| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidate1 P a g eCandidate's Name
Charlotte, NC Street Address
PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONAL EXPERIENCEHEARST CORPORATION HTVCOTINUITY SPECIALIST (2022 PRESENT)Receive all traffic instructions (original and revisions) from station clientsInterpret commercial copy and agency instructionsSearch all station orders for applicable instructions receivedCoordinate commercial house number assignment and commercial disposition with Content Distribution SpecialistsBuild instruction/rotation sets for assignment in Wide Orbit and assign instruction sets to applicable ordersWork with Content Distribution Specialists on coordination of all received materialsReview and issue commercial copy log changes as necessaryReview "Missing Instruction" report and communicate to agency and station personnel regarding missing commercial instructions and materialCommunicate to agency and station personnel regarding commercial acceptanceCoordinate with Station Specialist movement or preemption of spots for missing materialMaintain electronic files of all commercial copy instructions PARALLONACCOUNTS RECEIVABLE TEAM LEAD (2019 2022)Liaison between Accounts Receivables Representative and ManagementReview Appeals (follow up) for quality and accuracyAccess online payer systems to research and resolve accountsSME (Subject Matter Expert) for newly hired representatives after trainingPrecertification (authorization) denial (for services not yet rendered)Precertification (authorization) not obtained services deniedApproved Claim reimbursement denial (including mutually exclusive, incidental, or bundling denials, and modifier reimbursements)Experimental or investigational procedure denialsHandle and De-escalate calls with disgruntled clientsAnalyze and audit documents for proficiencyProcess benefit denials & Inpatient facility denialsProcess denials related to timely filing, incomplete claim submissions, and contract and fee schedule disputes NOVANTACCOUNTS RECEIVABLE (2008 2019)Carefully analyze past due accounts in an effort to secure reasonable payment arrangementsBuild professional relationships with clients, building trust, which assists in resolving unpaid accountsPerform manual adjustments as needed and work with the Compliance Department to resolve account issuesPoint of contact for all client related correspondencesProvide weekly and monthly reports regarding high-level bad debt accounts to include the status and long-term payment goalsMaintain professional competency, according to department policies and proceduresUnderstand Acknowledgements, Recoupments, Take Backs, PLB segmentsAccurately resolve difficult accounts that could deny in the Aging time frame of 121+days, track and trend denials, appeals, and take backsMake recommendations in an effort to prevent escalations of denials and preventable denialsEfficiently post payments via the internal billing system in a timely manner 2 P a g eINTEGRAMED AMERICA REACHPROJECT COORDINATOR II PART TIME (2013 2019)Updated information in the client database on the daily basesProvided weekly project trackers to the project management teamsManaged day-to-day operational aspects of all assigned projects to ensure successful implementationEstablished project management processes and methodologies to ensure assigned projects are delivered on time, within budget and meet high quality standards and Leadership expectations using the appropriate tools.Met with internal customers to provide status updates and reports and gather project-related feedbackTracks costs and performance metrics required to ensure project goals and objectives are met AMERICREDITRECOVERY ANALYST (2001 2008)Assist in conducting business impact analysis with definition of critical time-sensitive functions and identification of minimum required resources for business recoveryA high concentration in building relationships with clients to strategically secure suitable payment arrangementsBuild professional relationships with Recovery Agencies in an effort to close the month with satisfactory financials or recovery of collateralCollection of monies owed on large balanced delinquent automotive accountsSupport platform Risk Data Leaders with portfolio analysis and project management to provide insights to Senior ManagersCreate and provide status reports to management regarding advanced services projects that are coordinated in multiple toolsXEROX COOPERATIONPROJECT COORDINATOR I (1997 2001)Supported the Project Manager in gathering equipment, resources and information to implement upcoming projectsMaintained budgets and work schedules, organized shareholder meetings ensured all deadlines for projects were metCreated Risk register to evaluate potential problems and present possible solutions to the PMManage project-related paperwork by ensuring all necessary materials are current, properly filed and storedDirect project correspondences by preparing and reviewing project proposals, memos, meeting minutes and emailsCommunicate with clients to identify and define project requirements, scope and objectivesAdhere to budget by monitoring expenses and implementing cost-saving measures SKILLS & ABILITIESMANAGEMENTTeam Lead; Instrumental in training and collaborating with recovery teams. Assisted management teams with standardizing quality models and audit process. Successful deviations from the previous quality model resulted in reduction of negative quality scores by 10% within 1 year. This success also lead to a better experience for our clients. CORE COMPETENCIESProject Coordination ~ Analysis ~ Change Management ~ Needs Assessment ~ Key Performance Indicators ~ Leadership ~ Negotiation ~ Conflict Resolution ~ Relationship Building ~ Problem Solving ~ Time Management ~ Risk Management TOOLS & TALENTSWide Orbit Traffic SystemMedical ManagerEpic- MisysCitrix DatabaseSAPMicrosoft Suites (Word, Excel, Project)Salesforce.comTime ManagementAccount ReconciliationNICE Monitoring |
