Business Operations Customer Service

PROFILE SUMMARY

Experienced administrative professional with extensive experience in various aspects of business operations presently seeking a position to utilize my knowledge, skills, and abilities.

EDUCATION

Medical Billing and Coding; Fortis Institute; Birmingham, AL

Psychology; Ashford University; San Diego, CA

CORE COMPETENCIES

●Comprehensive knowledge of business operations, healthcare management, financial management processes, and administrative operations

●Significant knowledge of accounting concepts and principles and regulatory compliance processes

●Demonstrated ability to manage processes maintaining optimal efficiency

●Excellent communication, interpersonal, organizational, analytical, and customer service skills

●Promote an environment conducive to effective teamwork and positive collaboration

●Committed to high-level performance working independently or with team members

●Keen attention to detail and effective negotiation ability

●Proficient in Microsoft Office, Excel, and various other software systems

PROFESSIONAL EXPERIENCE

Human Resources Generalist November 2021-

Antolin Alabama; McCalla, AL

●Ensured employees followed all policies and procedures

●Organized and prepared meeting schedules for various departments

●Assisted the General Manager in meetings, produce reports, and other administrative duties

●Assisted with recruiting candidates and conducting in person/virtual interviews

●Completed onboarding employment for new hires, handled employee orientations, background check, and drug screening

●Processed employee position status change which included pay increases, promotions, transfers, and terminations

●Handled all benefits for employees to ensure that they enrolled correctly

●Responsible for incident reports, workers compensation, FMLA, short term and long-term disability, and unemployment claims

●Prepared and processed payroll for salary exempt, salary non-exempt, and hourly employees

●Maintained accurate records of payroll documentation and transactions

Office Billing Specialist February 2014 – July 2021

Brookwood Baptist Health; Birmingham, AL

●Performed various aspects of administrative functions in support of medical billing services

●Completed documentation and records management processes ensuring accuracy and regulatory compliance

●Managed billing and claims processes including payments, authorizations, corrections, and various functions associated with insurance procedures

●Effectively communicated with patients via phone and written communication including appeal letters and other administrative documents

●Managed patient data updating patient demographics as required as well as maintain financial data utilizing spreadsheets maintaining accuracy

●Attended routine administrative meetings regarding business operations.

●Initiated follow-up with insurance companies regarding the status of payments and insurance denials or rejections

●Monitored and managed patient accounts addressing delinquent accounts and process ACH deposits

●Performed accounts receivable functions to include account reconciliation and month-end processes

Medical Administrative Support May 2011 – February 2014

Lifeguard Ambulance Service; Birmingham, AL

●Performed administrative functions and business operations in accordance with standards of operations

●Managed documentation and records processes adhering to policies and procedures

●Maintained calendars as well as provided excellent customer service to callers regarding services

●Reviewed medical documentation to ensure that medical codes aligned accurately with the medical procedure

●Communicated with providers, insurance companies, and patients to obtain clarity for inadequate or erroneous documentation

●Verified service detail verifying specific services provided ensuring accuracy

Patient Accounts Representative March 2004 – November 2010

Care Professional Services; Birmingham, AL

●Managed administrative functions associated with collections processes and patient account activities

●Devised payment plans, negotiated account settlements, and initiated contractual adjustments

●Managed contractual agreements adhering to compliance as well as maintained accuracy generating amendments or extensions as required per contractual obligations

●Attended administrative meetings to maintain knowledge of current policies as well as attended training sessions and conferences

●Explained and interpreted policies, programs, rights, and responsibilities to clients/patients

●Registered patients for surgeries and medical testing as well as made appropriate referrals to social services or other agencies as required

●Resolved issues and inquiries regarding patient medical records and identified patient accounts that qualified for charity services based on criteria

●Provided excellent customer service via phone regarding patient accounts and business operations

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