Summary
Overview
Work History
Education
Skills
Timeline
Generic

Nancy Adler

King,PA

Summary

Talented professional considered knowledgeable leader and dedicated problem solver. Brings 11 years of valuable expertise to forward company objectives. Attentive to detail with experience in coordinating projects, programs and improvements. Focused Project Manager adept at planning, directing and maintaining continuous operations in various departments. Experienced in directing employees and keeping efficient production in accordance with quality standards. Applying creative and analytical approach to operations for continuous process improvement. Skilled at identifying or anticipating problems and providing solutions. Excels through mentoring, training and empowering team to excel in performance. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

16
16
years of professional experience

Work History

Project Manager

Delaware Audio Visual Integration & Design
02.2012 - Current
  • Coordinated, assigned, and scheduled all necessary resources from installation to programming and support services.
  • Enhanced overall project success by conducting thorough post-project evaluations and incorporating lessons learned into future efforts.
  • Met project deadlines without sacrificing build quality or workplace safety.
  • Achieved project deadlines by coordinating with contractors to manage performance.
  • Prepared and submitted project invoices for review and approval.
  • Provided detailed project status updates to stakeholders and executive management.
  • Identified plans and resources required to meet project goals and objectives.
  • Sourced, vetted and managed vendors needed to accomplish project goals.
  • Recruited and oversaw personnel to achieve performance and quality targets.
  • Successfully managed multiple projects simultaneously by prioritizing tasks according to urgency, resource availability, and alignment with organizational goals.
  • Established effective communication among team members for enhanced collaboration and successful project completion.
  • Monitored project progress, identified risks and took corrective action as needed.
  • Maintained open communication by presenting regular updates on project status to customers.
  • Developed strong relationships with stakeholders through regular communication updates, fostering trust and confidence in the team''s ability to deliver results.
  • Coordinated with cross-functional teams to resolve project issues and mitigate risks.
  • Coordinated material procurement and required services for projects within budget requirements.
  • Prepared detailed reports on project status for stakeholders, ensuring transparency and alignment with objectives.
  • Collaborated closely with senior management to align project objectives with strategic company initiatives, ensuring that efforts contributed to overall business growth.
  • Delivered exceptional customer satisfaction by proactively addressing client concerns and meeting or exceeding expectations throughout the engagement process.
  • Excellent communication skills, both verbal and written.
  • Worked effectively in fast-paced environments.
  • Demonstrated leadership skills in managing projects from concept to completion.
  • Acted as a team leader in group projects, delegating tasks and providing feedback.
  • Gained strong leadership skills by managing projects from start to finish.

Medical Claims Analyst

American Independent Insurance
01.2011 - 02.2012
  • Determined appropriateness of payers to protect organization and minimize risk.
  • Reviewed outstanding requests and redirected workloads to complete projects on time..
  • Generated, posted and attached information to claim files.
  • Coordinated with contracting department to resolve payer issues.
  • Managed high-volume caseloads for optimal productivity while maintaining strict attention to detail.
  • Provided exceptional customer service, addressing inquiries regarding coverage, benefits, and claim statuses promptly and professionally.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Reviewed outstanding requests and redirected workloads to complete projects on time.

Medical Billing Coordinator

Advanced Foot And Ankle Center
03.2008 - 01.2011
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Posted payments and collections on regular basis.
  • Reviewed patient records, identified medical codes, and created invoices for billing purposes.
  • Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
  • Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
  • Created improved filing system to maintain secure client data.
  • Contributed to the development of best practices for medical billing operations, ensuring consistency across all departments within the organization.
  • Responded to customer concerns and questions on daily basis.
  • Leveraged strong organizational skills to maintain comprehensive patient accounts, enabling quick access to relevant information during billing inquiries.
  • Reduced claim denials and rejections by conducting thorough audits and addressing discrepancies prior to submission.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Coordinated with clinical teams to ensure proper documentation was received for accurate coding and claim submissions, reducing delays in reimbursements.
  • Monitored outstanding invoices and performed collections duties.
  • Audited and corrected billing and posting documents for accuracy.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Developed a comprehensive understanding of medical terminology and coding systems to accurately translate services provided into billable charges on patient accounts.
  • Generated monthly billing and posting reports for management review.
  • Verified insurance of patients to determine eligibility.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
  • Collected payments and applied to patient accounts.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Collaborated with insurance providers to expedite claims processing and secure timely payments for services rendered.
  • Delivered timely and accurate charge submissions.
  • Enhanced patient satisfaction with clear communication of payment expectations, resolving concerns, and providing flexible payment options.
  • Safeguarded sensitive patient data through strict adherence to HIPAA guidelines and implementation of secure record-keeping practices.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Improved billing accuracy by implementing stringent quality control measures and enhancing documentation processes.
  • Filed and updated patient information and medical records.
  • Used data entry skills to accurately document and input statements.
  • Handled account payments and provided information regarding outstanding balances.
  • Maintained accurate records of customer payments.
  • Proved successful working within tight deadlines and a fast-paced environment.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Demonstrated strong organizational and time management skills while managing multiple projects.

Education

No Degree - Accounting

Goldey Beacom College
Pike Creek, DE

High School Diploma -

North East High School
North East, MD
06.1985

Skills

  • Project Planning and tracking
  • Staff Management
  • Technical Support
  • Permit processing
  • Customer Relationship Management
  • Schedule Management
  • Detail Oriented
  • Inventory Control
  • Documentation And Reporting
  • Work Planning and Prioritization

Timeline

Project Manager

Delaware Audio Visual Integration & Design
02.2012 - Current

Medical Claims Analyst

American Independent Insurance
01.2011 - 02.2012

Medical Billing Coordinator

Advanced Foot And Ankle Center
03.2008 - 01.2011

No Degree - Accounting

Goldey Beacom College

High School Diploma -

North East High School
Nancy Adler