SHERRISE V MAXWELL
Chicago Ridge,IL
Summary
Business office/ Medicaid & Insurance verification specialist with over 5 years of successful experience in healthcare setting with a very fluent background in accounting functions,Medicare & Medicaid, insurance verifications, collection, records and billing. Work with the admissions team on overall Business Functions of the facility in accordance with current applicable federal, state and local standards, guidelines and regulations and as directed by the corporate office.
Overview
2
2
years of professional experience
Work History
Business Office/ Medicaid Specialist
Legacy Healthcare Services
Skokie, IL
03.2022 - Current
- Insurance verification authorization for Medicare Advantage and other plans
- Medicaid Eligibility, Redeterminations, Appeals Specialists
- Maintained up-to-date knowledge of relevant laws, regulations, and policy changes affecting Medicaid eligibility determinations.
- Resolved eligibility discrepancies by carefully reviewing regulations and collaborating with relevant parties to reach accurate determinations.
- Assisted clients in gathering necessary documentation, leading to smoother application processes.
- Managed high caseloads efficiently, prioritizing tasks effectively and utilizing time-management skills to meet deadlines consistently.
- AR/AP
- Collections,
- Work with admission on payor changes
- Attend Medicare meeting
- Attend Triple check meeting
- Ensure that all proprietary, financial, and resident mental health information is kept confidential..
- Respect and maintain confidentiality of the office, its records, and restricted files.
- Participate in the Manager on Duty program.
- Attend all required training, in-service, and staff meetings.
- Strive to maintain a safe working environment through the prevention of accidents, the preservation of equipment, and the achievement of safe working practices.
- Maintain a positive and professional demeanor toward residents, visitors, families and co-workers
- Adhere to all policies and procedures of legacy healthcare guidelines
- Perform other duties assigned
Education
Bachelor of Arts - Interdisciplinary Studies
Governor State University
1 University Parkway12.2014
Skills
- Insurance verification specialist
- Medicare/ Medicaid specialist
- AR/AP
- Collections
- Record keeping
- Billing
- Professional
- Customer Service
- QAA, JCAHO
- Team oriented
Timeline
Business Office/ Medicaid Specialist
Legacy Healthcare Services
03.2022 - Current
Bachelor of Arts - Interdisciplinary Studies
Governor State University