Phoenicia Herbert
Fayetteville,NC
Summary
PROFESSIONAL SUMMARY Specialist offering over 20 years of success in fast-paced environments. Strategic thinker with high proficiency. Upbeat, knowledgeable, and efficient professional equipped to manage positive member interactions and provide exemplary customer service. Offers proven ability to build effective teams.
Overview
29
29
years of professional experience
Work History
Billing Operations Manager
New Beginning Counseling Services
Albuquerque, NM
02.2025 - Current
- Direct recruitment, hiring, and training of new staff members.
- Review completed work to verify consistency, quality, and conformance.
- Respond to verification inquiries from other healthcare organizations and insurance companies.
- Assist in the accreditation process by gathering and submitting the required documentation.
- Process re-credentialing applications for existing providers according to contractual requirements.
- Reviewed purchase orders, sales tickets and charge slips to compute fees or charges due.
- Update credentialing software with new features to enhance process efficiency.
- Collect, post and managedpatient account payments.
- Manage all payments processing, invoicing and collections tasks.
- Verify insurance coverage and identified third-party payers for billing purposes.
Patient Access Representative
Pfizer Oncology
Houston, TX
10.2024 - 03.2025
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Counselled patients on potential financial liabilities and payment requirements.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
- Utilized computer systems efficiently for ordering, tracking and documenting all aspects of medication management.
- Requested new prscriptions on discrepancies or errors in medication ordering or filling processes immediately to the pharmacist on duty.
- Resolved customer complaints in a timely manner while upholding company standards.
Lead Billing Specialist
Brown Trucking
Raleigh, NC
04.2021 - 12.2022
- Ensure timely processing of customer accounts for billing
- Perform auditing customer accounts to ensure accuracy of billers
- Investigate and resolve issues to maintain billing accuracy.
- Process documents for weekly payroll for CVO's
- Maintained coverage of CVO hotline for resolution of inquiries
- Process payroll corrections by request of CVO's
CSR
PFS Group
Morrisville, NC
07.2020 - 03.2021
- Handled inbound and outbound calls for assigned client hospitals.
- Resolved and offered resolution to assist in settling patient accounts.
- Collected payments, offered, and created payment plans.
- Fulfilled inquiries for itemized statements and proof of payment requests.
- Processed requests for financial assistance applications.
- Responded to insurance company requests via telephone/fax.
- Adhere to HIPAA, PHI regulations.
CRU Representative
CenterLight Healthcare
Bronx, New York
03.2017 - 08.2019
- Provided administrative support to field RN's.
- Pre-screened potential enrollees 55+ for eligibility.
- Verified via E-Paces for Medicaid activity, including exemption/exclusion codes to assist in reactivation & enrollment decision.
- Provided first-touch product line education for all referrals.
- Scheduled Maximus/Vendor RN Scheduling for potential enrollees.
- Conducted interview of potential enrollees' and/or family members.
- Departmental liaison for DSS, HRA, Maximus.
- Assigned Plan Consultants for in-person plan education, Service Plan signing.
- Completed Nursing Home authorization requests for monthly payment and annual renewal.
Claims Representative
CenterLight Healthcare
Bronx, New York
08.2003 - 03.2017
- Provided quality assurance for Supervisors and other claims representatives for necessary corrections.
- Actively regulated amount of discrepancies by effectively coaching staff on purchase orders.
- Posted payment based on vouchers, batches and bills.
- Processed payments, corrections and cancellations.
- Audited/adjusted credit memos, partial payments, recoupment of over-payments.
- Approved, denied and closed system for check processing and EOB completion.
- Adjudicated high volumes of medical, hospital, provider claims while working in fast paced environment.
- Managed revenues in excess of $1M per year.
- Identified suspicious losses, immediately contacting immediate manager to conduct further investigations.
- Promoted client retention through high-quality service and follow through.
- Expedited invoices stemming from resolved inquiries.
Bookkeeper/Payroll Clerk
P&C Insulation
Bronx, New York
01.2001 - 11.2001
- Calculated, issued manual weekly payroll for 24 employees.
- Assured accuracy of General Ledger in preparation for Accountant.
- Reported, resolved any issues with financial records.
- Petty cash organizer & handler totaling $300 per month.
- Balanced budget for revenues of over $75k per year.
- Bank reconciliation of cash receipts.
- Accurately performed quarterly tax preparation for President & Accountant.
Administrative Clerk
Census Bureau
New York
08.2000 - 03.2001
- Hired administrative, field staff.
- Notified prospects of dates & times to appear for Orientation.
- Prepared personalized training material for new hires through governmental software.
- Arranged, scheduled, management conference calls & meetings.
- Trained clerical staff.
- Acting receptionist when needed.
Executive Assistant
People of Color
New York
08.1996 - 06.2000
- Created, maintained new/existing model /vendor files.
- Recruited small businesses for new venues.
- Visited businesses for company introduction.
- Petty cash organizer & handler totaling $200 per month.
Education
Certificate - Medical Billing
Empire Careers
New York05.1999
No Degree - Business Administration and Management
Hostos Community College of The City University of New York, Some College
Skills
- Access
- A/P, A/R
- HIPAA
- Mediation
- Medical terminology
- Microsoft Products - Word, Excel, PowerPoint, Outlook
Timeline
Billing Operations Manager
New Beginning Counseling Services
02.2025 - Current
Patient Access Representative
Pfizer Oncology
10.2024 - 03.2025
Lead Billing Specialist
Brown Trucking
04.2021 - 12.2022
CSR
PFS Group
07.2020 - 03.2021
CRU Representative
CenterLight Healthcare
03.2017 - 08.2019
Claims Representative
CenterLight Healthcare
08.2003 - 03.2017
Bookkeeper/Payroll Clerk
P&C Insulation
01.2001 - 11.2001
Administrative Clerk
Census Bureau
08.2000 - 03.2001
Executive Assistant
People of Color
08.1996 - 06.2000
Certificate - Medical Billing
Empire Careers
No Degree - Business Administration and Management
Hostos Community College of The City University of New York, Some College
Similar Profiles
Olivia J. HyltonOlivia J. Hylton
Licensed Mental Health Therapist at A New Beginning Counseling LLCLicensed Mental Health Therapist at A New Beginning Counseling LLC
Gurvinder Singh SudanGurvinder Singh Sudan
Recruitment Consultant at Beginning Education ServicesRecruitment Consultant at Beginning Education Services
Aileen RodriguezAileen Rodriguez
Lead HR Assistant at New Beginning Supported Living ServicesLead HR Assistant at New Beginning Supported Living Services