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Billing Specialist Third Party

Location:
Chelsea, MA, 02150
Posted:
December 08, 2023

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Resume:

Cotyia Ransom-Gomes

Billing Specialist

Chelsea, MA 02150

ad1sn2@r.postjobfree.com

+1-617-***-****

I have strong communication skills and digital literacy. I'm proficient with scheduling, billing insurance claims and other administrative duties which require estimating timelines, and achieving goals promptly.

Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Billing Specialist

Robert Half - Boston, MA

May 2023 to Present

• Ensure that all billing is submitted to insurance payors by their scheduled deadlines and that all re-cap sheets are obtained for all electronic billing runs with all invoices having been printed & mailed.

• Timely cash application and contractual adjustments of assigned third-party insurances.

• Create department cash deposits and distribute to staff for system application and posting.

• Make certain the cash posting and cash reconciliation of all Mental Health and Early Intervention services are completed prior to monthly closing, reporting any issues impeding process to Director.

• Run and review assigned third party aging reports and initiate timely collection procedures to resolve outstanding claims. Collection to consist of telephone and written communications with third party payors not paid within 60 days of claim submittal.

• Resubmission, resolution and appeal (if appropriate) of all rejected claims. Timely initiate adjustments and voids when necessary.

• Responsible for maintaining and improving on the standard/minimum collection rate for assigned pay source on an annual basis as well as updating of uninsured report for Director Cultivator

Harbor House Collective - Chelsea, MA

February 2021 to May 2023

Performing general agriculture related labor in an indoor setting Performing full cleaning/sanitation of the grow rooms in-between and after harvests Preparing and loading empty grow rooms with fresh plant growing medium for the next batch of plants Performing plant transfers/transplants

Performing plant work (defoliation/trellising/pruning) Working on ladders/staging/scaffolding

Working in bright growing environments (eye protection provided) Watering grow rooms with irrigation/hand watering and checking basic water chemistry Helping implement and upkeep our integrated pest management Processing plant waste

Working with cleaning chemicals/and plant nutrients Working with a team and working alone

Communicating clearly with managers and leads

Following rules, laws and regulations set forth by the state and the internal rules of the facility Contribute to the overall workflow of the department effectively HQS Inspector

McCright & Associates - Boston, MA

October 2018 to February 2021

• Conducting all types of inspections: Initial Inspections, Annual Inspections, Re-Inspections, Complaint Inspections, Abatement Inspections.

• Collect and transmit data using the hand held device.

• Pull schedule and inspection information for upcoming work shift.

• Complete and submit required documents to corporate office. Community associate

Regus

November 2017 to January 2018

Staffed reception, mail handling and call answering for all companies Scheduled meetings, calendar management, and greeted clients of all companies Did tours and served as almost an real estate agent when clients would come in to view new space Market Research Data Analysts

Parthenon EY

October 2017 to November 2017

Engage with clients to challenge the status quo in their organizations Generate a customized approach to address their complex business issues Connect with the right people and ask questions to help the clients to reach their full potential Director of First impression

Project Hope

December 2016 to March 2017

front desk)

• Provided personal assistance for high profile clientele in fast paced, deadline driven environment

• Organized meetings and events

• Assorted mail to correct department

• Placed supply orders for multiple outreach organizations Department Of Public Health

June 2016 to November 2016

• Reviewed Doctors credentials

• Updated profiles to renew license for controlled substance Receptionist - Part Time

Bayside Embroidery

March 2016 to June 2016

• First point of contact when clients walk in • Answered phones

• Project management

• Pack and inspected garments shipping

• receiving merchandise from Fedex and other carriers for embroidering Inventory clerk

Bed Bath And Beyond

January 2016 to March 2016

• Took online and preorders from college students

• Input the data into the system (names school info and merchandise codes)

• Located the items in the BBB system to make sure they were available

• Uploaded codes to system so they can be scanned and picked by the store workers and ready for pick up • Made online schedules for ups pick up and shipping Data Entry Clerk

Department Of Public Safety

August 2015 to October 2015

Input certificates and classes into system needed in timely manner

• Ensure recertification/certification for heavy machines and operators in the state of MA

• Provided Administrative support to the commissioner of public safety Clerk

Massachusetts Registry of Vital Records and Statistics December 2014 to January 2015

Collected, processed, corrected, and issued copies of birth, death and marriage records that occur in the state of Massachusetts

Administrative Services

July 2014 to October 2014

Oversee general affairs, accounting, property management, paperwork management, archiving Department of Revenue

February 2014 to May 2014

• Batch checks

• Accumulating multiple documents to be crossed checked and processed in a timely manner Customer Service Rep/Sales/NonProfit

Integral Resource Inc

November 2011 to May 2013

Raised awareness for charity and its work on a local level Increased funds by researching and targeting charitable trust whose criteria matches the goals of the organization

Managed and updated databases to record donor contact information Developed and new and successful fundraising strategies Inspired new supports to raise money, while maintaining and developing relationships with existing customers

Cashier/Grill/Prep Cook

Boloco Resturant

June 2006 to February 2008

• Welcomed all patrons properly with a warm greeting

• Checked daily cash accounts to ensure the proper amount of cash is in the register

• Guaranteed customer gets exact change after transaction

• Maintain logs of transactions

• Prepared meals and sides

• Cooked meals and sides

• Ensured food was stored and disposed of properly Education

Diploma

SOMERVILLE HIGH SCHOOL - Somerville, MA

2006

Skills

• EXCEL (3 years)

• MICROSOFT OFFICE (5 years)

• MS OFFICE (Less than 1 year)

• OUTLOOK (Less than 1 year)

• POWERPOINT (2 years)

• Calendar Management

• Cash handling

• Personal Assistant Experience

• Property Management (3 years)

• Accounting

• Accounts Receivable (1 year)

Certifications and Licenses

LTC

December 2021 to September 2026

Unrestricted LTC



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