Experience

The Medical Cost Savings Solution, LTD

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Operations Manager

  • Mar 2017 - Present

  • Operations Manager• Managing 6 Departments• Placing policies and procedures in place to streamline processes according to our clients needs• Working with our clients to communicate production and streamlining • Operations Manager• Managing 6 Departments• Placing policies and procedures in place to streamline processes according to our clients needs• Working with our clients to communicate production and streamlining



Health Choice One

• United States
• Insurance
• 1 - 100 Employee

• Underwriter

  • Jul 2015 - Mar 2017

  • Communicate messages from Insurance agents to insurance company• Underwriting-researching information for the client’s policy• Activating policies• Calling and speaking with clients about additional information needed for policy• Answering phones and transferring to agents• Mailing out documentation to clients • Communicate messages from Insurance agents to insurance company• Underwriting-researching information for the client’s policy• Activating policies• Calling and speaking with clients about additional information needed for policy• Answering phones and transferring to agents• Mailing out documentation to clients



CORNERSTONE MEDICAL SERVICES- MIDWEST, LLC

• United States
• Medical Device

• Team Lead

  • Jun 2014 - Jul 2015

  •Team Lead of CPAP and Oxygen Supplies • Reviewing documentation for CPAP orders • Following commercial insurance and Medicare guidelines to get patient qualified • Faxing requests and following up with Doctor’s offices for required documentation • Taking incoming calls for supply orders, mask refits, and pressure changes • Setting up pickups for supplies • Educating patient on replacement supplies, how to clean them/replace them, and what their insurance guidelines are



ACU-Serve Corp.

• United States
• Outsourcing and Offshoring Consulting
• 1 - 100 Employee

• Medicare Audit Specialist

  • Sep 2013 - Jun 2014

  • Submitting Medicare Pre-Pay audits for multiple clients• Reviewing documentation to make sure DME companies qualify patients• CMN corrections• Submitting recoupment/overpayment requests• Educating clients on LCD guidelines and helping them understand the supplier manual• Having weekly conference calls with clients to review any problems or Medicare LCD changes • Submitting Medicare Pre-Pay audits for multiple clients• Reviewing documentation to make sure DME companies qualify patients• CMN corrections• Submitting recoupment/overpayment requests• Educating clients on LCD guidelines and helping them understand the supplier manual• Having weekly conference calls with clients to review any problems or Medicare LCD changes