Thalea Ovalle
Marietta,GA
Summary
Skilled in strategic planning with reliable and flexible approach. Known for effectively leading teams and driving operational improvements to achieve business objectives. Trained professional with a background in verifying insurance benefits and creating appropriate patient documentation.
Overview
11
11
years of professional experience
Work History
Business Manager
ILCD, LLC
Norcross
05.2020 - Current
- Cultivated important business relationships with vendors and clients such as designers by providing friendly and resolution-driven service
- Managed a caseload of 100 claims, accurately determining compensability
- Collaborated with medical professionals and operations teams to implement Return-to-work (RTW)
- Directed operational strategy to enhance efficiency and productivity across multiple departments.
Front Office Manager
Neurological Institute for Concussion and Headache
Marietta
08.2019 - 01.2020
- Oversaw the day-to-day operations at a fast-paced clinical practice, managed over 30 incoming calls, emails, faxes per day for patients
- Coordinated with medical staff to ensure that patient care was seamless and efficient
- Facilitated implementation of positive measures to create and maintain a healthy, productive environment
Medical Records Coordinator
Premier Neurosurgical Institute
Marietta
01.2019 - 01.2019
- Maintained working knowledge of current state laws regarding fee structure and HIPPA regulations as well as facility policies and procedures
- Completed release of information requests including retrieving patient’s medical charts and copying/scanning medical records accurately and correctly according to requests
- Received incoming requests for information and responds to requests by opening mail, and telephone inquiries in a timely manner
- Applied payment and adjustments to patient accounts, process deposits and maintain accurate records of all payments received
Front Office Administrator
Premier Neurosurgical Institute
10.2018 - 01.2019
- Directed incoming calls, facilitated patient flow, registered and check in and out
- Obtained and updated demographics, medical and insurance verification, scheduled patients
- Performed clinical duties, roomed patients and promptly managed waiting room cleanliness
Clinical Operations Manager
Metropolitan Orthopaedics
Marietta
02.2015 - 01.2018
- Negotiated open accounts upon settlement with various law firms and government agencies
- Provided case management for 1000 + patient’s via Allscripts PM
- Coordinated a variety of office activities including meetings and team building events
- Managed issues of insurance coverage denials, legal support and matters of statutory compliance with the in-house PI and WC teams
Director of Litigation Support
Synartis Asset Management
Marietta
02.2015 - 01.2018
- Conducted extensive legal research with 100+ files via Lexis Nexis and Pacer
- Scanned, organized and filed liens and legal documents in paper and electronic database
- Handled claim denials and referrals/authorizations for medical care
- Prepared case information for attorneys, facilitating and expediting case settlements
- Acted as the primary liaison with the in-house litigation group, opposing law firms, and medical providers
Education
High School Diploma -
Wheeler High School
Skills
- Microsoft Office (Word, Excel, PP Outlook, Access)
- Allscripts (EMR, PM)
- EClinicalworks
- Healthcare
- Data Entry
- Vendor Management
- Claim Administration
- Customer Support
- Case Management
- Customer service
Timeline
Business Manager
ILCD, LLC
05.2020 - Current
Front Office Manager
Neurological Institute for Concussion and Headache
08.2019 - 01.2020
Medical Records Coordinator
Premier Neurosurgical Institute
01.2019 - 01.2019
Front Office Administrator
Premier Neurosurgical Institute
10.2018 - 01.2019
Clinical Operations Manager
Metropolitan Orthopaedics
02.2015 - 01.2018
Director of Litigation Support
Synartis Asset Management
02.2015 - 01.2018
High School Diploma -
Wheeler High School