RAPHAEL-GERMAIN BETHANIE
Ocoee,FL
Summary
Goal-Oriented and driven personnel engagement professional with proven success in improving operations and solving problems. Highly proficient in building lasting relationships with key decision makers, customers and team members to further company goals. Ready to leverage training and experience to take on new professional challenges.
Overview
16
16
years of professional experience
5
5
years of post-secondary education
1
1
Language
Work History
Human Resource Generalist
Upscale Multi Services
Orlando, Florida
06.2019 - Current
- Implemented tracking database for employee professional development, licensure renewal credits and renewal deadlines.
- Reviewed existing policies and procedures to make recommendations for enhancing work productivity, recruitment, hiring processes and talent management.
- Performed timely project management within budget constraints for issues regarding executive leadership.
- Coordinated technical training and personal development classes for staff members.
- Facilitated onboarding sessions and on-the-job training for new hires bolstering position knowledge and skillset.
- Evaluated strengths and weaknesses of candidates through effective screening processes.
- Generated specific candidate pool for career opportunities through strategic placement of advertisements, evaluation of applicant credentials and conducting initial interviews and pre-screening assessments.
Denial Management Specialist
AdventHealth
Orlando, Florida
09.2019 - Current
- Responsible for recognizing payer trends to maximize expected reimbursement for the managed care contracts
- Researches and analyzes denial data and coordinate denial recovery responsibilities
- Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials
- Develop reporting tools that effectively measure and monitor processes throughout the denials management process in order to support process improvement.
- Identifies, documents, and communicates trends in recurring denials and recommends process improvements or system edits to eliminate future denials
Insurance Reimbursement Team Lead
AdventHealth
11.2015 - 09.2019
- Works with Insurance payors to ensure proper reimbursement on patient accounts to expedite resolution
- Mentor and motivate team members
- Lead team to achieve department financial and team goals
- Maintain current & thorough knowledge of use of available system tools and payer contract.
- Reported on updates to project specifications and progress.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Mentored newly hired employees on operating equipment and safety and developed training manual to use for reference.
- Conducted interviews with participants to assess eligibility.
Administrative Assistant
Advantage Trust Mortgage Inc
Orlando, Florida
05.2006 - 07.2012
- Executed record filing system to improve document organization and management.
- Recorded meeting minutes to provide historical account of actions, measure progress against strategic plan and drive accountability.
- Responsible for performing accurate data entry and maintaining the quality of the database
- Recorded meeting minutes to provide historical account of actions, measure progress against strategic plan and drive accountability.
- Leveraged accounting software to manage expenses and keep track of finances.
- Booked airfare, hotel and ground transportation to coordinate office travel.
- Managed incoming correspondence to enhance employee performance and reduce time spent on processing and responding.
Education
Associate of Arts -
Valencia College
Orlando, FL 08.2009 - 05.2012
Bachelor of Science - Business and Information Management, Human Resources
Seminole State College of Florida
Sanford, FL 08.2016 - 12.2018
Skills
Payroll Coordination
Compensation structuring
Training and mentoring
Contract Negotiation
Technical Analysis
Talent management
Organizational Development
Recruitment strategies
Google Sourcing
Employee Onboarding
Excel/Google Sheet
Greenhouse ATS
Timeline
Denial Management Specialist
AdventHealth
09.2019 - Current
Human Resource Generalist
Upscale Multi Services
06.2019 - Current
Bachelor of Science - Business and Information Management, Human Resources
Seminole State College of Florida
08.2016 - 12.2018
Insurance Reimbursement Team Lead
AdventHealth
11.2015 - 09.2019
Associate of Arts -
Valencia College
08.2009 - 05.2012
Administrative Assistant
Advantage Trust Mortgage Inc
05.2006 - 07.2012