Summary
Overview
Work History
Education
Skills
Timeline
Generic

Stacey Mersereau

Vancouver,WA

Summary

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Broad experience includes office management, billing, claims adjudication, and intake of new patients.

Overview

11
11
years of professional experience

Work History

Client Billing & Intake Supervisor

Pharmerica Pharmacy
Vancouver, WA
04.2014 - Current
  • Directed the intake process, including gathering and verifying patient information and coordinating with other departments.
  • Provided oversight of staff to ensure efficient workflow within the department.
  • Managed various administrative duties such as maintaining records, completing reports, and responding to inquiries.
  • Created policies and procedures related to intake and Billing processes in order to streamline operations.
  • Developed training materials for new staff members on proper intake and billing procedures.
  • Monitored performance metrics related to the intake & Billing process in order to identify areas for improvement.
  • Assisted with resolving customer complaints and conflicts related to the intake and Billing processes.
  • Conducted regular audits to ensure accuracy.
  • Coordinated resources across multiple departments in order to facilitate smooth transitions from one step of the intake and billing process to another.
  • Served as a liaison between patients, their families, and healthcare providers throughout the entire intake process.
  • Addressed any questions or concerns raised by team members regarding specific aspects of their roles within the department.
  • Answered phone calls to provide assistance, information and medical personnel access.
  • Delegated work to staff, setting priorities and goals.
  • Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
  • Resolved customer complaints or answered customers' questions.
  • Guided employees in handling difficult or complex problems.
  • Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
  • Discussed job performance problems with employees, identifying causes and issues to find solutions.
  • Interpreted and explained work procedures and policies to brief staff.
  • Implemented departmental policies and standards in conjunction with management to streamline internal processes.
  • Recruited, interviewed and selected employees to fill vacant roles.
  • Computed balances, totals or commissions to support accounting team.
  • Reviewed medical records to ensure accuracy of billing information and patient data.
  • Calculated billing charges, prepared and submitted claims to insurance companies.
  • Verified insurance coverage and identified third-party payers for billing purposes.
  • Resolved discrepancies between customers' remittances and invoices received.
  • Answered customer inquiries regarding billings, payments, account status.
  • Investigated incorrect billings and processed refunds as necessary.
  • Processed credit card transactions through Point-of-Sale terminals or online systems.
  • Worked closely with patients to discuss payment arrangements when needed.
  • Assisted in developing strategies for improving collections processes.
  • Provided support to other departments within the organization as needed.
  • Developed financial reports detailing accounts receivable aging status.
  • Implemented new policies related to billing processes when required.
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
  • Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
  • Investigated and resolved issues to maintain billing accuracy.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Worked with team members and leadership to identify and develop process improvements.
  • Processed and sent invoices, adjustments and credit memos to customers.
  • Managed numerous client accounts to track and collect money owed.
  • Input payment history and other financial data to keep customer accounts up-to-date in system.
  • Completed billing audits in identified timeframes to report and investigate findings.
  • Submitted claims to insurance companies.
  • Executed account updates and noted account information in company data systems.
  • Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
  • Performed accurate and fully compliant monthly closing processes, accruals and journal entries.

Claims Processor

PharMerica
Vancouver, WA
06.2013 - 04.2014
  • Reviewed and verified insurance policy information to assess coverage and determine appropriate claims processing procedures.
  • Analyzed and evaluated claim forms, medical reports, bills, and other documents to ensure accuracy of data.
  • Processed a high volume of incoming claims in accordance with established policies and procedures.
  • Performed additional duties as requested by management team.
  • Verified claim data correctness in preparation for processing.
  • Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
  • Addressed customer inquiries to provide information and explanations on coverage and terms, expediting claims.
  • Assisted claimants, providers and clients with problems or questions regarding claims.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Collaborated with fellow team members to manage large volume of claims.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.

Education

CPhT - Pharmacy

CHS Pharmacy Tech Program
Vancouver, WA
02-2013

Skills

  • Policy Enforcement
  • Client Confidentiality
  • Staff Training and Development
  • Multi-Line Phone Systems
  • Insurance Verification
  • Staff Management
  • Office Management
  • Data Entry
  • Employee Supervision
  • Performance Management
  • Interpersonal Communication
  • Policy Development
  • Interpersonal Skills
  • Time Management
  • Customer Service Management
  • Quality Assurance
  • Team Leadership
  • Microsoft Office
  • Adaptability and Flexibility
  • Multitasking
  • Motivational Leadership
  • Multitasking and Organization
  • Clerical Staff Oversight
  • Self Motivation
  • Teamwork and Collaboration
  • Professional Demeanor
  • Effective Communication
  • Cross-Functional Collaboration
  • Handling Complaints
  • Staff Training
  • Policy Implementation
  • Project Coordination
  • Leadership Development
  • Credit and collections
  • Staff Scheduling
  • Goal Setting
  • Continuous Improvement
  • Customer Service
  • Regulatory Compliance
  • Coaching and Mentoring
  • Problem-solving aptitude
  • Team Collaboration
  • Excellent Communication

Timeline

Client Billing & Intake Supervisor

Pharmerica Pharmacy
04.2014 - Current

Claims Processor

PharMerica
06.2013 - 04.2014

CPhT - Pharmacy

CHS Pharmacy Tech Program

Similar Profiles

CREATE PROFILE
Stacey Mersereau