Innovative consistently praised by management for providing top-notch technical, quality and production leadership to assigned team. Well-educated in troubleshooting, root cause analysis and corrective action implementation.
Overview
27
27
years of professional experience
Work History
Mgmt Consultant/Eligibility Reviewer - Team Lead
Witt O'brien's
Remote
12.2021 - 09.2022
Coached team members in techniques necessary to complete job tasks.
Trained new team members by relaying information on company procedures and safety requirements.
Worked different stations to provide optimal coverage and meet production goals.
Evaluated employee skills and knowledge regularly, training and mentoring individuals with lagging skills.
Established open and professional relationships with team members to achieve quick resolutions for various issues.
Took on additional job duties during unexpected backlog, resulting in meeting project target date.
Appeals Supervisor
Guidehouse
Remote
09.2021 - 07.2022
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Handled customer complaints, resolved issues and adjusted policies to meet changing needs.
Evaluated employee performance and coached and trained to improve weak areas.
Maintained compliance with company policies, objectives and communication goals.
Worked with management team to implement proper division of responsibilities.
Set overall vision and provided team leadership.
Developed training, task and process guidelines and communicated clear and concise directions to employees.
Mentored newly hired employees on operating equipment and safety and developed training manual to use for reference.
Mgmt Consultant/Eligibility Reviewer
Witt O'brien's
Remote
10.2021 - 12.2021
Managed competing deadlines with efficiency.
Played instrumental role in creative planning and review sessions, working with resourceful team to elevate quality.
Presented clients with unique copy options based on overall objectives.
Customized brand message to reach and capture target audience interest and drive engagement.
Composed original written material for various types of publications and submitted for approval by supervisor,
E-Commerce Assistant Manager
Kroger's Grocery
Shreveport, Louisiana
10.2017 - 12.2021
Optimized e-commerce fulfillment strategy to minimize costs while maximizing profits and customer satisfaction.
Established and maintained balanced and accurate e-commerce budget to execute on initiatives with proper funding and enrich customer experience.
Tracked consumer behavior, content management and weight of purchase to develop robust customer acquisition and retention programs.
Customized e-commerce platforms by building new products, designing landing pages and integrating new vendors and apps to further enhance website UI and UX.
Developed and executed e-commerce positioning, values, tone of voice and design elements to bring value and convenience to customers.
Housing Supervisor
Guidehouse
Remote
06.2021 - 09.2021
Handled tenant complaints promptly and appropriately, calling in repairmen and other support services.
Followed up on delinquent tenants and coordinated collection procedures.
Maintained original leases and renewal documents in digital and hardcopy format for property management office.
Monitored timely receipt and reconciliation of rent collections in accordance with landlord and resident statutes.
Administrator/Server Shift Leader
Posado's Café
Bossier City, Louisiana
04.2014 - 06.2021
Cultivated warm relationships with regular customers.
Worked with POS system to place orders, manage bills and handle complimentary items.
Explained menu items and suggested appropriate options for food allergy concerns.
Bussed and reset tables to keep dining room and work areas clean.
Upsold high-profit items such as appetizers and mixed drinks to enhance sales numbers.
Arranged and prepared tables for customers to offer memorable experiences to guests and foster repeat business.
Addressed and resolved customer conflicts with managed waitstaff, verifying satisfactory outcomes for involved parties.
Handled table service and other dining room tasks to address shortfalls due to unexpected absences or unusual service volumes.
Tax Preparer Specialist
Jackson Hewitt Tax Svc
Shreveport, LA
01.2014 - 04.2017
Completed and filed returns with tax departments at local, state and federal levels.
Reviewed clients tax filing papers thoroughly to determine eligibility for additional tax credits or deductions.
Maintained complete records of client tax returns and supporting documentation in secured areas.
Prepared tax returns, extensions, tax planning calculations and write-ups for organizations and entities.
Offered clients recommendations to reduce tax liabilities.
Conducted reviews of internal tax documentation, reducing errors related to missed tax benefits.
Medical Claims Processor
Gulf South Risk Services
Remote
07.2010 - 04.2014
Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
Managed large volume of medical claims on daily basis.
Paid or denied medical claims based upon established claims processing criteria.
Responded to correspondence from insurance companies.
Used administrative guidelines as resource or to answer questions when processing medical claims.
Reviewed provider coding information to report services and verify correctness.
Evaluated accuracy and quality of data entered into agency management system.
Medical Billing Representative
Ark-La-Tex Cardiology
Shreveport, Louisiana
02.2007 - 07.2010
Posted and adjusted payments from insurance companies.
Precisely evaluated and verified benefits and eligibility.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Precisely completed appropriate claims paperwork, documentation and system entry.
Determined prior authorizations for medication and outpatient procedures.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Medical Receptionist
LSU Medical Center
Shreveport, Louisiana
01.2004 - 02.2007
Adhered to strict HIPAA guidelines to protect patient privacy.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Managed multi-line phone system and pleasantly greeted patients.
Helped patients complete necessary medical forms and documentation.
Checked patient insurance, demographic and health history to keep information current.
Maintained current and accurate medical records for patients.
Organized paperwork such as charts and reports for office and patient needs.
Transcribed phone messages and relayed to appropriate personnel.