Professional with strong experience in reimbursement processes and healthcare administration. Proven ability to manage complex billing systems, ensure compliance, and maximize revenue recovery. Valued for team collaboration, adaptability, and achieving measurable results. Skills include claims processing, coding, payer relations, and problem-solving. Reliable and responsive to evolving needs in fast-paced environments.
Overview
8
8
years of professional experience
Work History
Reimbursement Specialist
MNS Network Inc.
01.2023 - Current
Working as a reimbursement specialist on all skilled nursing facility claims. Once claims are processed through payer and received in our systems, my duties are to review each claim denial and try to get claims corrected or reprocessed. My duties consist of collecting payments from the payer. The systems I use are Casepointe, Quadax, Microsoft and Outlook.
RCM Specialist / Benefits Specialist
The Center for Cognitive and Behavioral Therapy
01.2021 - 01.2023
Met weekly billing and collections quotas by diligently handling assignments and pursuing payments.
Helped create best practices for department to maintain consistent quality and accuracy in billing operations.
Corrected system errors with proactive verification of billing information.
Handled eligibility problems with good investigation skills and analytical approach to tracing and resolving various issues.
Resolved billing problems through successful communication with providers and patients.
Posted payments in Valant and created billing statements for new work.
Verified accuracy of billing data and revise any errors.
Answered mail or telephone inquiries regarding rates, routing, and procedures.
Operated typing, adding, calculating, and billing machines.
Prepared itemized statements and invoices showing amounts due and services rendered.
Verified and corrected billing data, independently resolving errors.
Computed fees and charges due based on standardized rates.
Managed bookkeeping needs such as posting data and detailing costs of goods and services.
Assist with the administration of benefits for all medical and mental health plans
Administrator Assistant
CareWorks of Ohio
04.2019 - 04.2020
As a team assistant my duties were to assist majority of our nurses and team specialist in the department. Duties included sending out any needed paperwork for employer, employee as well as their representatives. Also any documents needed for doctors office. Other duties included contacting patient or doctor if needed for any information or verification. Verifying data on software, mailing and faxing, and any other assistant needs from nurses, specialist as well as the manager.
Handled communications between staff and customers, producing error-free correspondence and routing all mail.
Organized and updated file systems, keeping records easily retrievable.
Executive Assistant
Rocky Road Haul LLC
11.2018 - 12.2019
Duties included being in charge of all paperwork including invoices, billing, data entry, updating driver’s location and time, sending mails, answering and making phone calls, updating other trucking companies, dispatching, legal paperwork like taxes, and any other duties needed by the owner of the company.
Cheese Clerk
Kroger
12.2017 - 07.2018
Maintained customer satisfaction, quickly resolving issues and offering expert assistance.
Promoted products effectively by staying on top of offerings and prices.
Greeted customers and asked open-ended questions to assess needs.
Prepared merchandise for purchase or rental.
Kept store shelves, racks and bins presentable with frequent resets.
Verified level of supplies and requested new inventory to meet service levels.
Recommended merchandise to suit customer budget and preferences.