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Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLEEMAIL AVAILABLECAREER SUMMARYWell-qualified, professional medical claims default and credit management specialist actively seeking; has relevant experience, including more the 3 years in medical billing, human resources also including over 8 years of mortgage banking and credit collection advocacy, extensive employee relationship building knowledge, medical members services and claims resolutions and over the top sales negotiation skills. Adept in Account Management, Employee Relations, Contract Management, Collections, Loan Modifications, Loan Default Management, Reconciliation, Account Resolution Analysis, Financial negotiations, Confidential Information negotiations and B2B Inside Sales and Medical Office Management. Highly reliable team-leader, who has a willingness to enforce company policies and procedures thoroughly and working diligently to succeed above and beyond required company standards and productions metrics with emphasis on employee development and trainingRELEVANT SKILLS No Surprise Act Negotiations Business Development Account Management Sales Strategy Development Interpersonal Communications Consumer and Commercial Account Resolution Strategies Medicare Advantage PlansExperienceOak Street Health, Oakbrook, IL1/2020-5/2022Patient Relations ManagerNSA Arbitrator Familiarity with the No Surprises Act Submitting Open Negotiation Letters on Behalf of Groups Emergency Physicians Negotiation and Arbitration of claims with payers and third parties Utilizing Availity to submit Open Negations and counter offers. Preparing denied claims for IDR Submission Serve as internal resource in the clinic on insurance questions for physicians and staff. Gain the trust of Oak Street Health patients to properly advise them in their healthcare coverage. Build and maintain trusting relationships with Oak Street Health patients to properly advise them in their healthcare coverage. Support the clinic management team on operational activities as needed, including patient transportation, scheduling, and billing. Assist patients with applying for public benefits, such as Public Aid, free phones, and Extra Help for prescription drugs. In clinic patient provider complaint de-escalation navigator Process referral moderate knowledge of ICD 10, CPT and HCPCS codes. Oak Street Health Oakbrook, IL9/2018-1/2020Patient Relations SpecialistLearn the ins and outs of Medicare and use knowledge to assist patients with navigating insurance issues. Gain the trust of Oak Street Health patients to properly advise them in their healthcare coverage. Contact and qualify prospective patients to schedule initial doctors appointments with an Oak Street Health Primary Care Physician and achieve daily/weekly/monthly quota Support the clinic management team on operational activities as needed, including scheduling and billing. Serve as internal resource in the clinic on insurance questions for physicians and staff Assist patients in navigating the healthcare system, help patients resolve medical bills inside and outside of Oak Street Health as an advocate for the patient. Diebold Nixdorf North Canton, OH6/2016-12/2017Inside Sales Consultant.Assist Sales Directors and Sales Executives in driving opportunities to closure for higher complexity products and services Executives to gather information from the new system during the pre-launch stages in Work with Demand Generation Team to identify, screen and qualify prospects and customers. Ensure all related discount thresholds are adhered to and assist with securing additional discounts with Sales leadership as Act as a liaison between sales and related business units to process quotes/proposals, research Responsibility of maintaining clients' accounts and closing sales with a pipeline generating up to $10million in revue monthly Key Bank Canton, OH6/2014-4/2016Loan Subordination ProcessorPerform operational and administrative support functions related to consumer loan underwriting and document preparation. Insure loan documentation is complete and accurate. Input information from faxed loan applications into ACAPs credit system. Prepare Home Loan First subordination requests for credit analysts. Assign loans to loan officers for credit review and final decision. Confirm collateral values in various manuals within the department, and on-line through several websites. Process all incoming client appraisal copy requests including using Microsoft Word to complete compliance letters in Access database. Process IRS transcript requests via on-line website. Knowledge of Reg. Z TILA. RESPA regulations. PM Concessions Dolton, IL1/2013-PresentOwner/Operations ManagerResponsible for the growth, stability, direction and daily operations of the business. Meet with service vendors and product suppliers to facilitate deliveries. Prepare, negotiate and review company contracts, including sales, purchases and business partnerships Analysis, planning and decision-making. Analyzed and identified problem areas and ensured appropriate resolution. Hire and train employees, manage quality assurance programs, strategize process improvements and payroll. Ensure all operational, administrative and compliance functions within the company are being properly executed in accordance to regulatory-based best practices. Establish and maintain credible, professional relationships with local, and state government clients.Community One Credit Union North Canton, OH1/2012-4/2014Account Resolution AnalystMaintained activities on all accounts and collected daily data on all delinquent accounts. Initiated repossession on delinquent auto loans. Evaluated and contacted 75-100 members daily to discuss their financial conditions and prepared strategies in case of nonpayment of debt. Analyzed and identified problem areas and ensured appropriate resolution. Accurately prepared records for small claims court proceedings. Attended all small claims court hearings to ensure sufficient judgment was granted. Overachieved in all aspects of recovery goals set by the Credit Union monthly Education1996-2000 Timken Senior High School Canton, OHCanton Ohio, Diploma2001-2002 Full Sail University Winter Park, FLWinter Park Florida, AA of Science Film and Video Studies 2015-2015 Hondros College Akron, OHAkron Ohio, Health and Accident Insurance License2017-Present Strayer University Newington, VANewington Virginia, Seeking BA of Science Business Administration |
