Rebecca Wisness
Fargo,ND
Summary
Seeking a position that utilizes Bachelor of Science Degree in Human Development and Family Science with emphasis on Children and Adolescents and extensive knowledge of case management. Versatile Case Manager with expertise in various environments. Hardworking and dedicated to top outcomes. Excellent time manager, communicator and problem solver.
Overview
32
32
years of professional experience
Work History
Program Coordinator
Red River Human Services Foundation
07.2022 - Current
- Led training sessions for staff and volunteers, fostering a knowledgeable and cohesive team environment.
- Organized events and workshops to engage participants, enhancing their learning experience within the program framework.
- Developed effective communication strategies for improved collaboration among team members, resulting in increased productivity.
- Provided exceptional customer service to program participants through prompt response times and attentive assistance with inquiries or concerns.
- Managed budgets and resources for successful execution of multiple programs simultaneously.
- Monitored performance metrics closely to evaluate areas requiring intervention or adjustment, making data-informed decisions that contributed positively towards overall results.
- Designed program implementation and maintenance plan.
- Provided exceptional customer service, addressing inquiries and resolving issues promptly.
- Monitored and evaluated program outcomes, applying findings to refine and improve future initiatives.
- Optimized budget allocation by closely monitoring expenses and adjusting plans as needed.
- Identified risks and developed mitigation plans.
Medical Claims Representative
Family Health Care
07.2021 - 05.2022
- Increased efficiency in claim submission process by staying up-to-date on changing regulations and industry best practices.
- Provided excellent customer service to both patients and healthcare providers during entire claims process.
- Managed high-volume claim submissions, consistently meeting deadlines and maintaining high level of accuracy.
- Collaborated with healthcare providers for timely resolution of discrepancies, ensuring accurate reimbursement.
- Handled complex claim issues, effectively communicating with patients, providers, and insurance companies to ensure resolution.
- Streamlined communication channels between medical professionals and insurance carriers to expedite claim resolutions.
- Built strong relationships with key stakeholders such as healthcare providers, insurers, patients, and colleagues for seamless coordination.
- Secured proper payment for services rendered by thoroughly reviewing insurance coverages and applying appropriate codes.
- Maintained compliance with federal regulations by keeping current on changes in healthcare industry affecting medical billing practices.
- Optimized workflow processes within team by analyzing current procedures and suggesting effective solutions.
- Improved patient satisfaction by efficiently processing medical claims and addressing inquiries.
- Assessed medical claims for compliance with regulations and corrected discrepancies.
- Identified and resolved discrepancies between patient information and claims data.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Reviewed provider coding information to report services and verify correctness.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Followed up on denied claims to verify timely patient payment and resolution.
- Verified patient insurance coverage and benefits for medical claims.
- Verified client information by analyzing existing evidence on file.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Maintained confidentiality of patient finances, records, and health statuses.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Posted payments to accounts and maintained records.
- Collected premiums and issued accurate receipts.
Program Director
The Mentor Network, REM-ND
04.2018 - 05.2021
- Case Management.
- Maintained tight production timetables and quality standards to give audiences exceptional offerings.
- Provided ongoing direction and leadership for program operations.
- Identified risks and developed mitigation plans.
- Met with project stakeholders on regular basis to assess progress and make adjustments.
- Scheduled and supervised staff meetings to discuss new ideas and update participants on program details and milestones.
- Managed competing deadlines with efficiency.
- Created well-written, effective care plans appropriately matching needs of clients following standards and guidelines of funders, contractors and governmental regulations.
- Provided direct services to clients, including safety planning, crisis intervention, case management and advocacy.
- Tracked and analyzed reports to determine needed improvements.
- Created efficient work schedules for each team member to maintain deadlines and keep shifts properly staffed.
Patient Access Representative
CHI St. Alexius Health
02.2016 - 02.2019
- Customer Service.
- Data Entry.
- Knowledge of different insurances.
- Knowledge of billing process.
- Obtaining personal information and maintaining confidentiality.
- Team Player Paraprofessional-High School Special Education.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
- Took copayments and compiled daily financial records.
- Reviewed and corrected claim errors to facilitate smooth processing.
Special Education Paraprofessional
Maddock Public School
09.2016 - 03.2017
- Compassion.
- Patience.
- Paraprofessional certificate.
- A good role model for students.
- Ability to know when to initiate action.
- Flexible.
- Understand necessity to make quick decisions to keep student and staff safe.
- Positive attitude.
- Oversaw class of 10 students when instructor was out of room.
- Alerted instructor to student behavior or issues that needed to be addressed.
- Accompanied students to restroom, on field trips, to cafeteria and to playground.
