Functional: I have learned accounting/billing, claims recovery/customer service/receptionist/collections, case management, intake/referral process while practicing accuracy.
Overview
47
47
years of professional experience
Work History
Provider Services Advocate
United Healthcare Group
02.2022 - Current
Works effectively with fellow team members to coordinate effective solutions to any question or concern.
Establishing friendly service and offers expert support in every interaction with Providers.
Maintain positive relationships and bonding with Providers, listening, earning trust, having empathy, first call resolution.
Assists Providers navigating UHC website for processes and procedures to resolve is their question, concerns etc.
Preforms high metric scores, increasing within 100 to 200 surveys monthly regarding Provider satisfaction. Awards given for metrics and survey accomplishments.
Billing Specialist
Family Life Counseling Psychiatric Agency
12.2008 - 01.2022
Director of Intake/Referral process, client care, Medicaid, Medicare, managed 100 plus calls a day from start to scheduling.
Commercial insurance billing, follow up, client benefits with their insurance policies, reprocessing claims timely.
Entry of all daily monies, balance to CFO Bank records.
Collections of past due accounts.
Case Management services with clients, resources, funding, and support system. Managed Subsidy Grants granted to us by local Mental Health Board to aid in client care.
Reconciliation Account Specialist
Richland County Health Department
03.1991 - 12.2006
Prepared working papers, reports and supporting documentation for audit findings. Monthly reconciliation of all line items, programs, grant reporting.
Provided journal entries while preforming accounting on accrual basis.
Tracked funds, prepared deposits and reconciled accounts.
Monthly balancing of in house purchase orders with local County Auditor's office, balances of said purchase orders.
Aiding Fiscal Officer first hand on daily basis. Achieving 14 years of clean audits with State of Ohio Auditor's office.
Accounting Clerk
Richland County Auditor's Office
01.1977 - 02.1989
Applied proper codes to invoices, files, and receipts to keep records organized and easily searchable.
Input high volume of monthly invoices with consistent accuracy. Manually typing checks for payroll, all monthly invoice payments etc.
Maintained accurate and complete documentation to facilitate accounting and filing functions. Aided Supervisor in balancing out month end.
Assisted in yearly audits with State of Ohio Auditor's office.
Education
High School Diploma - undefined
Lucas High School, Lucas, OH
06.1976
Skills
Medicare and Medicaid processes
Commercial insurance processes
Administrative
AP
Benefits
Call center
Client care
Financial reporting
Director
Excel
Office
Word
Payroll
Policies
Processes
Troubleshooting
Quality Assurance
Provider Relations
Improve Patient Care
Service Quality
Claims Handling and Coverage Verification
Timeline
Provider Services Advocate - United Healthcare Group
02.2022 - Current
Billing Specialist - Family Life Counseling Psychiatric Agency
12.2008 - 01.2022
Reconciliation Account Specialist - Richland County Health Department
03.1991 - 12.2006
Accounting Clerk - Richland County Auditor's Office
01.1977 - 02.1989
Lucas High School - High School Diploma,
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