Open To Work
Sareatha Boothe
CNO Financial Group, Inc.
Milwaukee,WI
Work Preference
Job Search Status:
Open to work
Desired start date:
2 weeks notice
Desired Job Title
Employee Benefit SpecialistInformed Decision AdvocateReimbursement Coordinator/Account ReceivableAdministrative Assistant/ Patient Information Specialist Billing LeadPatient Information Coordinator
Work Type
Full TimeContract Work
Location Preference
Remote
Important To Me
Career advancementWork-life balanceCompany CultureWork from home optionPaid time off
32
years of professional experience
Detail-oriented healthcare professional with extensive experience in medical billing, insurance claims, and patient advocacy. Skilled in training new staff, developing process checklists, and ensuring HIPAA compliance. Proven ability to negotiate payment plans, review Medicaid/Medicare benefits, and resolve complex billing inquiries to enhance patient satisfaction and organizational efficiency.
Work History
Employee Benefit Specialist
9 Years 10 Months- Processed employee benefit enrollments and eligibility changes accurately, ensuring compliance and minimizing errors.
- Guide employees through medical, dental, vision, and life insurance enrollment processes.
- Educate new hires on available benefits, enrollment deadlines, and plan requirements.
- Review and validate documentation for qualifying life events, ensuring compliance with company policies and benefit regulations.
- Educated new hires on benefits, enrollment deadlines, and plan requirements, facilitating informed decision-making.
- Resolve employee inquiries regarding benefit eligibility, coverage, and enrollment issues.
- Resolved employee inquiries on benefit eligibility, coverage, and enrollment, enhancing employee satisfaction and understanding.
- Maintain accurate records while ensuring compliance with HIPAA and company confidentiality standards.
Informed Decision Advocate
8 Years 2 Months- Educate Members on how their benefits plans work, increasing understanding and reducing confusion.
- Effectively answer questions from Members, Insurance Companies, and Brokers, improving satisfaction and resolution time.
- Mentored new employees and created a check-off list, ensuring consistent onboarding and job readiness.
- Reviewed Medicaid and Medicare Explanation of Benefits for accuracy, minimizing errors and claim denials.
- Wrote appeals and medical necessity letters, achieving higher approval rates for member claims.
- Worked out payment plans for Members, improving collections and reducing financial stress for patients.
- Negotiated discounts with Providers and Collection Agency, saving members money on outstanding balances.
- Reviewed EOB's to make sure they are processed according to the plan benefit, ensuring compliance and accuracy.
- Helped members through their Open Enrollment choices, increasing plan selection accuracy.
- Conducted self in accordance with employee manual and maintained strictest confidentiality; adhered to all HIPAA guidelines/regulations and timely filing guidelines.
Reimbursement Coordinator/Account Receivable
3 Years 9 Months- Prepared and submitted clean claims to various insurance companies, reducing claim rejections.
- Effectively answered questions from patients, clerical staff, and insurance companies, improving communication and satisfaction.
- Trained newly hired staff and implemented training manual and criteria, streamlining onboarding process.
- Identified and resolved patient billing inquiries, increasing timely payments.
- Reviewed Medicaid and Medicare Explanation of Benefits for accuracy, minimizing billing errors.
- Worked aging reports, processed refunds, overpayments, and sent claims to secondary payers, improving cash flow.
- Reviewed accounts for possible financial hardships, sliding fee scales, or payment plans and made recommendations to the Supervisor, supporting patient retention.
- Prepared information for the collection agency and performed various collection actions including contacting patients by phone, increasing recovery rates.
- Corrected and resubmitted claims to third party payers, reducing denials and delays.
- Processed payments from insurance companies and prepared a daily deposit, ensuring accurate financial records.
- Conducted self in accordance with employee manual, maintained strictest confidentiality, and adhered to all HIPAA guidelines/regulations and timely filing guidelines.
Administrative Assistant/ Patient Information Specialist Billing Lead
4 Years 9 Months- Calculated incomes for patients without insurance to figure out a budget plan, increasing access to care.
- Worked closely with Medicaid, Work Comp carriers, and Medicare to verify coverage, assignment of primary care physician, copays, and referrals, ensuring accurate billing.
- Posted payments from the Medicaid Remittance & Status Report, maintaining accurate financial records.
- Provided daily reconciliation for daily deposits and co-payments and was responsible for the provider's schedules, vacations, and specialty physician referrals, improving office efficiency.
- Effectively handled numerous calls with the highest quality of customer satisfaction, enhancing patient experience.
- Utilized medical terminology knowledge and completed a course to improve communication with providers and patients.
- Initiated patient referrals, pre-certified procedures and surgeries by using the proper ICD-9 and CPT codes, ensuring compliance and timely care.
- Followed up on payments not yet received, low remits, overpayments, and other billing inquiries, reducing outstanding balances.
- Demonstrated vast knowledge of Medicaid HMOs, reimbursement policies, and Medicaid as a secondary payer, improving claim accuracy.
- Ensured claims had all the necessary codes, modifiers, and NPI number, reducing claim denials.
- Handled collection activities of delinquent accounts, increasing recovery of outstanding payments.
Patient Information Coordinator
2 Years 3 Months- Met and greeted patients, handled the scheduling of appointments, triaged messages, processed referrals, collected payments, refilled prescriptions, and set up the office for the following day, ensuring smooth daily operations.
- Handled billing for medical record releases to other healthcare providers, lawyers, and Social Security Disability, ensuring compliance and timely processing.
Assistant Manager
2 Years 8 Months- Managed a team of cooks, drivers, and customer service reps, improving team performance and service quality.
- Directly responsible for opening and closing the establishment, ensuring operational readiness and security.
- Handled the daily deposits and weekly inventory, maintaining financial accuracy and inventory control.
- Responsible for hiring new staff, training, and compiling weekly work schedule for all employees, optimizing staffing and productivity.
Education
Management Trainee School
Central Missouri State University
Skills
Appeals Writing
Insurance Verification/Eligibility
Claims Processing
Medical Billing
HIPAA Compliance
Payment Reconciliation
Additional Information
Authorized to work in the US for any employer, Employee Benefits Administration, Open Enrollment, Benefits Eligibility Verification, Medical, Dental & Vision Benefits, Life Insurance Administration, Claims Processing, Insurance Verification, Medicare & Medicaid, HIPAA Compliance, Appeals & Medical Necessity Letters, Employee Education & Support, Customer Service, Data Entry & Record Management, Payment Reconciliation, Medical Billing, EOB Review & Interpretation, Account Receivable Follow-Up, Payment Posting, ICD-9 & CPT Coding, Staff Training & Onboarding, Problem Resolution, Process Improvement
Personal Information
Title: Employee Benefits Processor
Timeline
Employee Benefit Specialist
CNO Financial Group, Inc.
08.2016 - 06.2026Read More
Informed Decision Advocate
Patient Care
06.2008 - 08.2016Read More
Reimbursement Coordinator/Account Receivable
Comprehensive Cardiovascular Care
08.2004 - 05.2008Read More
Administrative Assistant/ Patient Information Specialist Billing Lead
Medical College of WI
11.1999 - 08.2004Read More
Patient Information Coordinator
Health Personnel Options
07.1997 - 10.1999Read More
Assistant Manager
Pizza Hut Delivery
09.1994 - 05.1997Read More
Central Missouri State University
Central Missouri State University
Read More
Mount
Management Trainee School
Read More