- Used behavior modeling and specialized teaching techniques to share and reinforce social skills.
Bakery Supervisor
Grace & Ruth Bakery
09.2015 - 06.2016
- Baking.
- Use of large baking equipment.
- Advertising knowledge.
- Managed day-to-day business operations, including accounting, finance, HR, marketing and public relations.
- Greeted customers, answered questions, and provided great customer experiences.
- Oversaw bakery department, supervised staff and delegated daily tasks.
Employment Specialist
Community Options, Fort Totten ND
01.2015 - 05.2015
- Case Management.
- Customer Service.
- Organization.
- Culture knowledge.
- Flexibility.
- Patience.
- Team Player.
- Matched clients to open positions based on skills and work requirements.
Eligibility Worker
Benson County Social Services
10.2009 - 12.2014
- Case Management.
- TECS and Vision skills.
- Customer Service.
- Culture knowledge.
- Data entry.
- Interviewing skills.
- TANF and Foster Care knowledge.
- Team Player/Positive Attitude.
- Managed processing of all benefits applications, including those for financial assistance and food stamps.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Interviewed applicants and explained scope of different available benefits.
- Communicated with people from various cultures and backgrounds on application process.
CMA, Dietary Assistant and Bath Aide
Memorial Home
03.2008 - 02.2010
- Administering medications.
- Knowledge of basic care nursing home state regulations.
- Compassion and patience.
- Preparation and serving meals.
- Coordinated daily medicine schedules and administration to help clients address symptoms and enhance quality of life.
- Assisted patients with dressing, grooming and feeding needs, helping to overcome and adapt to mobility restrictions.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
- Agreed to take on additional shifts and extra hours during busy periods and holidays to maintain proper staffing and floor coverage.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Oversaw and maintained patients' rooms, group living areas and nurse stations.
Paraprofessional
Kindergarten
Minnewaukan Public School
08.2008 - 05.2009
- Culture knowledge.
- Patience.
- Paraprofessional certificate.
- Positive attitude.
- Dependable.
- Flexible.
- Ability to make quick decisions to ensure safety of all students and co-workers.
- Used behavior modeling and specialized teaching techniques to share and reinforce social skills.
- Prepared instruction materials, including making copies, constructing bulletin boards and setting up work areas.
- Kept classrooms clean, neat and properly sanitized for student health and classroom efficiency.
- Took daily attendance, notifying classroom teacher immediately of any student absences.
- Set up visual aids, equipment and classroom displays to support teacher's lesson delivery.
- Assisted classroom teacher in supervising snack time and indoor and outdoor play.
Medical Transcriptionist
Lake Region Clinic
09.1992 - 05.1993
- Medical Terminology knowledge.
- Data Entry.
- Transcribed sensitive documents with complete confidentiality.
- Corrected grammar, spelling and syntax mistakes.
- Accurately documented medical dictation to record patient care records.
Education
Bachelor of Science - Human Development and Family Science/Children and Adolescent
North Dakota State University
Fargo, ND12.2017
Associate of Science - Business
Lake Region State College
Devils Lake, ND05.2010
Associate of Science - Medical Secretary
North Dakota State College Of Science
Wahpeton, ND05.1992
Skills
- Customer Service
- Data Entry
- Dependable
- Medical Terminology
- Scheduling
- Team Player
- Strategic leadership
- Effective leader
- Customer service experience
- Understanding of human resources
- Staff Management
- Stakeholder Relations
- Program Development And Management
- Case Management
Timeline
Program Coordinator
Red River Human Services Foundation
07.2022 - Current
Medical Claims Representative
Family Health Care
07.2021 - 05.2022
Program Director
The Mentor Network, REM-ND
04.2018 - 05.2021
Special Education Paraprofessional
Maddock Public School
09.2016 - 03.2017
Patient Access Representative
CHI St. Alexius Health
02.2016 - 02.2019
Bakery Supervisor
Grace & Ruth Bakery
09.2015 - 06.2016
Employment Specialist
Community Options, Fort Totten ND
01.2015 - 05.2015
Eligibility Worker
Benson County Social Services
10.2009 - 12.2014
Paraprofessional
Kindergarten
Minnewaukan Public School
08.2008 - 05.2009
CMA, Dietary Assistant and Bath Aide
Memorial Home
03.2008 - 02.2010
Medical Transcriptionist
Lake Region Clinic
09.1992 - 05.1993
Bachelor of Science - Human Development and Family Science/Children and Adolescent
North Dakota State University
Associate of Science - Business
Lake Region State College
Associate of Science - Medical Secretary
North Dakota State College Of Science
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