Summary
Overview
Work History
Education
Skills
Certification
Timeline
Receptionist

Teresa L Vanaman

Macclenny,Florida

Summary

To serve in a position where I can apply my managerial experience, organizational and interpersonal skills, and techniques, as well as years of experience to meet organizational goals and objectives.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Sr. Specialist- Customer Preservation Team

01.2025 - 06.2025
  • Retaining customers through the use of learned save, quoting and troubleshooting techniques.
  • Rewrite direct and agency customers when they move out of state (MOOS)
  • Rewrite policies on behalf of agents
  • Coverage counseling for direct and agency customers
  • Handles most products (auto, boat, motorcycle, motor home, travel trailers and snow mobile)

Blended Sales/Services Specialist

Progressive Insurance Company
11.2023 - 01.2025
  • Identifies customer needs
  • Solves Problems
  • Educate and answers questions on existing policies, while cross selling new products and closing sales
  • Adds and deletes vehicles, drivers, and coverage from existing policies
  • Ability to write and sell new policies to customers in 30 states.

Licensed Insurance Sales Agent

Progressive Insurance Company
11.2022 - 11.2023
  • Identifies the customer's reason for the call and understands the customer's insurance needs.
  • Shares expertise and pertinent information to ensure appropriate insurance coverage.
  • Asks for the customer's business, addresses objections.
  • Licensed in 30 states to sell personal auto and specialty insurance products.
  • Assists consumers who started a quote online via the internet or mobile device.
  • Utilizes different approaches to ask for and close the sale.

Appeals Project Manager

Baptist Medical Center
03.2021 - 12.2021
  • Enforces contract language is adhered to by the health plans with respect to payment of outstanding accounts receivable.
  • Responsible for developing and updating standard operating procedures for the department and serving as the primary timekeeper.
  • Facilitates special projects with the health plans to enforce compliance with contract language with respect to outstanding accounts receivable.
  • Maintains records and tracking system for claims included in special projects.
  • Works closely with Appeals Analysts to understand system functions, interrelationship dependencies, and maintenance and assure the fidelity of the data over time by establishing change control processes.
  • Negotiates settlements of outstanding accounts receivable with health plans
  • Develops and maintains standard operating procedures and training for the department.
  • Identifies training needs and take action to ensure system wide compliance.
  • Has a working knowledge of managed care payer contracts and network bulletins.
  • Demonstrates excellent working knowledge of regularly used computer applications.

Denials Recovery Representative II-Billing and Accounts Receivable

Mayo Clinic Jacksonville
08.2019 - 03.2021
  • Conduct training classes for colleagues on various user applications and procedures.
  • Assist with special projects as needed
  • Learned how to work in the new billing system while continuing to clean up unpaid claims in our Legacy system until the legacy program was sunsetted.
  • Reviewed and worked accounts that had been denied by the insurance companies to determine why the UB-04 claim was denied.
  • Review accounts for correct billing (Coordination of Benefits, correct Network Plan, correct effective dates for insurance plans listed, verify correct CPT / HCPCS codes and/or modifiers).
  • Submit corrected claims and/or re-bill claims to insurance companies with any required documentation.
  • Communicate with other departments to confirm accurate charge coding, current Insurance benefits, and proper updating of information if needed.
  • Reconciled payments and adjustments for patient accounts.
  • Completed follow up with insurance companies regarding payments and/or charge denials.
  • Reprinted and/or appropriately modified claims in Legacy MCMS billing application (verify correct CPT/ HCPCS codes and/or modifiers).
  • Posted debit and/or credit adjustments to patient accounts and processed payment transfers.
  • Worked with Leadership to help identify trends with claim denials
  • Shared knowledge of processes and trends that were discovered with co-workers as well as Leadership and worked to identify new ways and/or processes to avoid future denials from the insurance payer.
  • Tricare/Veterans Administration/Triwest/Optum Community Care Networks(CCN) / ChampVA

