************@*****.***
**** ***** *****. ***** *****, La. 70815
SUSAN SHIELDS
OBJECTIVE
To obtain and secure a position that will enable me to use my analytical and problem solving skills, mental and physical abilities, safety skills, teamwork and leadership skills, and ability to learn rapidly to improve one’s business/company and myself.
COMPUTER SKILLS
Microsoft Word
QuickBooks
ANSAS Medical System
PROFESSIONAL EXPERIENCE
MANAGER THE END ZONE
April 2008 – March 2018
Maintain employees schedule, time keeping for payroll, receptionist,
accounts payable, accounts receivable, monthly budgeting, analyze
reports, review monthly financial, profit and loss, monthly staff
meetings and marketing for the business.
Train new employees on day to day operations of business.
Handled cash and credit transactions in excess of $5,000 on a weekly basis.
Set up and close cash registers and prepare deposits.
Approved inventory selection, ordered products and dispersed payer checks.
Checked incoming deliveries, replenished stock and maintained product quality and rotation.
Delivered superior customer service while working with associates to promote sales
Served customers by answering questions or advising brands, sizes, prices, and uses.
Referred to applicable Laws and Regulations
INSURANCE VERIFICATION SPECIALIST, US AGENCIES
March 2009 – June 2014
Assisted with implementing departmental programs to improve performance and employee morale
Offered recommendations to management for improvements in operational efficiencies
Examined pertinent information to determine the accuracy of client requests and related paperwork
Maintained and revised procedural lists, control records and coded schemes to process source data
Supported and complied with all company policies, processes and procedures including the Compliance Program and the Code of Conduct
Reviewed and resolved discrepancies in received data and performed data verification routines in accordance with company procedures
Assisted in scanning and re-scanning overlooked requisitions
MEDIAL BILLING/COLLECTIONS CLERK, AMEDISYS HOME HEALTH
December 2006 – March 2009
Ensure all claims are submitted with a goal of zero errors.
Verifies completeness and accuracy of all claims prior to submission.
Accurately Post all insurance payments by line item.
Timely follow up on insurance claim denials, exceptions or exclusions.
Meet deadlines.
Reading and interpreting insurance explanation of benefits.
Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.
Respond to inquiries from insurance companies, patients and providers.
Regularly meet with Account Manager to discuss and resolve reimbursement issues or billing obstacles.
Regularly attend monthly staff meetings and continuing educational sessions as requested.
Perform additional duties as requested by Supervisory or Management team.
EDUCATION
BATON ROUGE COMMERICAL COLLEGE – WORD PROCESSING SPECIALIST - CERTIFICATION RECEIVED
Baton Rouge, La
PORT ALLEN HIGH SCHOOL – DEGREE RECEIVED
Port Allen, La
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