ROBERTA TULLEY
Arundel,ME
Summary
This professional has over 18 years of experience in the healthcare industry, specifically in Medicare B program rules and regulations. I have a strong background in training and educating physicians, healthcare providers, hospitals, billing staff, and beneficiaries on these rules and regulations. I am skilled in media production and have a passion for developing educational media and publications to reach my audience and my educational goals. I am highly respected in my field and have been chosen to work with the Health Care Finance Administration (HCFA) to ensure our company is following proper procedures. Due to an My career goals include working in the healthcare industry, specifically in roles related to education, outreach, and media production. I would be interested in job titles such as Healthcare Educator, Media Production Specialist, Healthcare Outreach Coordinator, or Healthcare Communications Manager. I have a strong understanding of Medicare B program rules and regulations and would be a valued to any healthcare organization. My skills in coding,medical knowledge, training, educating, and developing educational media make me a highly sought-after candidate in the healthcare industry. I was working towards a degree in Health Care Finance. He This professional has over 18 years of experience in the healthcare industry, specifically in Medicare B program rules and regulations. I have a strong background in training and educating physicians, healthcare providers, hospitals, billing staff, and beneficiaries on these rules and regulations. I am skilled in media production and have a passion for developing educational media and publications to reach my audience and my educational goals. I am highly respected in my field and have been chosen to work with the Health Care Finance Administration (HCFA) to ensure our company is follow is following proper procedures.
My career goals include working in the healthcare industry, specifically in roles related to education, outreach, and media production. I would be interested in job titles such as Healthcare Educator, Media Production Specialist, Healthcare Outreach Coordinator, or Healthcare Communications Manager. I have a strong understanding of Medicare B program rules and regulations and would be a valued to any healthcare organization. My skills in coding, medical knowledge, training, educating, and developing educational media make me a highly sought-after candidate in the healthcare industry. I was working towards a degree in Health Care Finance.
Dynamic Property Manager with a proven track record at Owner Operator Independent, excelling in tenant relations and property compliance. Skilled in claims processing and customer support, I effectively resolve issues while enhancing tenant satisfaction. My strong organizational skills and problem-solving abilities drive operational excellence and foster lasting relationships.
Overview
44
44
years of professional experience
1
1
Certification
Work History
Shoe Sales Associate
JC Penney
10.1981
- Sold shoes on commission.
Property Manager
Owner Operator Independent
Arundel, ME
10.1981 - Current
- Manage tenant relations to ensure satisfaction and address concerns promptly.
- Coordinate property maintenance and repairs with service providers effectively.
- oversee lease agreements and ensured compliance with property regulations
- Conduct property inspections to assess condition and identify needed improvements.
- Maintain accurate records of tenant payments and lease renewals consistently.
- Implement marketing strategies to attract prospective tenants to available units.
- Assist in budgeting processes for operational expenses and property improvements.
- Facilitate communication between ourselves, tenants, and vendors for smooth operations.
- Handle resident complaints and expedited maintenance requests.
- Resolve tenant complaints quickly and effectively while ensuring customer satisfaction.
- Inspect properties regularly to identify deficiencies and schedule repairs.
- Maintain accurate records of financial transactions including rent collections, security deposits, and other income sources.
- Collect monthly assessments, rental fees, deposits and payments.
- Assess rental applications, conduct background checks, and approve or deny prospective tenants based on established Criteria
- Process evictions when necessary in accordance with state laws and procedures.
- Manage all maintenance requests from tenants in a timely manner.
Education and Outreach Representative
NHIC Medicare
04.2001 - 07.2003
- Ensure the Medicare provider community is educated and assisted in the processing of their insurance claims, current policies, rules and regulations
- Also, to research and identify problems and provide resolutions
- This is accomplished through seminars, in-house meetings, off-site meetings, telephone and written correspondence.
Professional Relations Asst.
NHIC Medicare
07.1997 - 04.2001
- Ensure the Medicare provider community is educated and assisted in the processing of their insurance claims, current policies, rules and regulations
- Also, to research and identify problems and provide resolutions
- This is accomplished through seminars, in-house meetings, off-site meetings, telephone and written correspondence.
Professional Relations Asst.
C&S Administrative Services
03.1988 - 07.1997
- Same as above.
Medicare Secondary Payer Telephone Representative
C&S Administrative Services
08.1987 - 03.1988
- Received and returned all Medicare secondary payer (MSP) calls
- Researched and corrected any problems
- Educated the beneficiary and provider community on MSP
- Implemented a process that enabled the MSP issue to be resolved quickly and effectively.
Beneficiary Telephone Representative
C&S Administrative Services
06.1986 - 08.1987
- Assisted beneficiaries in the understanding of the Medicare program and the processing of their Medicare claims
- Provided assistance in the resolution of any problems or concerns they had.
Exam Entry Claims Processor
C&S Administrative Services
03.1986 - 06.1986
- Keyed Medicare claims into the System.
Nurse's Aid
The Elms Residence
05.1985 - 04.1986
- Cared for the elderly residence.
