ONYEMA A. LONG
GREENWELL SPRINGS,LA
Summary
Results-oriented professional with proven strengths in time management and organizational skills sufficient to prioritize work, complete assignments and projects accurately and within set deadlines. Excellent collaborator capable of working from own initiative and/or following direction, policies, or procedures. Possesses excellent interpersonal skills including excellent verbal and written communication skills. Ability to handle difficult situations in a professional manner. Ability to use analytical and decision-making skills to offer options and resolve problems in a variety of contexts. Experienced Case Manager offering educational enrichment and demonstrated academic progress for students with disabilities. Proven history of implementing personalized instructional practices and designing quality Individualized Education Programs in collaboration with students, parents and teachers to support learning plans. Excellent collaborator dedicated to providing first-rate supportive counseling and guidance.
Overview
18
18
years of professional experience
Work History
Special Education Case Manager
Louisiana Key Academy
02.2021 - Current
- Completing report prep for student evaluations
- Provides complete and accurate responses to applicant inquiries and counsels’ prospective parents regarding the admissions process
- Contacts prospective parents and provides accurate and complete information about the Campus and the programs of education offered by the Campus.
- Reviews and reads enrollment applications. Conducting email and phone correspondence with parents, to notify of student records needed to complete application
- Manage the re-enrollment of current students for the succeeding year with constant monitoring of attrition and retention
- Managing and maintaining the filing system for students' SPED and enrollment documents
- Ensuring that student documents are scanned and uploaded to appropriate system applications (SchoolMint, eSER and PowerSchool)
Sr. Patient Accounts Billing & Collections Specialist
Woman's Hospital
02.2012 - 02.2021
- Analyze and resolve a variety of complex and sensitive billing and case related issues to work towards resolution including written appeals
- Respond to questions, inquires and concerns from stakeholders regarding patient case files; provide detailed responses
- Responsible for determining why proper payment was not received and make necessary revisions; ensure proper medical documentation is compiled & sent to insurance carrier, or that claim is re-coded and refiled, in order to secure healthcare reimbursement
- Evaluate and analyzed customer's financial status; Contact clients to negotiate and establish payment plans in order to resolve outstanding medical balances
- Compile daily reports to communicate and review accounts with Manager; Initiate collection procedures and/or prepare accounts for legal review
Authorization and Precertification Specialist
Baton Rouge General Medical Center
03.2009 - 02.2012
- Assist in monitoring utilization of medical services to assure cost effective use of medical resources.
- Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Made corrections and necessary
- Obtained and submitted clinical information documentation to expedite approvals and ensure that appropriate follow-up is performed
- Collaborated with other departments in a cross functional manner to obtain clearance that treatment regimen is considered a medical necessity
- Notified utilization management nurse via verbal or written correspondence of authorized days, next review date and of any potential denial notification
Senior Claims Processor
Allstate Insurance Company
04.2006 - 03.2009
- Functioned as liaison between Claim adjusters, clients, healthcare providers, and vendors to ensure excellent and timely service is given to clients
- Ensured compliance and consistency of company polices and best practices
- Ensured the highest level of customer service to clients, vendors and healthcare providers by keeping all parties adequately informed and providing clear explanation of claim process/status
- Analyzed medical bills to determine if treatment is customary and reasonable for sustained injury
- Processed payments to homeowners for property damage or injured parties for accidents upon closure of claim file
Skills
- Highly organized, detail-oriented and able to manage multiple projects simultaneously
- Excellent planning skills with the ability to both lead, execute, and adapt to changing environments
- A very high level of energy, creativity and flexibility Ability to work well under pressure and to reason, think creatively, and solve problems
- Critical thinking and decision-making skills with the ability to exercise good judgment
- Ability to support others, contribute to team efforts, and foster a cooperative environment
- Excellent interpersonal, written and verbal communication skills as well as a proven ability to work with colleagues and stakeholders at all levels
Timeline
Special Education Case Manager
Louisiana Key Academy
02.2021 - Current
Sr. Patient Accounts Billing & Collections Specialist
Woman's Hospital
02.2012 - 02.2021
Authorization and Precertification Specialist
Baton Rouge General Medical Center
03.2009 - 02.2012
Senior Claims Processor
Allstate Insurance Company
04.2006 - 03.2009
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