Wilgens Almonor
https://www.linkedin.com/in/wilgens-almonor-74293a125/
**** ******* ***** 678-***-****
Morrow, Georgia 30260 **************@*****.***
OBJECTIVE
Healthcare Administrator
EDUCATION
Walden University Columbia, MD
Master of Healthcare Administration Expected graduation 2020
Clayton State University Morrow, GA
Bachelor of Science in Healthcare Management Graduated May 2018
GPA 3.6
Dalton State College Dalton, GA
Associate of Science- Pre-nursing August 2013-May 2016
GPA 3.4
CERTIFICATION
Heart saver First Aid CPR AED Basic Life Support
RELEVANT COURSES
Applied Research Healthcare Economics Healthcare Finance Ethical Issues in HealthCare Healthcare Information Technology Healthcare Policy Legal Issues in Healthcare Administrative of Managed Care Human Resources Mgmt. in Healthcare Delivery Primary/Long-term Care
RELATED EXPERIENCE
Hexaware Technologies Atlanta, GA
Consultant; Denial Management & RCM Specialists; Professional Billing June 2018-Present
Use EPIC software to check existing claims
Review, monitor, and complete hospital claims for all elements of the UB-04 billing according to specific payer guidelines
Categorize denials to assign tasks or personally work to overturn denials
Transmit hospital claims to third-party payers both electronically and manually when necessary.
Research rejections included in EOBs for resolution and file appropriately
American Red Cross Atlanta, GA
Administrative, Casework, & Fiscal Review Intern December 2017-May 2018
To assure direct client financial assistance
Verify primary client’s identity
Check for activity that may be considered suspicious
Answering telephones and direct to different department
Recruiting new volunteers
Georgia Healthcare Services Jonesboro, GA
Healthcare Manager Intern December 2017-May 2018
Calling insurance companies to verify patients’ eligibilities prior to their office visits
Calling patients to remind them about their appointment for the next day
Make sure the superbill and treatment plans are accurate
Collecting co-payments from patients
Verify all BIRP notes on patients’ files
Verify staff files for credentialing purposes
Family Bridge Healthcare Services Jonesboro, GA
Administrative Assistant May 2016-August 2017
Organize and schedule appointments
Answer and direct phone calls
Greet and assist visitor/client to the office
Administrative duties such as filing, typing, scanning, etc...
Maintain electronic and hard copy filing system
OTHER EXPERIENCE
Walmart Fayetteville, GA
Sales Associate March 2013-December 2015
Improve engagement with merchandise
Providing outstanding customer services
Responding to questions from customers
Winn-Dixie Fort Lauderdale, FL
Customer Service Associate October 2009-June 2011
Provide continuous attention to customer needs
Greet, assist, and thank customers in a friendly manner
Address customer issues/complaints and resolve to full satisfaction
Maintain confidentiality of information
SKILLS
File Management Customer Service Medical Terminology Microsoft PowerPoint Microsoft Word Microsoft Excel Bilingual (Creole & French)
HONORS AND ACTIVITIES
Dean’s list seven semesters; Clayton State University wellness program; Protecting Human Research Participants Certificate
AVAILABILITY
Immediately