Rosheda Scotland
Jamaica,NY
Summary
Prepared business and marketing plans Designed, developed, and delivered numerous PowerPoint presentations Worked in teams to solve problems Developed supervisory management skills to manage and motivate employees Performed Internet research to prepare business reports Decided upon appropriate business strategies by applying management principles Demonstrated ethical leadership skills to maintain integrity in the business environment Developed expertise in the Microsoft Office suite including Word, Excel, Access, Outlook, PowerPoint Prepared documents using PhotoShop Developed office administration skills including scheduling meetings and conferences, creating itineraries, and making travel arrangements Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
Work History
Billing Specialist
Jzanus Ltd
10.2022 - Current
- Performs related duties as assigned and unrelated duties as requested
- Ability to review accounts for denial reasons and submit appeals to carriers when necessary
- Insurance billing with Medicare, Medicaid, and third party commercial managed care follow-up.
- Self-motivated, with an strong sense of personal responsibility
- Proven ability to learn quickly and adapt to new situations
- Skilled at working independently and collaboratively in a team environment
- Excellent communication skills, both verbal and written
Underwriter
EPSG LLC
08.2021 - 07.2022
- Documented underwriting decisions and provided evidence of compliance with applicable regulations
- Made approval and denial recommendations by determining accurate risk levels
- Analyzed credit, income, compliance, title documents, and appraisals during underwriting process
- Assessed and advised on loan applications utilizing in-depth underwriting process understanding
- Utilized knowledge of insurance principles, policies and procedures to make decisions on risk assessment
Pay Billing Representative
North American Partners in Anesthesia
08.2019 - 05.2020
- Received incoming information and entered into database system
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments
- Performed quality assurance evaluations of processes and previous bills
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options
- Developed and maintained billing procedures to make timely payments
- Audited and corrected billing and posting documents for accuracy
Home Health Aide/Certified Nursing Aide
Steadfast Caregivers
08.2017 - 07.2019
- Assisted disabled clients to support independence and well-being
- Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions
- Traveled to clients' homes to complete healthcare services and promote continuity of care
- Administered medication as directed by physician
- Developed rapport to create safe and trusting environment for care
Shift Manager
Taco Bell
08.2008 - 05.2017
- Developed and implements appropriate strategies to resolve unfavorable trends to enhance sales and profits
- Supervised 12 employees and oversaw quality compliance with company standards for food and services
- Worked closely with team members to schedule breaks and shifts to meet state regulations
- Improved staffing during busy periods by creating employee schedules and monitoring call-outs
Education
Some College (No Degree) - Phlebotomy
New York Institute of Health Careers
Queens, NYBachelor Degree - Business Administration – Management
Plaza College
New York, NY2021
GED -
Plaza College
Forest Hills, NY04.2018
Associate Degree - Accounting and Information Systems
Plaza College
Levittown, NY2010
Skills
- CPT & HCPCS Coding with Modifiers
- Medical Terminology
- EMR & PM Software
- Knowledge and experience with HIPAA compliance
- ICD-10 CM
- Documentation review
- Accounting with QuickBooks
- Data Entry
- Quick book keyboarding
- Understanding of insurance plan
- In & Out of Network Benefits
- Understanding Medicaid and Medicare GME and IME
- PPE Compliance
- First Aid/CPR
- MS Office
- Decision-Making
- Flexible and Adaptable
- Good Telephone Etiquette
- Interpersonal Communication
- Excel Software Proficiency
- Critical Thinking
- Attention to Detail
- Analytical and Critical Thinking
- Written Communication
- Teamwork and Collaboration
- Excellent Communication
- G-Suite
- Google Workspace
- Self-Motivated
- Training and Development
- Clerical Support
- Cultural Awareness
- Attention to Detail
- Analytical and Critical Thinking
- Written Communication
- Teamwork and Collaboration
- Excellent Communication
- G-Suite
- Google Workspace
- Self-Motivated
- Training and Development
- Clerical Support
- Cultural Awareness
- Attention to Detail
- Analytical and Critical Thinking
- Written Communication
- Teamwork and Collaboration
- Excellent Communication
- G-Suite
- Google Workspace
- Self-Motivated
- Training and Development
- Clerical Support
- Cultural Awareness
- Attention to Detail
- Analytical and Critical Thinking
- Written Communication
- Teamwork and Collaboration
- Excellent Communication
- Google Workspace
- Self-Motivated
- Training and Development
- Clerical Support
- Cultural Awareness
Accomplishments
- Supervised team of 15 staff members.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Timeline
Billing Specialist
Jzanus Ltd
10.2022 - Current
Underwriter
EPSG LLC
08.2021 - 07.2022
Pay Billing Representative
North American Partners in Anesthesia
08.2019 - 05.2020
Home Health Aide/Certified Nursing Aide
Steadfast Caregivers
08.2017 - 07.2019
Shift Manager
Taco Bell
08.2008 - 05.2017
Some College (No Degree) - Phlebotomy
New York Institute of Health Careers
Bachelor Degree - Business Administration – Management
Plaza College
GED -
Plaza College
Associate Degree - Accounting and Information Systems
Plaza College
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