602-***-**** ad37pc@r.postjobfree.com

LAILA MUHAMMAD

Dear Hiring Manager,

I am very interested in the employment opportunity that you've posted on Indeed. I have 10+ years of related experience and am currently looking for new opportunities. Above all else, I believe my skills and experience will translate well to this position. My relevant background includes accounts payable and receivable, customer relations and attention to detail expertise. I pride myself on setting challenging personal goals—both personally and professionally—and put forth extra effort when working to achieve them. In striving to always deliver, I have mastered the skills of decision making, problem solving and multitasking to successfully work across teams. In each of my previous positions, I have consistently produced positive results as evidenced by an increase in repeat customers. As a practical and a hard-working individual, my background reflects a healthy history of delivering per expectations and making significant contributions towards shared team goals. Please feel free to contact me via phone or email at your convenience. I am very interested in this opportunity as it aligns with my skills and interests. Thank you for your time and consideration, I look forward to speaking with you soon. Sincerely, I am…

Laila Muhammad

Laila Muhammad

P.O. Box 36817

Phoenix, AZ 85067

ad37pc@r.postjobfree.com 602-***-****

GOALS:

To secure employment in a professional environment that will be both challenging & rewarding. Software experience: Medical Manager, Medisoft, Lytec, Tiger. Microsoft Office. Accounts Payable, Bookkeeping using Quickbooks and Quicken. Specialized in Government claims and Credentialing.

EMPLOYMENT:

2/2020-Present* AZ State Division of Developmental Disabilities* Human Service Worker II Phoenix, AZ

Excellent training in social work and human services, statewide fingerprint cards are necessary to become qualified. Manage clients' confidential case files and records, process information and verify all incoming DHS and court documents. Practice best practices in the behavior health system while maintaining HIPAA laws and regulations. Supervise visits between children and their parents and/or others deemed appropriate at the request of the DES case manager. Obtain necessary documentation from the patient to complete indigent waiver/payment agreement for patients without complete coverage and update as necessary. Grant access to electronic medical record databases to process utilization reviews in a timely and accurate manner while remaining HIPAA compliant. Attend CFT (child family team meetings) monthly.Participate in monthly case conferences with DCF. Contribute to the completion of IEP's, MCASP, and other written documents as required. Provides clerical support. Customer service. Accounts Payable and Accounts Receivable (A/R & A/P) 10/16-11/18 CVS Healthcare - Government Credit Refunds - Phoenix, AZ Investigating over payments for Government claims. Communicating with Payers to check on over payment statuses. Initiating that the credit balance be considered a credit or a refund. Extensive problem solving. Relying on USA states’ “Billing Grid” to accurately calculate expected payment (pmt). Software included: HCN 360, MediAR, Revenue Recovery, EDI, RX Look-Up etc. Correcting ICD-10 & CPT codes. Corrected errors that were made from Front End. staff, Billers and/or pmt posters. Preparing a Refund Request Packet or to accept the necessary money. Accounts Payable and Accounts Receivable . Final procedure was to prepare an Adjustment Packet to adjust the credit or increase the A/R. Customer Service (A/R & A/P) Laila Muhammad 2 of 2

04/2016-10/2016 Conifer Healthcare Billing/ Collections Phoenix, AZ Insurance follow- up & Collections. Appealing denied claims. Checking online eligibility and claims status. Customer service. Billing all payers using CMS 1500 and UB04 claims. Inbound and outbound calls.

10/2015-4/2016 McKesson Insurance Verifier Phoenix, AZ Verifying member’s eligibility and benefit coverage, confirming information and insurance plans. Re-establishing coverage if necessary. Customer Service. Call center for outbound and inbound calls.

12/2005 - 12/2013 Southwest & Legacy Hospital Billing Manager Atlanta, GA Administrative duties. Electronically and paper billing. Collections, posting payments and refunds. Resolving outbound and inbound calls. Customer Service. Financial Advisor. Correcting electronic claim submissions. Managed care and govt contracts. Trained employees. Initializing strategies to omit old and hi accounts receivables. Communicate with all clients and patients. Managed locked box and cash receipts. Credentialing. Attended mandatory Seminars and took classes for myself and employees to enhance job performance. Follow-up, reconciled accounts, appeals. Customer service.

2/2013-12/2013 Bankers Life Licensed Sales Agent Atlanta, GA Sold long term care, Medicare supplement and life Insurance. Annuities plans Medicare Part C

& D- prescription drug plans and Medicare Advantage Plans. Sales also include retail, automobile, fashion, food, culinary, travel agent and department store. 3/1998- 3/2005 Meridian Medical Group Practice Manager Marietta, GA Admin duties, same duties as Southwest and Legacy Hospital (see above) SKILLS:

● Conflict resolution

● Organized

● Process Implementation

● Team Liaison

● Powerful Negotiator

Mental Health Manager