Manager Customer Service
Resume:
MELINDA WEINSTEIN
Orchard Park, NY 14127
****************@*****.***
OBJECTIVE: Seeking a challenging position, utilizing what I’ve developed through my experience, with opportunity for professional growth, based on performance
PROFILE:
Strong initiative in advancement and leadership.
Experience in management and supervision.
Excellent customer service skills, including telephone operations.
Exceptional interpersonal skills, having dealt with diverse professions.
Strong attention to detail, Great work ethic
Great multitasker and self-starter
Talent for analyzing problems and finding innovative solutions.
EMPLOYMENT:
Jewish Family Services
Medical Biller and Finance Associate 08/19-Current
Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
Verify patients’ insurance coverage.
Manage the insurance recertification process for providers.
Review patient bills for accuracy and completeness and obtain any missing information
Produce and submit claims to insurance companies.
Work directly with insurers, healthcare providers and patient to get claims processed and paid.
Review and appeal and Follow up on unpaid and denied claims within standard billing cycle timeframe.
Collect and enter data for various financial spreadsheets
Post and reconcile insurance and client payments to client ledgers.
Prepare weekly and monthly financial reports as directed.
Work closely with the VP Finance to ensure smooth operation of all finance matters.
Perform routine calculations to produce analyses and reports as requested by the VP Finance.
Serve as backup for coverage of the front desk and all aspects of the intake process.
Wegmans
Bakery Coordinator 4/19-8/19
Assists in overseeing the Bakery department
Responsible for ordering, stocking and merchandising commercial bakery
Work with team members to develop their skills by expanding and sharing knowledge of a wide variety of products.
Ensure the freshest products are available and provided to our customer
Assist in running In-Store Bakery when needed
Overnight Team Leader 3/18-4/19
Run Breakdown and set line-up to ensure a successful night
Work closely with crew, managing and helping develop their skills.
Assist in ensuring the department is running smoothly and products are out on the shelves.
Run store handling all overnight operations
Unload trucks
Handle and receive in all vender products
Ensure all backstock is worked nightly, new product in stocked and all displays and endcaps are packed out
Complete nightly RE’s on all employees and review prior to leaving daily
Work daily out of stock report
Lincare Inc (DME and Home Respiratory Services)
CHR Manager 10/17-3/18
Oversaw 5.7 Million in Held Revenue For DME and Home Respiratory Services
Manage and Direct staff of 55 employees
Address all HR issues
Responsible for a 4% Held Revenue reduction monthly for prior AUTH’s
Use excel to create and analyze trends for over 800 payers
Responsible for processing all deletes
Create monthly game plans to ensure Held Revenue Reductions
Medicare Billing Supervisor 2/12-10/17
Manage staff of 15 employees which includes selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising job contributions; recommending compensation actions; adhering to policies and procedures.
Meet A/R operational standards by contributing information to strategic plans and reviews; productivity, quality, and customer-service standards; resolving problems; identifying system improvements.
Manage cash application making sure all cash for MCR is applied properly
Make recommendations to improve quality of invoicing and collection procedures.
Weekly reporting of invoicing totals/aging totals/adjustments
Follow up on unpaid claims through CDT within standard billing cycle timeframe
Work and Appeal Medicare denials
Working knowledge of Microsoft Office, excel, electronic billing software, and personal computers.
Excellent verbal and written communication skills
Ability to work in a fast paced environment
Maintaining current Policies and Procedures
Ensuring that appropriate benchmarks & deadlines are met
Complete Aging, Credit and Offset Report in a timely manner
Work with Center and UFR for documentation
University Pediatric Dentistry 9/11-2/12
Patient Coordinator
Schedule Appointments/Greeting patients
Check Insurance Benefits/Eligibility
Collect and Post Patient Payments
Check /Submit Insurance Claims
Process Electronic Patient charts
Enter Adjustments
Complete Daily Stats
Run/organize Gateway to a dental home program
Order Interpreters/Office Supplies
Run/Complete Reports
Buffalo Wheelchair 4/08- 9/11
Service Coordinator/ Medicare Reimbursement Specialist
Appeal Medicare denials
Post insurance and customer payments to ledger
Complete aging and Credit Report in a timely manner
Research and respond to all account’s receivable inquire
Answer phones
QA Medicare and Independent Health orders prior to invoicing and releasing hold
Calibration with insurance companies to gain approval
Work one on one with manufactures to receive the most cost-effective prices
Work hand in hand with all entities of the company to ensure 1st call resolution
Train new employees in depth on insurance guidelines and order processing
Schedule service appointments
Obtain signed documents from doctors
Calculate and collect co-pays upon service
Call for RA numbers and warranty quotes
Knowledge of insurance guidelines especially Medicare and Independent Health
Follow up on unpaid MCR and Independent Health claims within standard billing timeframe
Answer all patient or insurance telephone inquiries pertaining to assigned accounts
Home Depot 9/06-4/08
Customer Service Manager
Direct, Train and manage employees
Conduct evaluations and recommendations
Complete daily reports
Create special orders, follow up, and complete
Collect on balance due
Markdowns, setting up transfers
Manage service desk, phone sales, and expeditors
Key Carrying Manager
Counting and balancing the vault
Target 04/04-01/06
Consumables Team Leader
Direct and train new team members
Conduct daily research, push freight and stock merchandise
Responsible for department and assisting guests
Coordinate relations with vendors and other suppliers
Performed cashier assistance when needed
EDUCATION AND TRAINING:
CNA Certified
Erie Community College - Completed 16 credits
Frontier High School - Regents Diploma in Business
Professional References
Name Occupation Number Email
Dana Cappello Billing Manager 716-***-**** *******@***.***
Tammy Heeter Billing Manager 716-***-**** ***********@**********.***
Ashley Kilburn Billing Supervisor 716-***-**** N/A
Brian Burke Supervisor 716-***-**** N/A
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