Financial Representative II- Billing and Accounts Receivable

Mayo Clinic Jacksonville
08.2016 - 08.2019
  • Conduct training classes for colleagues on various user applications and procedures.
  • Assist with special projects as needed
  • Reviewed and worked accounts that had been denied by the insurance companies to determine why the UB-04 and/or HCFA-1500 claim was denied.
  • Review accounts for correct billing (Coordination of Benefits, correct Network Plan, correct effective dates for insurance plans listed, verify correct CPT / HCPCS codes and/or modifiers).
  • Submit corrected claims and/or re-bill claims to insurance companies with any required documentation.
  • Communicate with other departments to confirm accurate charge coding, current Insurance benefits, and proper updating of information if needed.
  • Reconciled payments and adjustments for patient accounts.
  • Completed follow up with insurance companies regarding payments and/or charge denials.
  • Reprinted and/or appropriately modified claims in Legacy MCMS billing application (verify correct CPT/ HCPCS codes and/or modifiers).
  • Posted debit and/or credit adjustments to patient accounts and processed payment transfers.
  • Worked with Leadership to help identify trends with claim denials.
  • Shared knowledge of processes and trends that were discovered with co-workers as well as Leadership and worked to identify new ways and/or processes to avoid future denials from the insurance payer.
  • Tricare/Veterans Administration/Triwest/Optum Community Care Networks(CCN) / ChampVA ( Line of Businessess)

Financial Representative II- Team Lead- Billing and Accounts Receivable

Mayo Clinic Jacksonville
06.2011 - 08.2016
  • Conduct training classes for colleagues on various user applications and procedures.
  • Assist with special projects as needed
  • Reviewed and worked accounts that had been denied by all Florida Medicaid payers to determine why the UB-04 and/or HCFA-1500 claim was denied.
  • Review accounts for correct billing (Coordination of Benefits, correct Network Plan, correct effective dates for insurance plans listed, verify correct CPT / HCPCS codes and/or modifiers).
  • Reviewed claims for any errors and released claims from our internal billing system MRMS to the insurance company for payment consideration.
  • Submit corrected claims and/or re-bill claims to insurance companies with any required documentation.
  • Communicate with other departments to confirm accurate charge coding, current Insurance benefits, and proper updating of information if needed.
  • Reconciled payments and adjustments for patient accounts.
  • Completed follow up with insurance companies regarding payments and/or charge denials.
  • Reprinted and/or appropriately modified claims in Legacy MCMS billing application (verify correct CPT/ HCPCS codes and/or modifiers).
  • Posted debit and/or credit adjustments to patient accounts and processed payment transfers.
  • Worked with Leadership to help identify trends with claim denials.
  • Shared knowledge of processes and trends that were discovered with other departments such Case Management and Leadership and worked to identify new ways and/or processes to avoid future denials from the insurance payer.
  • Florida Medicaid (Line of Business)

Billing Coordinator | New Patient Registration| Call Center Representative

Family Care Partners (Formally Known As Family Care Center)
02.2006 - 12.2012
  • Post all payments received from patients and insurance companies.
  • Responsible for scanning and sorting documents into our electronic medical records system
  • Posting of charges from superbills and encounter forms
  • Preparing monthly billing statements for patients.
  • Preparing and filing secondary and tertiary claims.
  • Preparing bank deposits
  • Ran daily physician schedules to identify new patients that were scheduled to come to the practice.
  • Called scheduled new patients to pre-register them into our computer system and gather demographic and insurance information.
  • Verify insurance for all scheduled patients ( new or established) and determine any copay, deductible. Co-insurance amounts that would need to be collected when the patient arrived at the office
  • Answered incoming calls for a large family practice office
  • Scheduled appointments for new and established patients
  • Took messages for patients who needed to speak with their physicians regarding medical issues, medications refills
  • Worked daily to enter and ensure that each Physician, Physician Assistant or Nurse Practitioner’s schedule was properly added to the computer system to include beginning and ending shift times, lunch breaks and meetings.
  • Conduct training classes for colleagues on various user applications and procedures.
  • Assist with special projects as needed

Medical Insurance Billing and Coding Instructor

Concorde Career Institute
07.2005 - 12.2012
  • Taught students basic computer skills
  • Worked with students to teach them basic knowledge of medical insurance coding and billing including but not limited to ICD-9 CPT and HCPCS codes and Diagnosis codes.
  • Taught students medical terminology, how to properly complete an insurance ledger by adding charges, debiting/crediting any insurance or patient payments, contractual adjustments in order to balance the ledger and send the patient a monthly statement.
  • Taught students about the Health Insurance Portability and Accountability Act (HIPAA) of 1996
  • Created monthly class calendars for expectations and what assignments we would be covering based on directive from the Program director
  • Provided students with classwork and homework that would need to be completed according to the weekly class calendar.
  • Administered daily/weekly testing and provided grades and feedback to students.
  • Entered grades into the grade book to be able to provide midterm and end of term grades.
  • Worked one on one with students who needed additional help with before or after class

