Office Manager Claims Specialist

Natacia Orme Remote Claims Specialist

Remote Team Leadership Operations Optimization Cost Savings

QUALIFICATION SUMMARY

Office Manager and Billing Director with 6+ years of management experience. Responsible for overseeing 8 other office staff. Specialization in training and development of employees and office policies and procedures to ensure continuous learning and growth while maintaining compliance with industry standards. A strategic problem-solver who envisions smart solutions and executes with importance across all areas of the organization.

KEY SKILLS

Project Management Excel Marketing Software Training

Leadership Microsoft

Word

Teamwork and

Collaboration

Analytical

Data Driven Decision

Making

PowerPoint Organizational Communication

RELEVANT PROFESSIONAL EXPERIENCE

Medical Claims Specialist (Remote) May 2021-Present UnitedHealth Group

Responsible for investigation, analysis, and follow-up of medical insurance claims billed for Diagnostic Laboratory services. Reaching daily goals of hitting 60 patients accounts on average.

• Document all communications and activities in billing and financial notes to assist with clear, concise, and accurate communication to all who work with patients billing ledgers and processes.

• Responsible for making sure all claims have the appropriate documentation before being coded and claims submitted.

• Reporting daily to supervisor for updates and claim issues.

• Participating in training sessions for continuous learning and improvement.

• Knowledge of a variety of computer software programs. Cashier/Patient Accounts Oct. 2019-May 2021

Rush Memorial Hospital

Managed POS system transactions including cash, credit, and checks to guarantee a consistent and accurate cashflow.

• Provide prompt customer service with a friendly and professional attitude.

• Work directly with Senior Leaders to help improve and implement department processes.

• Experience with Cerner EMR software.

• Posting payments received for all private pay accounts as well as 25+ insurance payers.

• Managed a cash drawer of $3000 daily while maintaining a 100% accuracy rate during reconciliation in end of day audit reports.

www.linkedin.com/in/nataciakorme 765-***-**** ************@*****.*** Billing Director/Office Manager (Hybrid) May 2015-Oct. 2019 Audiology Associates of Indiana

Developed an internal medical billing process for Audiology providers who provide services on site to 100+ nursing facilities across the state. Organized and directed office workflow and expanded office staff by recruiting 5 new employees to train and manage. Created and implemented office policies and procedures as well as training manuals for new employees.

• Collaborated with facility Administrators for review of new contracts and other client related information on a regular basis.

• Worked closely with Senior Leaders for guidance with job related responsibilities.

• Responsible for negotiating 75+ new signed client contracts within 1st year of employment.

• Develop, implement, and consistently seek improvement in policies and procedures for all billing functions to ensure department activities are carried out professionally and ethically, and revenue is optimized.

• Responsible for hiring and training and development of all new employees on office policies and procedures, as well as specific job responsibilities.

• Ensure compliance with industry standards and regulations on both State and Federal levels.

• Ensure timely and accurate processing of claims in a manner that is consistent with industry best practices through direct efforts and coordination of other employees’ efforts.

• Directed daily meetings with all staff to ensure all daily activities are completed, company goals are achieved, and continuous improvements and cost efficiencies are identified and pursued. EDUCATION

Associates of Science, Healthcare Administration

Ultimate Medical Academy, Oct. 2009-July 2012

Bachelor of Business Administration, Organizational Development American Intercontinental University, Aug. 2021-Present

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