Office Manager/Case Manager

• Sep 2021 - Present

Project Manager II, Population Health & Clinical Services

• Jun 2020 - Mar 2021

Senior Project Analyst, Medical Management

• Feb 2020 - Jun 2020

Denial Management, Team Lead

• Jan 2019 - Aug 2019

Billing and Collections Manager

• Jun 2015 - Dec 2015

• Responsible for managing all Billing, Collections, Credentialing, and Authorizations activities and 15 Associates. • Established and led cross-departmental meetings resulting in decreasing issues log, and streamlined claims processing from 4 days to 2 days. • Generated and presented weekly reports for the Chief Financial Officer. • Handled the interviewing, training, and annual reviews for the employees in my department. • Worked closely with IT to modify our software to efficiently communicate with each department, i.e. adding queues. • Implemented a successful training program for all future employees. • Wrote and revised criteria on insurance appealing and how to resolve common denials pertaining to particular insurances and DME products.

Sports Commentator

• Aug 2014 - Dec 2015

• Hillsborough Community College Women’s Volleyball sideline reporter/color-commentator/play-by-play commentator. • Hillsborough Community College Men/Women’s Basketball sideline reporter/color-commentator/play-by-play commentator • Hillsborough Community College Women’s Volleyball sideline reporter/color-commentator/play-by-play commentator. • Hillsborough Community College Men/Women’s Basketball sideline reporter/color-commentator/play-by-play commentator

Medical Billing Specialist

• Aug 2014 - Jun 2015

• Communicate with insurance companies to receive payments on delinquent charges by following a timely follow up process • Handle the preparation and submission of all requested documentation in order to obtain payment • Monitor the clearing house to ensure timely submission of electronic claims • Communicate all inefficiencies and issues encountered in daily processes • Responsible for maintaining and keeping all edits, denials, and rejections at a current status within the established time frame

Billing Specialist

• Apr 2011 - Aug 2014

Guaranteed all bills are processed in an effective and precise way • Made follow-up calls on unsettled claims as well as denials • Successfully processed reimburses • Efficiently answered to all questions from different parties • Recorded charges as well as adjustments • Handled accounts receivable • Organized all medical-related claims for billing and recorded into the computerized billing program i.e. Aprima Guaranteed all bills are processed in an effective and precise way • Made follow-up calls on unsettled claims as well as denials • Successfully processed reimburses • Efficiently answered to all questions from different parties • Recorded charges as well as adjustments • Handled accounts receivable • Organized all medical-related claims for billing and recorded into the computerized billing program i.e. Aprima