Financial Representative II- Billing and Accounts Receivable

Mayo Clinic Jacksonville
09.2008 - 06.2011
  • Conduct training classes for colleagues on various user applications and procedures.
  • Assist with special projects as needed.
  • Review and verify charges for appropriate correlation to Transplant or Non-Transplant Insurance.
  • Prepare Transplant Global Billing Packages by compiling and verifying charges related to the Transplant Episode, preparing the Expected Reimbursement checklist, and submitting the Package to the appropriate payer contact.
  • Review accounts for correct billing (Coordination of Benefits, correct Network Plan, correct effective dates for insurance plans listed, verify correct CPT / HCPCS codes and/or modifiers).
  • Submit corrected claims and/or re-bill claims to insurance companies with any required documentation.
  • Communicate with other departments to confirm accurate charge coding, current Insurance benefits, and proper updating of the Transplant Financial Database.
  • Review EditLife reports to verify transplanted patients are updated timely in the Transplant Financial Database, as well as updating the Transplant Bundled Episode in Epic for accurate charge billing.
  • Reconciled payments and adjustments for patient accounts.
  • Completed follow up calls with insurance companies regarding payments and/or charge denials.
  • Reprinted and/or appropriately modified claims in Legacy MCMS billing application (verify correct CPT/ HCPCS codes and/or modifiers).
  • Posted debit and/or credit adjustments to patient accounts and processed payment transfers.
  • Transplant Pre, Post and Package Billing (Line of Business)

Patient Financial Services Representative Representative- Patient Access

Mayo Clinic Jacksonville
09.2005 - 08.2008
  • Provided one on one via face to face or phone consultation financial counseling to patients to help them understand and have knowledge of the billing process of Mayo clinic based on their insurance coverage.
  • Worked individually with patients to go over account balances, including account reconciliation and personal payment postings.
  • Prepared estimates for medical procedures where the patient was either a self- pay patient or would have an out of pocket cost when the insurance would deem a procedure a non- covered service
  • Collected Pre Care Deposits from our self-pay or International Patients
  • Prepared End of Day deposits and reconciled all monies collections by all co-workers for the day. Completed bank deposit tickets to be reviewed by management and submitted to the bank.

Education

Associate of Science - Health Management Services

St. Johns River State College
Orange Park, FL
12-2026

Associate of Science - Medical Office Management

St. Johns River State College
Orange Park, FL
12-2026

High School Diploma -

Florida State College
Jacksonville, FL
06-2017

High School Diploma -

First Coast Academy
Jacksonville, FL

Skills

  • CRM expertise
  • Team management
  • Effective leadership
  • Skill development
  • Employee onboarding
  • Excellent Communication Skills
  • Highly Organized and self-directed
  • Problem Solving
  • Builds trusting relationships with internal and external customers
  • Highly motivated
  • Proficient in managing multiple tasks
  • Proven success in high-volume contact centers
  • Proficient in basic software applications
  • Demonstrated success in a team environment
  • Payment reconciliation
  • Accounts Receivable
  • Quality assurance
  • Technical communication
  • Documentation management
  • Analytical thinking
  • Client engagement

Certification

  • Licensed 2-20 Florida Insurance Agent - November 2022-present
  • Notary Public State of Floida-Commission Expires on 1/10/2028

Timeline

Sr. Specialist- Customer Preservation Team

01.2025 - 06.2025

Blended Sales/Services Specialist

Progressive Insurance Company
11.2023 - 01.2025

Licensed Insurance Sales Agent

Progressive Insurance Company
11.2022 - 11.2023

Appeals Project Manager

Baptist Medical Center
03.2021 - 12.2021

Denials Recovery Representative II-Billing and Accounts Receivable

Mayo Clinic Jacksonville
08.2019 - 03.2021

Financial Representative II- Billing and Accounts Receivable

Mayo Clinic Jacksonville
08.2016 - 08.2019

Financial Representative II- Team Lead- Billing and Accounts Receivable

Mayo Clinic Jacksonville
06.2011 - 08.2016

Financial Representative II- Billing and Accounts Receivable

Mayo Clinic Jacksonville
09.2008 - 06.2011

Billing Coordinator | New Patient Registration| Call Center Representative

Family Care Partners (Formally Known As Family Care Center)
02.2006 - 12.2012

Patient Financial Services Representative Representative- Patient Access

Mayo Clinic Jacksonville
09.2005 - 08.2008

Medical Insurance Billing and Coding Instructor

Concorde Career Institute
07.2005 - 12.2012

Associate of Science - Health Management Services

St. Johns River State College

Associate of Science - Medical Office Management

St. Johns River State College

High School Diploma -

Florida State College

High School Diploma -

First Coast Academy

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