Tracey St. Ours
Owasso,OK
Summary
Dynamic Human Resources Generalist with 2+ years of experience managing broad range of human resource functions while serving as on-site specialist. Supports and guides cross-functional team members while implementing best practices within HR team. Serves as HR champion in administering and advancing HR functions while acting as resource on policy interpretation and implementation.
Overview
10
10
years of professional experience
Work History
Human Resources Generalist
Dental Depot
09.2023 - Current
- Responsible for onboarding new hires, training, employee relations, employment law compliance and benefits administration
- Provides support in areas of the human resources department that include recruitment and employment, personnel records employee and/or labor relations, job evaluation, compensation management, benefits administration, organization development and training
- Compile data and creating reports for the HRIS
- Confirm employee information in the HRIS is precise
- Onboards new employees, which includes training HR systems and reviewing the employee handbook and other HR related materials with new employees
- Monitors performance evaluations and revises if necessary and administers compensation programs
- Reviews all corrective actions for accuracy and revises before delivery of corrective actions
- Participates in developing department goals, objectives, and systems
- Recommends new approaches, policies, and procedures to continue improvements in efficiency in departments and services performed
- Administers various human resources plans and procedures; prepares and maintains employee handbook and policies and procedures manual
- Maintains human resources information system records and compiles reports from databases
- Maintains compliance with federal and states regulations concerning employment.
Human Resources Director
Emerald Care Center Claremore
01.2022 - Current
- Documented, analyzed and upgraded HR processes that involved the HRIS
- Ensured accurate employee data and information in the HRIS
- Trained and supported additional staff on the HRIS
- Maintain personnel files to be in compliance with applicable legal requirements
- Keeping personnel files up to date with status changes, terminations, wage increases, and new hires within a timely fashion
- Assists in the hiring process by publishing open positions on Apploi, reviewing resumes, and performing in-person interviews and reference checks
- Conduct all background checks
- Prepare payroll for processing (enter missed meal breaks, approve missing punch requests, process wage increases, and coordinate with managers to ensure timecards are approved) using Kronos
- Assists employees in answering general benefit and payroll questions
- Assists the staffing coordinator and communicates any changes in staffing needs as they occur
- May be responsible for Accounts Payable
- Coordinates and assists with FMLA, worker’s compensation, benefit claim forms, and various employee benefit paperwork
- Informs eligible employees on benefits that are offered and informs employees who to contact if they have questions regarding their benefit coverage.
Utilization Review Coordinator
Tulsa Center for Behavioral Health
08.2021 - 07.2022
- Reviewed clinical documentation to screen for appropriateness of admission, continued stay criteria, and special studies regarding delivery of care, treatment, and services
- Coordinated the authorized and re-certification of services by external entities reimbursing the facility for care provided
- Coordinated peer reviews with providers and reimbursement entities, audited the EMR for evidence of service provision, led the utilization committee, and was responsible for quarterly reports to facility leadership
- Reviewed admission documentation for compliance with admission and continued stay criteria outlined in Title 43A of the Mental Health Law; discussed medical necessity with providers (physicians, APRNs, physician assistants, and clinicians)
- Described consumer diagnosis, symptoms, medication regimen, and prognosis to insurance companies and mental health professionals.
Admissions Coordinator and Director
Emerald Care Center Claremore
07.2021 - 07.2022
- Coordinates all admission efforts to fulfill the strategic plan of the facility and organization
- Participates in daily meetings to inform staff of new admissions or room changes
- Inform necessary departments of the arrival of new residents and coordinate the admission process as outlined within the facility policy
- Receive and clinically review all referrals regarding prospective residents from hospitals, assisted living facilities, and homes
- Verifies all insurance benefits and obtains all prior authorizations
- Maintains updated bed availability within the facility
- Compiles and distributes all admissions paperwork
- Submits all electronic Level 1 PASSRs
- Completes daily AR census submission reports for our corporate office
- Adhere to all necessary laws and regulations governing the facility’s operations.
Senior Billing Specialist
Interim Healthcare of Tulsa
04.2019 - 07.2021
- Accountable for the branch accounts receivable balances, inclusive of billing and collections
- Utilized Riversoft Office to bill patient’s and clients, then monitor the status of billed and unbilled accounts
- Billed insurance companies $50K+ per week and submitted invoices weekly for private duty patients totaling $15K per week
- Ensured the timeliness of AR submission, authorizations, payments, and follow-ups as needed
- Reviewed all Medicare replacement and private insurance claims for accuracy
- Submitted all claims within the timely filing limit
- Reached out to insurance companies on denials and submitted appeals
- Collected $80K+ per month from insurance companies on overdue collection accounts
- Reviewed the weekly unbilled report and created a billing report and summary to send to upper management
- Trained all new employees for the business office.
Scheduling Specialist
Urological Specialists of Oklahoma
04.2019 - 05.2020
- Scheduled all existing patients with physician’s and advanced practitioners using PCIS and UroChart
- Checked patients in, verified all demographic information, and collected co-pays
- Heavy call volume of 150+ patients per day when on the phone
- Finalized cash drawer at the end
- Trained all new employees.
Patient Service Representative II
OSU Cardiovascular
11.2018 - 05.2019
- Checked patients in, verified all demographic information, and collected co-pays
- Entered all referrals into Epic and verified insurance
- Obtained authorizations from referring providers and/or insurance companies
- Trained all new employees for the front desk.
Director of Billing and Finance and Insurance Verification
Oklahoma NeuroPsychiatric Institute
08.2014 - 01.2016
- Verified insurance benefits with Medicare, Medicaid, and private insurance
- Submitted claims to the clearinghouse on a daily basis
- Resolved claim denials and resubmitted claims within timely filing
- Posted EOBs to patients’ accounts in Quick Practice
- Collected overdue payments from insurance companies
- Trained all new and current employees.
Education
MBA with Human Resource Management -
Mid-American Christian University
12.2020
Bachelors Psychology -
Southern New Hampshire University
05.2014
Skills
- Staff orientation
- Negotiation
- Succession Planning
- Change Implementation
- Employee Orientation
- Employee Onboarding
- Employment Recordkeeping
- Employment law knowledge
- Termination Documentation
- New Hire Onboarding
- Performance Evaluation
- Background Checks
- Recruitment and hiring
- Workers' compensation
Timeline
Human Resources Generalist
Dental Depot
09.2023 - Current
Human Resources Director
Emerald Care Center Claremore
01.2022 - Current
Utilization Review Coordinator
Tulsa Center for Behavioral Health
08.2021 - 07.2022
Admissions Coordinator and Director
Emerald Care Center Claremore
07.2021 - 07.2022
Senior Billing Specialist
Interim Healthcare of Tulsa
04.2019 - 07.2021
Scheduling Specialist
Urological Specialists of Oklahoma
04.2019 - 05.2020
Patient Service Representative II
OSU Cardiovascular
11.2018 - 05.2019
Director of Billing and Finance and Insurance Verification
Oklahoma NeuroPsychiatric Institute
08.2014 - 01.2016
MBA with Human Resource Management -
Mid-American Christian University
Bachelors Psychology -
Southern New Hampshire University
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