Operations Manager Customer Service
Resume:
Marie Mckinney
Operations Manager - Custom Design benefits
***************@*****.***
Cincinnati, OH 45251
Authorized to work in the US for any employer
Summary
A highly motivated business professional with 20-plus years of medical billing and customer service experience. Strengths include time management, strong organizational skills, and the ability to motivate and train team members in a fast paced, ever-changing environment.
A highly motivated business professional with 20-plus years of medical billing and customer service experience. Strengths include time management, strong organizational skills, and the ability to motivate and train team members in a fast paced, ever-changing environment.
Work experience
Denials and Billing Manager
Denials and Billing Manager
Queen City Med Mart, Inc. - Cincinnati, OH
Present
Handle all billing for complex items and DME. Work rejections and Medicaid denials. Train, monitor team members, and run reports for billing purposes and follow up. Involved in the hiring process and manage all aspects of the day to day operations.
Lead intake rep
Lead intake rep
Anthem, Inc. - Mason, OH
December 2019 to September 2021
Triage cases
Train and mentor staff
Prepare reports for team analysis
Operations Manager
Operations Manager
Custom Design benefits - Cincinnati, OH
June 2019 to November 2019
*Provides leadership to major projects and Improvement efforts.
*Proactively identifies Improvement opportunities to develop staff based on industry and competitive trends so that strict deadlines are met.
*Create reports to monitor production by statistically analyzing reports to identify potential issues.
*Meet regularly with staff and clients to review progress of claims adjudication and customer service concerns.
*Performs quarterly and annual reviews.
Payor liaison
Payor liaison
Necco - Cincinnati, OH
December 2016 to March 2018
* *Maintains database for fees and contract information.
* *Create reports and maintain skills for ad hoc reports.
* *Trains staff on fiee and contract changes.
* *Facilitates payer meetings including preparing agendas and reporting findings.
* *Addresses and reports issues with payers by identifying issues and meeting with representatives from insurance companies and clients to discuss and work toward a solution.
Follow-Up Representative
Follow-Up Representative
Parallon - Cincinnati, OH
July 2014 to November 2015
*Called insurance companies to resolve unpaid claims for the Paducah Kentucky Region.
*Maintain reports so that issues tracked could be identified and resolved on unpaid accounts.
*Worked special projects on overtime.
Operations Manager
Operations Manager
Sheakley - Cincinnati, OH
October 2011 to April 2013
*Monitored and updated all commercial government compliance requirements and vendor activities.
*Developed reports to evaluate billing accuracy for reporting purposes.
*Ensure that all payments received are properly logged to the appropriate register.
*Managed the accuracy of payments to vendors and collaborated with other departments to ensure proper flow of business.
*Met regularly with staff and clients to discuss status and progress of accounts receivable.
*Manage month-end process. Hired and developed plans for training new and existing staff.
*Performed quarterly and annual reviews.
Supervisor non hospital billing
Supervisor non hospital billing
TRIHEALTH - Cincinnati, OH
November 2004 to February 2010
* *Develop maintain and oversee all billing procedures for the physician billing department.
* *Follow up on all receivable balances and ensure that delinquent account holders are contacted and pursued for payment.
* *Prepare periodic billing reports and supervise billing staff to ensure accuracy and efficiency of claims.
* *Supervised month-end procedures. Assist in resolving issues related to payer and coding queries.
* *Monitor Revenue production by statistically evaluating reports and identify potential issues.
* *Hired and trained new and existing team members. Performed quarterly and annual reviews.
Education
High school or equivalent
High school or equivalent
Mount Saint Joseph College - Cincinnati, OH
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