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Skills

  • Tax preparation
  • Business Development
  • Excel in framework
  • Customer satisfaction
  • Communications
  • Proficiency in process improvement
  • Positive learning process
  • Pet charting information
  • Microsoft Office
  • Music showcase training

Work Experiences

  • Provided emergency aid to hikers who were suffering from heat exhaustion and called for paramedics to transport them to the hospital.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Did some research.
  • Informed guests about daily specials and menu options, allowing them to make informed decisions about appetizers, entrees, and desserts.
  • Transported Tableau to 6 months customer locations.
  • Ensured
  • On-site training was provided by me.
  • Exercised and practiced under the supervision of athletic trainers or professional coaches to develop skills, improve physical condition, and prepare for competitions.
  • Kept meticulous records of what customers wanted and ordered, which helped to boost profits when they returned at a later date.
  • Reviewed production schedules, drawings, and materials to gain a better understanding of the job details prior to the start of the project.

Summaries

  • Clear understanding of quality assurance and data analysis as well as quality assurance training.
  • Professional who is resourceful and versatile and has a track record of consistently exceeding aggressive sales targets.
  • Hardworking Appeals Coordinator with 16 years of telecommuting experience meeting customer needs.
  • Empathy, dependability, and enthusiasm for customer satisfaction.
  • Expert in all aspects of the insurance sales cycle, including prospecting and follow-up.
  • Top-producing salesperson and industry expert in Miscellaneous.
  • Strengths in stakeholder engagement and strategic planning backed up by Miscellaneous training.
  • Achieved compliance with insurance regulations.
  • Professional with 15 years of progressive experience in the field who is highly organized and detail-oriented.
  • Achieved a 34% success rate in overturning denials.

Accomplishments

  • Proposed
  • Process Improvement: Created new departmental procedures manual. Assessed organizational training needs.
  • Prepared
  • Solved
  • Documentation: Wrote and edited documents to keep staff informed on policies and procedures.
  • Identified
  • Documented and resolved category which led to program.
  • Managed
  • Resolved product issue through consumer testing.
  • Conducted audits on denied claims and appeal cases, fixing discrepancies and lowering denial overturn times by 23%.

Affiliations

  • Rotary International
  • Graduated from HubSpot in Administrative Appeals Processes
  • Lions Club
  • National Association of Social Workers
  • National Association of Insurance Commissioners (NAIC)
  • National Association of Healthcare Access Management (NAHAM)
  • Project Management Institute
  • National Council of Insurance Legislators (NCOIL)
  • Society of Human Resource Management
  • American College of Healthcare Executives (ACHE)

Certifications

  • Certified Public Accountant (CPA)
  • Project Management Professional (PMP)
  • Advanced Claims Review Specialist (ACRS)
  • ICD-10 Proficiency Certificate - AAPC
  • CompTIA Network+
  • CompTIA Security+
  • Patient Access Certification - HFMA
  • Certified Regulatory Compliance Professional (CRCP)
  • Certified Professional in Healthcare Quality (CPHQ)
  • Salesforce

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