Experience

Duke Health Integrated Practice

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Staff Assistant

  • May 2021 - Present

  Gastroenterology Gastroenterology



Duke University Health System

• Hospitals and Health Care
• 700 & Above Employee

• Financial Counselor

  • Oct 2016 - May 2021

  Meeting with patients to resolve insurance coverage and payment issues prior to service when possible by: • Reviewing accounts and identifying issues with insurance payment • Working with patients and others to resolve insurance filing errors that result in payment denials or reduced payments • Discussing outstanding balances and creating payment plans • Presenting other funding • Providing full disclosure to the patients when no or reduced coverage exists and completing necessary forms • Providing patients with education materials such as How to Apply for Medicaid or Paying for Your Healthcare flyer. Communicate with Providers concerning a patients financial liabilities. Preparing for the next day: • Contacting patients to obtain insurance information • Screening uninsured patients for coverage eligibility • Obtaining incomplete authorization, prior approvals, or pre-certifications from health plans. Show less



UNC Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Coding Specialist (Contract)

  • Apr 2016 - Jun 2016



Blue Cross NC

• United States
• Insurance
• 700 & Above Employee

• Provider Service Coordinator

  • Nov 2008 - Aug 2015

  Researching global and systemic provider issues for the North Carolina provider community. Providing root cause analysis for provider escalations as well as providing feedback internal and external. - Identifying, analyzed and resolve complex high dollar operational issues impacting professional, hospital, ambulatory surgical center, and ancillary providers or the members and groups that they serve, while using the appropriate Stakeholder Service Model to increase customer satisfaction and reduce administrative costs - Identified opportunities to control medical expense and deploy action plans to accomplish stakeholder-specific or regional medical expense goals. - Tracked stakeholder issues for root-cause analysis, escalation, and closure; documenting issue resolution using issue resolution protocol - Provided analysis and feedback for technologies, trends, best practices and service offerings to incorporate them into overall stakeholder business solutions. - Assisted in the analysis of all products, identifying any deficiencies and making recommendations for improvement. - Solve complex business problems using innovative analytical processes and techniques - Cross-functional partnering and collaboration across internal and external workgroups 2012-2013 Provider Service Associate Researching provider escalations that cannot be resolved in Customer Service. - Responsible for understanding and working with National Correct Coding Initiative (NCCI) - Medicare Outpatient Code Editor (OCE) 2011-2012 Network Management: Assisting North Carolina providers with credentialing, individual and group enrollment for all Blue Cross Blue Shield products and Medicare. 2008-2011 Customer Service Representative: Assisting North Carolina providers with benefits, claims processing and adjudication. - Participated in several projects to create new service models that increased productivity - Provided outstanding customer service in an inbound call center environment Show less



Nordstrom

• United States
• Retail
• 700 & Above Employee

• Encore Department Manager

  • Apr 2003 - Nov 2008

  Created and nurtured a well-balanced, diverse, focused team through motivation, leadership and establishment of sales processes as the foundation for business success. - Managing staff - Forecasting future sales - Hitting targets and implementing strategies to improve sales - Account analysis - Taking care of customer service including handling queries and complaints - Recruiting and training new staff - Ensure proper sales strategies Created and nurtured a well-balanced, diverse, focused team through motivation, leadership and establishment of sales processes as the foundation for business success. - Managing staff - Forecasting future sales - Hitting targets and implementing strategies to improve sales - Account analysis - Taking care of customer service including handling queries and complaints - Recruiting and training new staff - Ensure proper sales strategies