Susan Davis
San Antonio,TX
Summary
To secure a challenging position where my hard work and excellent job skills will be an asset.
Overview
14
14
years of professional experience
Work History
Medicaid Supervisor
University Health System
San Antonio, TX
10.2024 - Current
- Oversaw daily operations to ensure efficiency and alignment with company goals.
- Trained and mentored team members to enhance performance and productivity.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
- Conducted performance evaluations to identify strengths and areas for development.
- Managed diverse team, promoting inclusive work environment that leveraged individual strengths.
- Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
- Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
Team Lead
Medtronic, Inc.
04.2015 - 10.2024
- Lead a staff of 12 people including staff in another region.
- Review, prepare, and disseminate individual projects to all team members.
- Review billing and collecting issues with CMS and various payers and report as needed.
- Export, extract and disseminate accounts to various team members.
- Conduct meetings with staff and management on various issues.
- Mentor and train new hires and current staff on payers, systems, and collections.
- Review and reconcile current and aged accounts.
- Follow-up with management on trends that are impacting revenue.
- Work with other departments at supervisor’s request on best practices in resolution of claims.
- Review claims to ensure they are being processed according to the existing contract.
- Resolved payer issues by disputing underpayments for Medicare and Medicare Managed Care plans.
- Appeal claims to Medicare and Managed care plans with all supporting documentation.
- Analyze accounts to determine what was needed in resolving the account.
- Review, approve or reject write off/adjustments from staff.
- Perform quality review for all staff members.
- Review daily production for staff members.
Appeals Specialist
Nix Healthcare Systems
03.2014 - 04.2015
- Follow-up on difficult accounts from commercial and government payers.
- Appeal accounts to various payers for additional payment.
- Review contracts from all payers to make sure accounts are being paid accordingly.
- Identify trends, log, and report them to management.
- Communicate with multiple payers daily.
- Manage AR working average of 35 accounts daily.
- Answer questions and report to management regarding difficult issues.
Technical Team Lead/Supervisor
CGI Federal
07.2012 - 03.2014
- Supervise a team of 14.
- Prepare and implement training materials.
- Keep track of PTO requests, review approve/reject timesheets, handle HR issues.
- Review resumes, interview potential candidates.
- Prepare agendas for and conduct weekly staff meetings.
- Brief upper management and staff with any updates regarding project.
- Coordinate benefits to determine who is correct payer.
- QA staff’s assignments and manage their aging reports.
Education
Bachelor of Science - Business Administration
Colorado Technical University-Online
02.2023
Skills
- Attention to detail
- Conflict resolution
- Customer focus
- Coaching and mentoring
- Performance monitoring
- Performance improvement
- Quality control
- Process improvement
- Employee evaluation
- Key performance indicators
- Trend tracking
- Relationship building
- Talent acquisition
- Employee training
- Task delegation
- Strategic planning
- Workflow management
- Work assignment delegation
- Problem-solving
- Teamwork and collaboration
- Team supervision
- Team motivation
- Staff training
- People management
- Work Planning and Prioritization
Timeline
Medicaid Supervisor
University Health System
10.2024 - Current
Team Lead
Medtronic, Inc.
04.2015 - 10.2024
Appeals Specialist
Nix Healthcare Systems
03.2014 - 04.2015
Technical Team Lead/Supervisor
CGI Federal
07.2012 - 03.2014
Bachelor of Science - Business Administration
Colorado Technical University-Online