Processed payments and documents such as invoices, journal vouchers, employee reimbursements, and statements
  • Applied proper codes to invoices, files, and receipts to keep records organized and easily searchable

Education

Accounting Certification - Accounting

Germanna Community College
Fredericksburg, VA
05.2007

Microsoft Software Certification from - Microsoft Software

James Monroe Center
Fredericksburg, VA
07.2002

High School Diploma -

North St Paul Senior High School
North St. Paul MN
06.1971

Skills

  • Accounts payable / receivable specialist
  • Expertise in Medical and Industrial invoicing and payment transactions
  • Appealing on-line for Medicare, Medicaid, Anthem and commercial accounts
  • Invoice coding familiarity
  • Analytical reasoning
  • Exceptional organization skills
  • Ethical approach
  • Superior attention to detail
  • Advanced PC computer proficiency
  • Fast learner on computer systems
  • Strong customer service skills both internal and external
  • Account Analysis, Resolutions, Reconciliation
  • Data Entry Software
  • Correspondence Writing
  • Health Insurance Industry Knowledge
  • Serve Customers
  • Analytical and Critical Thinking
  • Problem Identification
  • Customer Satisfaction
  • Government Regulations
  • Microsoft Excel
  • Customer Accounts Management
  • Customer Interaction
  • Account Management Software
  • Problem Resolution
  • Patient Account Management
  • Billing Procedures
  • Insurance Company Communication
  • Client Correspondence
  • Insurance Practices
  • Basic Medical Terminology
  • Department Collaboration
  • Denial Appeals Process

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

Happiness is when what you think, what you say, and what you do are in harmony.
Mohandas Gandhi

Timeline

SENIOR ACCOUNT REPRESENTATIVE II SPECIALIST, Manager

OPTUM / United Health Group
08.2007 - Current

Accounting Clerk

Randstadt North America
07.2004 - 08.2005

OFFICE MANAGER, Manager

Fix-it-Fines & Company
06.2001 - 12.2007

Customer Service Representative

GEICO Direct
01.1998 - 07.2005

JUNIOR ACCOUNTING REPRESENTATIVE

North American Die Casting Corp
01.1986 - 01.1995

Accounting Certification - Accounting

Germanna Community College

Microsoft Software Certification from - Microsoft Software

James Monroe Center

High School Diploma -

North St Paul Senior High School
Michel Fines