Summary
Overview
Work History
Timeline
Generic

Richelle Gause

Milwaukee,WI

Summary

To obtain a full-time position for various fields, Medical billing collections, data entry, customer service representative and administration assistant. I’m a hard worker with a positive attitude. Some of my strengths include being a good multitasker, I’m highly productive and accurate, and I work well in a team environment.

Overview

21
21
years of professional experience

Work History

Shipping and Receiving Manager

Restaurant Depot
09.2022 - 05.2025
  • Inventory Controller(Senior Management)
  • Cashier
  • Front end supervisor
  • Verified daily deposits
  • Check verification
  • Count down cashier's drawer
  • Human Resources
  • Cash room manager
  • Closing out business day
  • Verifying applications
  • Interviewed applicants
  • Payroll
  • Inventory manager(senior management/promotion)
  • Verified shipping and receiving paperwork
  • Sent up refund request
  • Research missing products
  • Verified department manager’s cycle counts for processing

Assignment-Zurn Water Solution-Collections/AR

Truity Staffing
05.2022 - 06.2022
  • Sent out past due invoices to clients
  • Request pricing adjust for incorrect amount due
  • Verified proof of delivery
  • Sent out packaging slips
  • Review payment history
  • Review credit adjustment

Preauthorization

Tenderness Health Care
08.2020 - 12.2020
  • Requesting medical records from client’s physicians
  • Requesting 485 (plan or care) signed by client’s physician
  • Verifying patient'sdemograpics
  • Requesting school records for clients that are minors
  • Eligibility for physicians and clients
  • Uploading documents in Alora

Assignment- My Choice Family Care-Insurance Specialist

K-Force Staffing
08.2019 - 12.2019
  • Checking eligibility
  • Verified appeals for denied claims from provider (timely filing)
  • Entered new authorization
  • Billed new authorization
  • Billing system: Midas

Credit and Refund Specialist

R1 (Part of Ascension/Wheaton Franciscan
03.2018 - 02.2019
  • Review denied explanation of benefits
  • Billed corrected claims
  • Reviewed refund request
  • Claims status
  • Patient eligibility
  • Updating patient’s demographics
  • Reviewed undistributed payments


Assignment: Aurora Health Care-Insurance Follow Up

K-Force Staffing
03.2017 - 02.2018
  • Reviewed denied explanation of benefits
  • Correcting/updating CPT codes
  • Submitting correct claims
  • Patient eligibility
  • Updating patient’s insurance
  • Secondary claim review
  • Requesting information from physician
  • Checking provider enrollment
  • Client billing review
  • Write off adjustment review
  • Cash posting in EPIC

Assignment: Progressive Community Health Care-Billing Specialist

Aerotek Staffing
03.2016 - 08.2016
  • Billed professional claims
  • Claim status
  • Pasting insurance remits
  • Claims corrections in EPIC and Molina portal
  • Voiding Medicaid overpayment in Forward Health Portal
  • Review over payment (Patient and insurance)
  • Contacting patients on past due balances
  • Taking incoming patient and insurance calls
  • Processing payment credit card payments
  • Setting up patient payment plans

Assignment: Milwaukee Center for Independence

Extension Inc
07.2014 - 06.2016
  • Cash posting
  • Correcting missed applied payments
  • Credit and debit posting
  • Processing credit cards
  • Reviewing cashed check reconciliation
  • Submitting processional claims in Forward Health Portal
  • Submitting pharmacy claims
  • Submitting Medicare claim manually through Excel
  • Reconciling billed amount


Collection Specialist/Customer Service Representative

OS Inc
09.2004 - 08.2013
  • Took incoming and outgoing calls
  • Set up patient payment plans
  • Updated patient demographics
  • Patient insurance eligibility
  • Patient account review for collections
  • Processed payments

Timeline

Shipping and Receiving Manager

Restaurant Depot
09.2022 - 05.2025

Assignment-Zurn Water Solution-Collections/AR

Truity Staffing
05.2022 - 06.2022

Preauthorization

Tenderness Health Care
08.2020 - 12.2020

Assignment- My Choice Family Care-Insurance Specialist

K-Force Staffing
08.2019 - 12.2019

Credit and Refund Specialist

R1 (Part of Ascension/Wheaton Franciscan
03.2018 - 02.2019

Assignment: Aurora Health Care-Insurance Follow Up

K-Force Staffing
03.2017 - 02.2018

Assignment: Progressive Community Health Care-Billing Specialist

Aerotek Staffing
03.2016 - 08.2016

Assignment: Milwaukee Center for Independence

Extension Inc
07.2014 - 06.2016

Collection Specialist/Customer Service Representative

OS Inc
09.2004 - 08.2013

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Richelle Gause