Xonya Marvel

Sacramento, CA

ad1chn@r.postjobfree.com

+1-916-***-****

Business Manager, Account Manager, Ultra Beauty Prestige Manager with extensive retail sales, leadership and customer relations strength.

Authorized to work in the US for any employer

Work Experience

A/R Specialist

MED Care Medical Center - Roseville, CA

February 2021 to June 2023

AR Specialist

• Research, appeal and resolve claim rejections, underpayments and denials and respond to written payer communications as indicated with appropriate action.

• Process claims and appeals by gathering information, initiating and/or creating via payer postals, scanning appeals, filing electronic or paper rebills and mailing to insurance company in a timely manner.

• Document daily in the billing system all follow up and communication on a patient account in a consistent and concise format and logging daily in Excel accounts worked. ... Office Coordinator

Sacramento Autism Center - Fair Oaks, CA

June 2021 to July 2021

• Welcome clients and visitors to the office and assist them as needed

• Perform various clerical tasks as needed (file papers, organize supplies, etc.)

• Take meeting notes and transcribe into email, document or spreadsheet form

• Prepare and send faxes

• Answer phones and route calls to appropriate persons Medical Biller

Optum360 GMCP - Rancho Cordova, CA

October 2017 to September 2019

• Interacted with customers gathering support data to ensure invoice accuracy and also work through specific billing discrepancies.

• Provided input to policies, systems, methods and procedures for the effective management and control of the premium billing function.

• Educated customers regarding the availability of receiving invoices and remitting payments through online applications.

• Monitored outstanding balances and facilitated appropriate actions to ensure clients pay as billed to reduce receivables by 4%.

• Managed the preparation of invoices and complete reconciliation of billing with accounts receivables.

• Conducted quality assurance and audits of billing activities Prestige Manager

Ulta Beauty - Rancho Cordova, CA

June 2015 to September 2017

• Responsible for delivering top-line sales growth and exceptional guest service for high-end beauty products, color cosmetics, skincare, and fragrance associated with the prestige business.

• Provided oversight to all aspects of the prestige business, including sales, service, operational excellence.

• Increased sales goals for FY15-16 by 10%

Customer Service Representative

Zerox Healthcare - Sacramento, CA

April 2014 to May 2015

• Validated patient & medical provider demographic information by specialty for healthcare services.

• Determine the patients' status/eligibility, the Primary Care Manager type and the appropriate referral/ authorization.

• Contacted provider offices and make confirmation calls to patients for all urgent requests.

• Made sound decisions to keep the referral/authorization process moving according to contractual standards.

• Redirected patients into the provider network for care, per contractual standards.

• Summarized referral/authorization requests and prepare correspondence to provide clinical information to servicing providers,

• Generated letters and validate correct providers/patients, demographics and reason(s) for services to be rendered are correct.

• Maintained production reports on closed transactions, duplicate transactions and requests.

• Reviewed situations, objectively identify problems, recognize patterns and determine solutions,

• Team member and collaborator with co-workers, and take responsibility for achieving outstanding customer service.

Business Manager

Macy's Arden Fair - Sacramento, CA

April 2011 to March 2014

• Responsible for department recruiting efforts, build, train, coach and developed 3-5 staff members.

• Provided continual business staffing training opportunities for current staff and increased staff retention by 15%.

• Maintained product lines for Lancôme, Fashion Fair cosmetics and exceed department projections by 17% each year.

• Achieved annual department store sales projections by 5% for three (3) consecutive years.

• Performed audits for plan year of cosmetic products and sales; manage multiple registers replenishment of daily cash and credit transactions as needed.

Medical Assistant & Receptionist

Redwood Podiatry Group - Eureka, CA

June 2010 to June 2012

• Responsible for all front desk scheduling, billing and private/public health insurance records.

• Obtained all prior insurance authorization for approximately 50 patients daily.

• Patient relations liaison.

• Resolved all insurance and medical related issues as needed.

• Provided excellent customer service to resolve issues with clear focus of policy and procedures.

• Collected co-pays from customer.

• Liaison with home care and assisted living facilities for equipment deliver of hospital beds, oxygen, wheeler chairs, walkers, canes, BIPAP and CPAP machines, tens units, nebulizers, commodes and patient lifts.

• Personal Assistant for lead physicians whereby I maintained personal calendar, surgical procedure calendar, logged all professional calls and mail.

• Answered multi-line telephones; schedule hospital and laboratory procedures and obtain hospital records.

• Opened/closed office facility, formulated customers check-in and discharge procedures for urgent care.

• Assistance to injured workers compensation clients.

• Verified and processed insurance claims, collected co-pays, deductibles; pull charts and scheduled appointments.

• Provided training to externs, intern and new employees. Sales Representative

State Farm Insurance - Eureka, CA

July 2008 to May 2009

• Developed leads over the phone, scheduled appointments, identified customer needs, solved problems that arose and market appropriate products and services. Increase sales by 4% in 9 months.

• Established customer relationships and followed up with customers, as needed.

• Provided prompt, accurate, and friendly customer service including: responding to inquiries regarding insurance availability, eligibility, appropriate coverages, policy changes, transfers, claim submissions and billing clarification

Education

BA

Humboldt State University

AA degree in Medical

College of the Redwood

Skills

• Fifteen (25+) years in customer service in the health care and retail industry specializing in high volume environments and multi-facets of internal and external relational development. (10+ years)

• Five years (5) of retail management experience with proven outstanding achievement responsible for in and out bound calls (follow-ups) with all customers to increase daily sales goal

• Experience as Medical Assistant office professional working in Phlebotomy labs, hospital settings and private practice. (10+ years)

• Performed verification of pre-insurance claim for billing purposes.

• Working knowledge of ICD-9 coding insurance, electronic medical records data systems and Patient Management systems (PMS)

• Patient Care

• Medical Billing

• CPT Coding

• Laboratory Procedures

• ICD-10

• Medical Coding

• Epic

• Customer Service

• Medical Terminology

• Time Management

• Medical Office Experience

• Hospital Experience

• Data Entry

• Anatomy Knowledge

• Insurance Verification

• QuickBooks

• Workers' Compensation

• Physiology Knowledge

• Experience Administering Injections

• Triage

• Vital Signs

• ICD Coding

• Phone Etiquette

• Medical Scheduling

• Personal Assistant Experience

• Laboratory Experience

• Recruiting

• Contracts

• Analysis skills

• Data collection

• Typing

• Contracts

• Microsoft Publisher

• Customer service

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