Enterprise Quality Assurance Manager

• Nov 2022 - Present

Revenue Management Consultant

• May 2021 - Nov 2022

Revenue Integrity Supervisor

• Mar 2016 - Mar 2019

Restoring hope and freedom by establishing policies, processes, and procedures that optimize reimbursement Restoring hope and freedom by establishing policies, processes, and procedures that optimize reimbursement

Graduate Student

• Mar 2013 - Oct 2015

Master of Healthcare Administration Master of Healthcare Administration

Technical Lead: Claims

• Feb 2013 - Jul 2015

•Developed expert-level knowledge of medical plan documents in order to properly administer health benefits •Communicated regularly with employers, insured employees, and medical providers regarding claim adjudication •Programmed claims payment software to enable accurate adjudication of client funds •Initiated, organized, developed, implemented a first company orientation/training manual of policy and procedures, as part of a 3-person team *Acted as the claims representative of the… Show more •Developed expert-level knowledge of medical plan documents in order to properly administer health benefits •Communicated regularly with employers, insured employees, and medical providers regarding claim adjudication •Programmed claims payment software to enable accurate adjudication of client funds •Initiated, organized, developed, implemented a first company orientation/training manual of policy and procedures, as part of a 3-person team *Acted as the claims representative of the sales team at new client implementation meetings *Conducted plan overviews and fielded health benefit questions at open enrollment meetings *Implemented new plans in claims processing system including coding and programming *Trained claims specialists new to the company; trained claims specialists on new plans •Invested in professional development by attending industry-oriented webinars, meetings and seminars Show less •Developed expert-level knowledge of medical plan documents in order to properly administer health benefits •Communicated regularly with employers, insured employees, and medical providers regarding claim adjudication •Programmed claims payment software to enable accurate adjudication of client funds •Initiated, organized, developed, implemented a first company orientation/training manual of policy and procedures, as part of a 3-person team *Acted as the claims representative of the… Show more •Developed expert-level knowledge of medical plan documents in order to properly administer health benefits •Communicated regularly with employers, insured employees, and medical providers regarding claim adjudication •Programmed claims payment software to enable accurate adjudication of client funds •Initiated, organized, developed, implemented a first company orientation/training manual of policy and procedures, as part of a 3-person team *Acted as the claims representative of the sales team at new client implementation meetings *Conducted plan overviews and fielded health benefit questions at open enrollment meetings *Implemented new plans in claims processing system including coding and programming *Trained claims specialists new to the company; trained claims specialists on new plans •Invested in professional development by attending industry-oriented webinars, meetings and seminars Show less

Life Enrichment Director

• Oct 2012 - Feb 2013

• Built and maintained caring relationships with residents and their families • Developed, planned, implemented, and continually evaluated programming for the enrichment of residents’ lives, based on stated and observed interests • Developed a dynamic volunteer program that provides opportunities for community members and residents to interact and develop mutually beneficial relationships • Built and maintained caring relationships with residents and their families • Developed, planned, implemented, and continually evaluated programming for the enrichment of residents’ lives, based on stated and observed interests • Developed a dynamic volunteer program that provides opportunities for community members and residents to interact and develop mutually beneficial relationships

Director of Spiritual Growth and Empowerment/Administrative Coordinator

• Aug 2010 - May 2011

Director of Spiritual Growth and Empowerment: * Facilitated discipleship, growth and empowerment program by developing and organizing discipleship materials for ministry team leaders * Facilitated work plan development and reporting procedures for ministry team leaders * Developed and implemented process for helping volunteers become involved in ministry service Administrative Coordinator: * Established assimilation and administrative systems, providing oversight and… Show more Director of Spiritual Growth and Empowerment: * Facilitated discipleship, growth and empowerment program by developing and organizing discipleship materials for ministry team leaders * Facilitated work plan development and reporting procedures for ministry team leaders * Developed and implemented process for helping volunteers become involved in ministry service Administrative Coordinator: * Established assimilation and administrative systems, providing oversight and leadership development for administrative volunteers * Managed all financials, including reporting requirements for this growing non-profit * Provided oversight and leadership development for administrative volunteers Show less Director of Spiritual Growth and Empowerment: * Facilitated discipleship, growth and empowerment program by developing and organizing discipleship materials for ministry team leaders * Facilitated work plan development and reporting procedures for ministry team leaders * Developed and implemented process for helping volunteers become involved in ministry service Administrative Coordinator: * Established assimilation and administrative systems, providing oversight and… Show more Director of Spiritual Growth and Empowerment: * Facilitated discipleship, growth and empowerment program by developing and organizing discipleship materials for ministry team leaders * Facilitated work plan development and reporting procedures for ministry team leaders * Developed and implemented process for helping volunteers become involved in ministry service Administrative Coordinator: * Established assimilation and administrative systems, providing oversight and leadership development for administrative volunteers * Managed all financials, including reporting requirements for this growing non-profit * Provided oversight and leadership development for administrative volunteers Show less

Administrative Assistant to the Executive Director

• Jan 2009 - Jul 2009

* Responsible for all administrative responsibilities associated with a high-impact, reproducing church planting church * Developed ministry plan for this crucial ministry; leading to the initiation and overseeing of a team of volunteers who serve weekly to assist in accomplishing a vision of excellence * Served as liaison for multiple pastors, staff and community members, including congregants with regard to scheduling events and facility use * Organized and assisted in facilitating… Show more * Responsible for all administrative responsibilities associated with a high-impact, reproducing church planting church * Developed ministry plan for this crucial ministry; leading to the initiation and overseeing of a team of volunteers who serve weekly to assist in accomplishing a vision of excellence * Served as liaison for multiple pastors, staff and community members, including congregants with regard to scheduling events and facility use * Organized and assisted in facilitating training events * Created and maintained various church databases, calendars and promotional materials * Initiated and facilitated monthly gathering of other Administrative Assistants to continually explore and integrate "best practices" within our churches * Networked with other denominational churches for collaboration of events Show less * Responsible for all administrative responsibilities associated with a high-impact, reproducing church planting church * Developed ministry plan for this crucial ministry; leading to the initiation and overseeing of a team of volunteers who serve weekly to assist in accomplishing a vision of excellence * Served as liaison for multiple pastors, staff and community members, including congregants with regard to scheduling events and facility use * Organized and assisted in facilitating… Show more * Responsible for all administrative responsibilities associated with a high-impact, reproducing church planting church * Developed ministry plan for this crucial ministry; leading to the initiation and overseeing of a team of volunteers who serve weekly to assist in accomplishing a vision of excellence * Served as liaison for multiple pastors, staff and community members, including congregants with regard to scheduling events and facility use * Organized and assisted in facilitating training events * Created and maintained various church databases, calendars and promotional materials * Initiated and facilitated monthly gathering of other Administrative Assistants to continually explore and integrate "best practices" within our churches * Networked with other denominational churches for collaboration of events Show less

Claims Specialist I

• Jan 1994 - Jan 2001

* Developed expert-level knowledge of 50+ plan documents in order to properly administer health benefits * Communicated regularly with employers, insured employees, and medical providers regarding claim adjudication * Used various medical claims paying software, as well as Microsoft Excel, Word and Outlook to complete administrative tasks * Developed expert-level knowledge of 50+ plan documents in order to properly administer health benefits * Communicated regularly with employers, insured employees, and medical providers regarding claim adjudication * Used various medical claims paying software, as well as Microsoft Excel, Word and Outlook to complete administrative tasks

Claims Specialist

• 1994 - 1998