Operations Manager Intake Specialist
Resume:
Lupeta Byers
Little Rock, AR *2204
******@******.***
***********@*****.***
OBJECTIVE: To continue my career with an organization that will utilize my management, supervision, and administrative skills to benefit mutual growth and success for myself and the company JOB TITLE: Operations Manager
Advanced Pathology Solutions 2019 - Now
5328 Northshore Cove
North Little Rock, AR 72118
JOB DESCRIPTION:
Advanced Pathology Solutions - North Little Rock, AR August 2019 to Present
● Supervisor and Trainer for accessions up to and including ensuring that cross training is done when needed.
● Develop and maintain standards for billing, coding, accessions and logistics departments.
● Implementing creation of training modules within the billing department for all areas of Coding, PSR and Billing.
● Implementing creation of training modules within the accessions department for all areas of accession, lab accessions and demographics entry.
● Perform performance reviews in accessions department, billing, coding and logistics departments.
● Work directly with operations and account management to ease the flow of work between the accessions and lab departments.
● Maintain client services quality control through communication and problem solving with labs, pathologist, sales team, accessions team and logistics team.
● Maintains proper labeling and documentation of sample/specimen received, proper labeling of FedEx and UPS labels which are printed and sent to various clients.
● Review and enter patient demographics and specimen data into the laboratory information system.
● Recognize specimen problems and refer to and am also part of the designated personnel for resolution.
● Identifies problems with sample/specimen received; such as specimen types, missing patient information, missing ordering physician information or date of collection. Follow SOP and contact appropriate parties to correct problems.
● Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations.
● Documents and maintains accurate records of verbal communication with other supervisors, management, accessions and lab staff.
● Documents all feedback and suggestions from clients and sales representatives with the goal to make constant improvements to department and company practices in mind.
● Work directly with owners and business consultant for problem resolution. JOB TITLE: Supervisor/Grocery
Whole Foods Market 2017-Now
501 Bowman Road
Little Rock, AR 72211
JOB DESCRIPTION:
o Heavy customer service as well as answering phones o Process all returns for grocery
o Process and ship all Amazon returns
o Count registers and Loan drawer to verify accuracy of money o Perform audits and closing reports
o Maintain receiving area inventory of cashier supplies such as bags, receipt tape, etc. o Receive payment by cash, check, credit cards, vouchers, or automatic debits. o Issue receipts, refunds, credits, or change due to customers with supervisor assistance o Assisted customers with products
o Pulled all groceries forward using the first in last out method o Put returned groceries up at the end of the shift o Stocked registers with necessary supplies such as receipt tape, bags and rubber bands. JOB TITLE: Supervisor Claims Administration
HealthSCOPE Benefits 2017 - 2019
27 Corporate Hill Drive
Little Rock, AR 72205
JOB DESCRIPTION:
o Supervising remote and onsilte analyst giving them daily work assignments that coincide with the daily check runs.
o Work to achieve defined productivity, timeliness, and quality standards. o Weekly meetings and strength training with available rooms for training. o Work weekly in collections both with documentation (letters) and verbal (speaking with clients) o Motivate, develop and retain a competent staff.
o Provide customer service and appeals assistance on problem research & resolution to client relation managers, customer service managers, appeals department and account managers. o Interface with customers (both internal and/or external) to resolve problems o Proactively work with customers (both internal and/or external) to help achieve unsurpassed customer service and seamless benefits administration
o Monitor reports on production and quality of staff o Identify and assist in the recognition, analysis and resolution of organizational and procedural problems.
o Maintain active command of staff’s job related skills and new groups. Work closely with programming on issues and resolution.
o All other tasks as needed to help keep the workflow as beneficial as possible.
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JOB TITLE: Utilization Review Team Leader
Arkansas Blue Cross Blue Shield October 2009 - 2017 5 Allied Drive
Little Rock, AR 72202
JOB DESCRIPTION:
o Responsible for accurate and timely adjudication of medical claims. o Including additional investigation or communication in order to obtain necessary information to complete the claim subject to divisional standards of quality and productivity. o Work pended queues, aging, coordinate with alternate carriers (COB), processing payments according to guidelines set by our clients.
o Self-guided decisions are based on knowledge obtained from the initial training course, on-the-job training and continuing education (i.e. medical terminology, etc.) o Medicare secondary claims require numerous development steps in order to interpret Medicare's payment, coordinate benefits and make the appropriate payment. o Handled the more difficult and sensitive situations personally and escalated any issues as needed to the supervisor.
o Maintained a good working relationship with all persons in authority within the department as well as persons in the other departments that support customer service. o I performed constant analysis of the workflow in order to recognize trends that may need further attention.
o I maintained direct contact with the UR specialist and possessed the ability to review workflow processes, identify strength training and development opportunities, and give feedback to enhance the workflow functions for the individual team members. o Responsible for monitoring claims for accuracy and also ensure the claims are being processed timely. o Assisted in the daily productivity reporting and process claims when workload permits. o Ensured that claims were handled accurately and timely in a very professional manner. o In doing above jobs as required, I maintained a professional attitude at all times. REFERENCES
Candace Shelton 501-***-****
Jasmine Williams 501-***-****
Monica Dennis 501-***-****
Virginia Russell 501-***-****
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