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Click here or scroll down to respond to this candidateCandidate's Name
Street Address
PHONE NUMBER AVAILABLE EMAIL AVAILABLEOBJECTIVESeeking the position of Manager, Federal Partnerships where I will utilize my experience as a seasoned consummate relationship-builder skilled at developing collaborative partnerships with local government agencies as well as local community organizations and leaders. Proven record of success in developing and executing strategic plans and conducting program management to drive organizational goals while cultivating an environment of high-performance results Performance-driven creative executive focused on maximizing organizational effectiveness Effective communicator in gaining internal and external support Critical thinker who asks tough questions and delivers results that exceed expectations Specific Areas of Expertise include:Government Relations Community Relations Program Development and Community Outreach Project/Program Management Strong Organizational Skills Strong Written and Oral Communication Skills Strong Computer Skills (Advanced Excel and PowerPox?/int) Excellent Customer Service Skills Corporate Communications Diversity Training Staff Development Social Media Financial Statement Analysis Statistical and Analytical Reporting Strategic Planning PROFESSIONAL EXPERIENCEPEPCO Holdings Washington, DC September 2022-2024 Sr. Government Affairs SpecialistGovernment TeamResponsible for developing and implementing strategies to advance the organizations policy priorities, secure government funding, and increase visibility and support among government stakeholders. Develop and implement a government relations strategy that advances the organizations policy priorities and funding objectives. Partner with Mayor Bowser office, government leaders from Wards 7 and 8, corporate board of directors, and board of trustees to build relationship maps that help to advance and sustain relationships with key government stakeholders. Support the Congressional Black Caucus Development team with special events, grant writing, reporting, and other activities that support the organization in meeting its annual fundraising goal. Create new proposals, presentations, and project management plans that help to secure new government grants and steward existing grants for partnerships between the District Of Columbia Transportation (DDOT) and the District Of Columbia electric company (PEPCO). Major city construction projects I have lead. Project Manager over DC Street Car project Project Manager over DC Plug project Project Manager over FT. Lincoln project Project Manager over NOMA Neighborhood projectPiedmont Hospital Atlanta, GA September 2019 - 2022 Financial AnalystGovernment TeamManage internal and external government relations (liaison for government accounts); Manage business partner relations; Support contracts with internal legal and contract team members and external regulators, stakeholders, and researchers, Liaison for credit issues with high profile accounts; Handle disputes from government agencies; Manage Business Partner payment process; Analyze and interpret data sufficient to resolve billing issues; Effectively communicate orally and in writing with internal and external clients on subjects including policies, procedures, complaints and issue resolution as well as research and analysis; Issue investigations on accounts; Negotiate payments on accounts; Perform billing and transaction research; Manage accounts receivable; Review charges(internal and external) incurred on accounts to ensure proper classification and payer account eligibility requirements are met; Initiate collections process for resolution of delinquent accounts; Submit data and detailed reports to providers for successful claims processing; Build team expertise through internal memos and presentations, Ensure all charges are billed appropriately; Capture all costs for annual cost report; Utilize commercial payer United Health Care Optum, Lifetrac, Global Administrative Department, Aetna, Ambetter and Coventry; Conduct transplant follow-up and research Implemented Departmental Team Building Activities Lead focus on high dollar claims Top Performer RecognitionEmory University Hospital Atlanta, GA 2018 - 2019 Denial AnalystPerformed daily functions of denial resolution including researching accounts, analyzing EOBs (Explanation of Benefits), and interacting with insurance companies for resolution of denied balances; Initiated billing and collection for Medicare using Vision Share; Reconciled Medicaid outliers and followed up on Medicare claims Identified the root cause of low or non-payments Communicated with payers for re-submission of patient account data and coordinate with CMO as needed Reconciled over $500,000 in Medicare Indirect Medical Education claims within 30 days Grady Health System Atlanta, GA 2014 2018Accounts Receivable RepresentativeSubmitted claims to ensure timely payment processing; Followed up on past-due accounts; Initiated collections process appropriately; Posted and adjusted payments to respective patient accounts; Verified patient eligibility; Updated insurance knowledge of policies and procedures related to Workers Compensation, Veteran Administrator, and Cancer State Aid Claims; Researched and resolved EMA, Ambetter/PeachState, and Georgia Crime Victim Program claims; Followed up on Medicaid denials from GAMMIS system Knowledge of combination(consecutive billing) accounts Instrumental in reconciling Medicare, Medicaid, HMO, CMO and commercial claims gaining revenue of over 60 Million in one monthEDUCATIONBachelor of Science - Healthcare Information Management, Ashford University, San Diego, CA 2019Medical Assistant Certification - College Of Dupage, Glen Ellyn, IL 2011 ACCOMPLISHMENTS & HONORSSelected amongst over 2,000 applicants to participate in highly competitive, employer-based learning program, created by former Chicago, IL Mayor Richard M. Daley, with a focus on Medicaid Claim Billing & Commercial Claim Billing: During this program training I had the opportunity to work on five Hospital Host Systems and was later successful at my task of training others on all medical billing principlesIncreased financial support by 35% from corporations and foundations VOLUNTEER EFFORTSDirector of Communications/Project Specialist for Live Out Loud Atlanta (LOLA), Helping Women In NeedAssist in managing registration process for Golf & Tennis Tournaments at Woodmore Country ClubGeorgia 2-day Walk for Breast Cancer Team Captain)Managed American Heart Association charity walkUnited Way Campaign Team LeaderLead of Employee Ambassador Program (PEPCO)SOFTWAREMicrosoft Office Suite, Java, Microsoft Office/Word, Visio, Excel, PowerPoint, Datatel(Colleague Advancement), Epic ImageNow Commercial Payer, NThrive Healthquest, Adobe InCopy, Social Media (Facebook, Twitter, LinkedIn, Pinterest, Instagram), Outlook, Internet Explorer, Safari and FirefoxReferences and additional information are available upon request. |
