BUSINESS
SUMMARY:
A seasoned professional with a unique blend of administrative, management,and civic experience and a proven record of sound business judgment across multiple functions. An exceptional teacher and communicator. Special depth in training delivery, team building, and business ethics. A conversant innovator who cares about people and produces results.
PROFESSIONAL
SKILLS:
ľ Outstanding written, oral, and interpersonal skills
ľ Able to lead teams and work collaboratively with others
ľ Can negotiate complex issues at varying levels of management
ľ Able to make hard decisions on imperfect information
ľ Can work under strict deadline schedules with attention to detail
ľ Able to react calmly and competently when discussing sensitive issues
ľ Proficient in Lotus SmartSuite, MS Office XP, P.R.O.F.S., and Novell
PROFESSIONAL
EXPERIENCE:
Chamberlin Edmonds & Associates
Resolve Application Specialist 2011-Present
„« Convert accounts with self-pay designations to either Medicaid, State
Crime Victims Compensation, or some form of Federal Disability, which
generates revenue and prevents revenue leakage
„« Perform data mining to analyze trends among 15 major healthcare
facilities which assists management to identify potential financial
exposures and to forecast opportunities for income growth
„« Develop and maintain effective partnerships with Federal, State, and
County governments to facilitate prompt eligible claims payout, which
increases revenue, encourages the public trust, and helps workforce
efficiency
„« Identify and take appropriate actions to complete and submit appropriate
financial, medical, and personal documentation to support client charity
process, which enhances processing efficiency and generates revenue
„« Interact with clients, crime victims, to determine patient coverage and
benefit limits, which generates revenue
„« Act as chief information source to clients and governmental agencies
which increases mindshare and encourages the public trust
Children¡¦s Healthcare of Atlanta
Financial Counselor 2007-2010
„« Convert accounts with self-pay eligibility to either private insurance,
Medicaid, or some other form of charity assistance, which generates
revenue and prevents revenue leakage
„« Analyze trends among uninsured patient accounts to identify loop-
holes in charity protocols, which prevents revenue leakage
„« Interact with health insurance providers and DFCS to determine
patient coverage and benefit limits, which generates revenue
„« Interview patient families and assist in obtaining state/federal
financial assistance for uninsured patients, which generates revenue
„« Develop and maintain effective partnerships with Clinical staff, as
well as Emergency and Appointment Clinic staff, which increases
workforce efficiency
„« Act as chief information source which increases mindshare and
encourages the public trust
Children¡¦s Healthcare of Atlanta
Patient Access Specialist 2006-2007
„« Obtained and entered patient demographics into SMS database,
which ensured accurate patient treatment & prevented revenue leakage
„« Verified patient insurance eligibility which generated revenue
„« Collected patient co-payments for treatment which generated revenue
„« Performed administrative functions for such as making photocopies,
handling and disposing confidential materials, which created synergy
„« Performed database management and quality audits which increased
workforce efficiency
„« Acted as a liaison between patients and other hospital departments, which
streamlined the registration process and increased workflow efficiency
„« Acted as chief information source which increases mindshare and
encouraged the public trust
Contemporary Services Corporation
Event Staffing Specialist (part-time) 2004-2006
„« Reviewed tickets and credentials for correct access which enhanced
crowd control and loss prevention
„« Protected playing surfaces and artist stages against fan encroachment
which prevented venue liability and promoted event integrity
„« Conducted contraband searches which increased public s...
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