Program Manager

• Sep 2021 - Present

HR Consultant

• Jun 2017 - Jan 2022

Workers Compensation Specialist

• Jun 2015 - Jun 2017

Researched multiple state reimbursement rules to gain additional sources for reimbursements, which increased revenue from reimbursements by nearly 40% on 3000+ claims. Created payment calculators for individual state guidelines, which made it easier to determine correct reimbursement amounts. Created client specific process changes to expedite reimbursement flow for maximum revenue collection. Review and research insurance claims to determine possible payment sources. Contact various sources including insurance, patients, and other parties to verify relevant data. Coordinate with payers to ensure appropriate filing guidelines are met for reimbursement. Request appropriate information from parties to ensure the claim disposition is correct. Maintain and update payers on denied claims. Ensure billing guidelines and standards are met based on payer/or State. Perform aggressive follow up on unresolved claims. Assist with written and verbal appeals to payers on denied claims. Assist in defending hospital's or medical provider's rights to recovery against insurance companies. Interact with hospital staff members to obtain appropriate documentation for appeals submission. Show less

Administrator in Training/Assistant Business Office Director/Dining Services Director

• 2014 - 2015

Worked AP/AR, billing, collections, and HIPPA compliance. Managed the Medicare/Medicaid, 3rd party, commercial billing and collections. Formulate best practices for billing, collections, and payments and educate the team about new processes. Conducted internal RAC audits to recoup over payments. Educated team on Medicare reimbursement policies and procedures. Developed customer focused projects to increase average length of stay. Prepare for State licensure and survey. Worked AP/AR, billing, collections, and HIPPA compliance. Managed the Medicare/Medicaid, 3rd party, commercial billing and collections. Formulate best practices for billing, collections, and payments and educate the team about new processes. Conducted internal RAC audits to recoup over payments. Educated team on Medicare reimbursement policies and procedures. Developed customer focused projects to increase average length of stay. Prepare for State licensure and survey.

Food Service Manager

• 2012 - 2014

Increased customer service and meal participation. Reduced waste from 20% to 8% from previous year. Follow all food safety standards to ensure highest quality food service while continuing to improve operating standards. Provide economically and nutritionally sound program for customers. Provide employees with a safe and efficient workplace. Increased customer service and meal participation. Reduced waste from 20% to 8% from previous year. Follow all food safety standards to ensure highest quality food service while continuing to improve operating standards. Provide economically and nutritionally sound program for customers. Provide employees with a safe and efficient workplace.

Store Director

• 2007 - 2011

Low employee turnover Excellent loss prevention and cost controls Trained 8 successful store directors Responsible for the entire management and operation of the store including retail sales and food service. Responsible to maximize sales, net profits and store productivity. Provide prompt, efficient, effective, and courteous quality service to customer, as well as overall conditions of the store. Assist in career development for employees. Administer corrective discipline where needed, counsel and discharge employees where necessary as company policy dictates. Oversee store operations 24/7 including inventory, cash control, bank deposits, daily reports, staff meetings, work schedules, and shift checkout. Accountable for productivity and costs associated with the store. Inspects store facilities and equipment for safety, cleanliness, and proper working order. Submit work orders for maintenance and repair. Maintain reports of maintenance, safety, and repairs. Safeguard and account for all money received and disbursed, ensuring two store bank deposits are made daily. Review store's monthly profit/loss reports recommend actions to improve. Show less

Store Director

• 2004 - 2007

Managed several locations in Weber and Davis counties Excelled in store clean up, turn around, and team building Model, manage, and reinforce service expectation of both internal and external customers to maximize a positive experience. Reinforce an environment that allows employees to do what is necessary to resolve issues quickly and correctly. Responsible to ensure sales goals are met. Creating business plans and setting goals that are aligned to the overall sales plans. Analyze store financials to take action to grow revenues, control costs, and ensure appropriate inventory management to achieve sales and profit goals. Recruit, hire, develop, evaluate, and counsel store employees. Overall accountability for proper cash controls and loss prevention. Formulate process and procedures for ensuring company standards are met for loss prevention and cash control. Ensure overall execution of marketing standards and programs. Ensure store cleanliness is maintained. Show less

Customer Service Manager

• 2000 - 2003

Promoted to management within a year Balanced financials to $100k+ daily Promoted excellent customer services standards Lead front end teams by supporting service expectations, money services, and self-checkout goals. Conduct daily huddles to discuss service standards and results. Perform cash loans and pick-ups from all store registers as needed throughout the shifts. Observe, coach, and praise all front end employees for properly following company standards. Ensure customer service, cash control, labor control, expense and supply controls, loss prevention, maintenance, safety, and food safety are meeting company expectations. Reinforce safety programs and identifying unsafe conditions. Inspect equipment to ensure proper preventative maintenance is being met. Oversee and manage the efficient operations of all functions of front end activities. . Show less