Waitress
Marshview Restaurant
08.1985 - 11.1985
- Waited tables and did hostessing.
Owner/Operator
Rustic Nail Tavern
05.1984 - 06.1985
- Performed all functions pertaining to the operation of the tavern
- Hired, Fired, inventory, purchasing, advertised, and maintenance.
Education
GED -
Old Orchard Beach High School
Old Orchard Beach, MENo Degree - Health Care Finance Administratio
St. Joseph’s College
Standish, MESkills
- Claims Adjustments
- Claims Administration
- Claims Bundling/Unbundling
- Claims Inventory Control
- Claims Processing
- Claims Resolution
- Controlled Correspondence
- Eligibility Systems
- Employee Communication
- Enhanced Call Processing
- Event/Meeting Planning
- HCFA (Health Care Financing Administration)
- Proofreading
- Provider Contracting
- Provider Education
- Provider Inquiries
- Public Relations
- Health industry expertise
- health
- Technical Troubleshooting
- Records Management
- Customer Support
- health insurance industry expertise
- Territory Management
- Client Relationship Building
- Account Servicing
- Data entry proficiency
- Performance Tracking
- Client Service
- Customer Relations
- Staff Training
- Performance Improvement
- Expense Reporting
- Client Services
- Cross-Functional Team Development
- Technical aptitude
- Goal-oriented mindset
- Industry Awareness
- Project Planning
- Interpersonal Communication
- Task Prioritization
- Team Collaboration
- Process Analysis
- Effective Communication
- Quantitative skills
- Written Communication
- Time Management
- Multitasking
- Decision-Making
- Professional Demeanor
- Problem-solving abilities
- Project restructuring
- Multitasking Abilities
- Interpersonal Skills
- Data Analysis
- Idea Development and Brainstorming
- Problem-solving aptitude
- Excellent Communication
- Active Listening
- Adaptability and Flexibility
- Logistics Coordination
- Problem-Solving
- Improvement plan knowledge
- Organizational Skills
- Attention to Detail
- Relationship Building
- Teamwork and Collaboration
- Self Motivation
- Issue Research
- Time management abilities
- Analytical Skills
- Reliability
- Team building
- Goal Setting
- Analytical Thinking
- Continuous Improvement
- Process Improvement
- Program Evaluation
- Adaptability
- Customer experience management
- Customer service
- Industry monitoring
- Customer assistance
- Excellent written and verbal communication
- Team supervision
- Problem-solving
- Reliable and responsible
- Attention to detail
- Strong communication and interpersonal skills
- Self motivation
- Product knowledge
- Complaint handling
- Professionalism
- Continuous improvement
- Goal setting
- Analytical thinking
Accomplishments
I worked from 7 in the morning till 10 at night when we started a second shift for review. At 4 in the afternoon, I would start working with second shift as back up supervisor and trainer.
i had two sets of twins 19 months apart. And I now have 12 grandchildren and 5 bonus babies.
Certification
Health Insurance Associate (HIA), HIAA (Health Insurance Association of America), 05/1995, None
Timeline
Education and Outreach Representative
NHIC Medicare
04.2001 - 07.2003
Professional Relations Asst.
NHIC Medicare
07.1997 - 04.2001
Professional Relations Asst.
C&S Administrative Services
03.1988 - 07.1997
Medicare Secondary Payer Telephone Representative
C&S Administrative Services
08.1987 - 03.1988
Beneficiary Telephone Representative
C&S Administrative Services
06.1986 - 08.1987
Exam Entry Claims Processor
C&S Administrative Services
03.1986 - 06.1986
Waitress
Marshview Restaurant
08.1985 - 11.1985
Nurse's Aid
The Elms Residence
05.1985 - 04.1986
Owner/Operator
Rustic Nail Tavern
05.1984 - 06.1985
Shoe Sales Associate
JC Penney
10.1981
Property Manager
Owner Operator Independent
10.1981 - Current
No Degree - Health Care Finance Administratio
St. Joseph’s College
GED -
Old Orchard Beach High School
Personal Information
Telephone
The companies no Longer exist.
Additional Information
- Tops 186 Newsline. February 2001 (A newsletter for the TOPS# 186), Leader of my TOPS (Take of Pounds Sensibly) Club,
- Helped the extended shift as a back team leader. Provided training of all new hires for that shift from July 1998 through July 1999.,
- Cross-trained on review, suspense, customer service, claims, and general correspondence.,
- Active member of Diversity and ESI groups. Community Service Representative for five years.,
- Participated in Large Scale Overpayment Group, Psyche Group, and many others over the years.,
- lan on continuing my education through St.Joseph's college for my degree in Health Care Finance Administration., Have taken several courses on presentations, business writing, speaking, etc.. The past years have afforded me the opportunity to try out my leadership skills. I worked with the extended shift which started up in June of 1999 at the Biddeford site. I acted as the team leader whenever needed, provided the training for all new hires, and initiated the new hires. This was done in addition to my provider relations assistant job.