Experience

Toyota Insurance

• United States
• Insurance
• 1 - 100 Employee

• AR Specialist

  • Aug 2022 - Present



Pinnacle Senior Living

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

• AR Resource

  • Apr 2018 - Jun 2021

  • Manage all AR responsibilities for multiple properties, including census changes, payment posting, ancillary charge posting, billing and month end procedures. • Responsible for processing monthly Medicaid billing for multiple properties. • Ensures that all staff complete required compliance training and processes. • In charge of analyzing and taking notes of AR functions and processes in the business office to ensure maximum workflow and productivity, communicating deficiencies as well as best practices to operation management. • Provide and conduct subject matter training as needed with business office staff in multiple locations. • Monitor, update and train financial policies and procedures related to current Company policy and industry specific government regulations in effect. • Communicate best practices with peers and staff at assigned locations. • Assist, monitor and provide corrective action to accounts receivable workflow processes at assigned locations. • Performs other duties as assigned.



Capital Senior Living

• United States
• Individual and Family Services
• 200 - 300 Employee

• Medicaid Billing Specialist/AR

  • Feb 2017 - Apr 2018



Brookdale Senior Living

• Advertising Services
• 700 & Above Employee

• Medicaid Analyst

  • Sep 2014 - Dec 2016



Scion Dental

• Menomonee Falls, WI

• Customer Service Representative

  • Aug 2013 - Sep 2014

   Service Dental members by communicating benefit information, providing information and resources necessary to understand benefit plan coverage (Medicaid, Medicare, PPO), verify insurance coverage, and assist in locating providers.  Service Dental providers by communicating benefits, authorizations, claims, eligibility, and credentialing information.  Utilize knowledge of claim adjustments and resubmission processes to determine appropriate resolution to provider requests.  Act as liaison between our organization and the client’s Member Services staff to resolve issues such as eligibility and filing of appeals and grievances.  Accurately document call information and resolution in internal systems.  Perform outbound calling projects as directed.



Rising Medical Solutions

• United States
• Insurance
• 100 - 200 Employee

• Medical Bill Auditor

  • Feb 2008 - May 2012

  - Accurately analyze and process medical bills according to state laws. - Process medical bills by appropriate network contracts; coding guidelines, and client specific instructions. - Accurately monitor and correct duplications and inaccurate/outdated data. - Generate accurate and easy-to-understand Explanation of Review (EOR) statements. - Occasionally communicate with medical providers to obtain needed information and resolve bill-specific issues. - Occasionally communicate with clients, offering them world-class customer service by responding to and answering their questions quickly and professionally. - Special projects as assigned by management when needed.



Kohl's

• United States
• Retail
• 700 & Above Employee

• Customer Support Representative

  • Nov 2004 - Jan 2008

  - Answer Inbound calls as appropriate - Resolve customer inquiries while providing excellent customer service - Process mail inquiries and adjustments - Review online orders and make credit adjustments as needed - Process escalated mail inquiries from customers and provided an accurate response in a timely manner. - Perform special projects as needed when directed by supervisor - Answer Inbound calls as appropriate - Resolve customer inquiries while providing excellent customer service - Process mail inquiries and adjustments - Review online orders and make credit adjustments as needed - Process escalated mail inquiries from customers and provided an accurate response in a timely manner. - Perform special projects as needed when directed by supervisor