Summary
Overview
Work History
Education
Skills
Personal Information
Timeline
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Rose Davenport

Spring,Texas

Summary

Dedicated professional eager to create and implement successful strategies to improve organizational efficiency. Adept at utilizing medical claims to provide effective and efficient claims processing. Strong communication and interpersonal skills and committed to pursuing best practices related to the organization and clients. Adept at building and maintaining positive relationships with clients and patients. . Strong organizational skills and committed to adhering to HIPPA laws and regulations.

Overview

8
8
years of professional experience

Work History

Relocation Consultant

SIRVA BGRS
11.2021 - 03.2023
  • Collected required documents for immigration
  • Followed comprehensive relocation packages
  • Made housing arrangements for temporary relocation
  • Streamlined the relocation process
  • Offered cultural training programs and resources to help employees navigate cultural adjustments
  • Provided counseling services on programs or policies
  • Scheduled follow-up calls regularly check-ins with relocating employees to assess their adjustment
  • Addressed any challenges and provided ongoing support
  • Encouraged open feedback and created a supportive environment for employees to express their concerns or suggestions
  • Assisted mobile employee with household goods move
  • Informed and reminded mobile employees of entitlements per client policy
  • Scheduled briefing calls via video or Zendesk
  • Released Relocation funds through onbase
  • Reimbursed mobile employee per client policy according to mobile employee uploaded receipts and documentation
  • Scheduled destination service
  • Clients: Lucid motors, United Airlines, and EY group.

Housing Supervisor

Beacon hill staffing agency
05.2021 - 10.2021
  • Worked during the pandemic remotely assisting Nan McKay and Guide house consulting firm pay back rent to prospective Landlords
  • This was a temporary assignment
  • Supervised and trained 25 housing specialists to ensure the collection of proper documents
  • Approved 4500 application for payment processing to Management companies and landlords.
  • Verified income, assets, and expenses, and completed file tracking sheet for each applicant.

Care Coordinator

Independent Living Systems
06.2019 - 05.2021
  • Responsible for outbound calls (40-50 calls per day)
  • Engaged members by phone to schedule appointments
  • Handled claims validation
  • Acted as a liaison between IL dept of Human service, home health agency, and the department of aging and Division of Rehabilitation Services
  • Reconciled assessments in Ecare
  • Created member records.
  • Determined need for special assessment activities for complex cases, effectively handling care plans.
  • Supported clients with mental support and physical activities to accomplish quality of life and sustain needs.

Patient Care Coordinator-License pharmacy technician

Apex staffing: Alliance Walgreens Prime
09.2018 - 11.2018
  • Provided telephone support to patients receiving life-sustaining specialty drug therapy and coordinated/processed new patient medication orders and reorders
  • Analyzed and answered inquiries regarding pharmacy claims, adjudication, including method of payment, co-pay, or deductible amounts, and/or reason for denial
  • Troubleshot questions from patients regarding bills
  • Updated patient demographics
  • Processed medical claims for prescription medication verification, pre-registration, insurance verification, obtaining authorizations/referrals.
  • Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.

Insurance Follow Up/Medical Claim Analyst

RevMD Partners LLC
04.2017 - 06.2018
  • Billed secondary insurance, followed up on non-paid claims
  • Billed commercial carriers and government carriers
  • Requested EOBs' and analyzed them for billable charges
  • Corrected claims due to errors, billed patients for copay and/or co-insurance
  • Checked on the status of claims according to company policy
  • Gathered and verified provider information required for provider enrollment
  • Collected medical licenses, certifications, insurance
  • Reviewed completed enrollment application
  • Monitored application progress
  • Conducted credentialing/verification.

Field Supervisor case manager

Assyrian Universal Alliance Foundation
12.2017 - 04.2018
  • Conducted visitations with clients and employees to ensure clients are enrolled in the Community Care Program (CCP)
  • Ensured client welfare and addressed changes in health and assisted living needs
  • Ensured Home Health Care workers were meeting client's needs and in compliance with State regulations
  • Provided detailed documentation of client's health status and living conditions from each visitation
  • Oversaw 50-60 elderly clients on a monthly basis to evaluate the service of caregivers
  • Managed caregivers to ensure that clients were satisfied with the service
  • Reviewed reports for each client on a regular basis
  • Audited 500 medical records to ensure regulations were followed for the department of aging state of Illinois.
  • Monitored employee performance for compliance with regulations and policies.
  • Presented weekly and monthly performance reports to demonstrate team progress.
  • Planned and scheduled field activities according to set timelines and order of operations.
  • Resolved customer complaints to maintain satisfaction and loyalty.
  • Identified development and improvement areas and set up training to bridge learning gaps.
  • Prepared and submitted reports on job progress and safety conditions to upper management.

Medical Claim Analyst

Healthcare Financial Resource
10.2014 - 04.2016
  • Reviewed underpaid Medicare claims
  • Reimbursement claims system
  • Followed up on denied claims for resolution.
  • Worked on Edward hospital as a third payer recovery service, Outpatient facilities.
  • Processed billing, retrieval medical records to show medical necessity
  • Reviewed Medicare claims within the filing period
  • Checked credentials of doctors for certification
  • Responded to correspondence from insurance companies.
  • Reviewed provider coding information to report services and verify correctness.
  • Checked documentation for accuracy and validity on updated systems.
  • Resubmitted claims due to incomplete information, coding errors, or bill type wrong
  • Analyzed EOB's
  • Worked in Epic software application
  • Responsible for evaluating and managing disability claims for benefits
  • Reviewed medical records and other documents for eligibility
  • Conducted investigations of healthcare providers, employers, and other parties involved in the claim
  • Documented and maintained records
  • Compiled documents to upload in Ecare
  • Handled institutional billing, 837-transaction, Medicare submission claims, and split percentage payment.

Education

diploma - Computer System Institute healthcare

No Degree - Medical Billing And Coding

Computer System Institute
Chicago, IL
11.2011

Skills

  • Attention to Detail
  • Problem Solving
  • Travel Arrangements
  • Organizational Skills
  • Expense Tracking
  • Interpersonal Skills
  • Time Management
  • Strong Communication
  • Cultural Adaptability
  • Customer Service
  • Transferable skills

Personal Information

Work Permit: Authorized to work in the USA.

Timeline

Relocation Consultant

SIRVA BGRS
11.2021 - 03.2023

Housing Supervisor

Beacon hill staffing agency
05.2021 - 10.2021

Care Coordinator

Independent Living Systems
06.2019 - 05.2021

Patient Care Coordinator-License pharmacy technician

Apex staffing: Alliance Walgreens Prime
09.2018 - 11.2018

Field Supervisor case manager

Assyrian Universal Alliance Foundation
12.2017 - 04.2018

Insurance Follow Up/Medical Claim Analyst

RevMD Partners LLC
04.2017 - 06.2018

Medical Claim Analyst

Healthcare Financial Resource
10.2014 - 04.2016

diploma - Computer System Institute healthcare

No Degree - Medical Billing And Coding

Computer System Institute

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Rose Davenport