High School Human Resources
Resume:
BRENDA
RAIKOWSKI
*** ****** ***, *********, ** *8332 PHONE: 609-***-****
***********@*****.***
Dedicated Billing Manager with over 8 years of experience in overseeing billing operations, managing a team of billing specialists, and ensuring accurate and timely invoices. Skilled in analyzing financial data, resolving billing discrepancies, and implementing process improvements to streamline billing processes. Strong attention to detail and excellent communication skills.
Associate in BUSINESS
ADMINISTRATION BUSINESS
Atlantic Community College
Mays Landing, NJ 06/2003
HIGH SCHOOL DIPLOMA
Piper High School
Sunrise, FL 06/1988
Medical Billing
Medical Insurance
Medical Coding
Insurance verification
Medical terminology
Practice management
EMR Systems
Behavioral health/SUD
Accounting
Financial Report Writing
Medical office management
Management
Human resources
Payroll
Revenue cycle management
EHR systems
Microsoft Office
Auditing
EDI
Conflict management
Expense management
Materials management
Supervising experience
Inventory Management
Contract Management
Process Improvement
Organizational Management
Financial Management
Operations Manager Cooperative Care Partnership, Inc Rio Grande, NJ Feb 2019 - Current
* Initiated and implemented solutions to successfully improve company efficiency and customer satisfaction
* Organize and evaluate company policies and procedures to ensure effective and efficient workflow
* Resolve customer concerns to ensure an ongoing successful business relationship with the customer
* Installed protocols to ensure all charges are captured and billed appropriately
* Maintain Daily cash flow and inventory.
Billing Specialist JOHN BROOKS RECOVERY CENTER
Pleasantville Sep 2016 - Aug 2019
Submitting insurance claims, investigating and resolving denials
*Preparing and submitting contract claims
*Cash post remits on a weekly and biweekly basis
*Daily bank deposits
*Credit and Debit accounts accordingly
*Authorizations and reconcile accounts
*Prepare monthly financial reports process aged accounts
*Maintain insurance coding and fee tables along with contracts in electronic billing system
*ICD-10.
Accounting Specialist ATLANTIC CAPES FISHERIES
Cape May, NJ Jun 2015 - Mar 2016
*Managed the reconciliation of accounts receivable daily
*Payable Accounts, Research and clear discrepancies on vendor accounts, Boat Settlements, Check Runs, and Bank reconcile for 10+ bank accounts monthly
*Managed employee sales and expense reimbursement
*Liaison between internal and external accounts
*Sales support
*Prepare daily, quarterly and annual reports.
Billing Specialist HOME SOLUTIONS
Hammonton, NJ Dec 2011 - Jun 2015 (also Sep 2003 - Aug 2005)
*Administering and managing contract and client relations, analyzing medical records, compiling and submitting insurance claims, investigating and resolving customer inquiries and preparing and submitting contract claims
*Handled authorizations for commercial payers and assisted with billing the PDP accounts daily
*Maintained timely and accurate authorizations ensuring the billing process goes smoothly
*Handled all aspects of State Medicaid, *Authorizations, Billing and collections for multiple states with a team of 5.
Accounts Payable Specialist MASTEC, INC
Asheboro, NC Feb 2008 - Sep 2011
*Processed full-cycle accounts payable utilizing accounting system, review all invoices for appropriate documentation, back up and approval prior to payment
*Track credits due from vendors to use against outstanding invoices, expense reports, weekly check runs, positive pay experience, respond and assist vendors with payment inquiries, Major vendor account research investigating and resolving any discrepancies regarding invoices, vendor statements, shortages, and account reconciliation
*Ensure that all paperwork for vendors is complete, business name or individual name, address, phone number, W-9, etc.
*Month-end closing. Oracle Software.
Customer Service Representative APRIA HEALTHCARE Greensboro, NC Apr 2006 - Feb 2008
*Manage schedule, organized office functions, and oversaw daily operations of office
*Preformed basis accounting functions including cash reconciliations and wire transfers
*Inventory, logistics supervisor of technician and sales representative
*In-take of initial Rehab order, verify insurance, obtain all documentation needed to process order.
Customer Service Representative CIGNA GOVERNMENT SERVICES
High Point, NC Aug 2005 - Apr 2006
*In-bound call center CSR for Medicare beneficiaries answering questions on Medicare claims, entitlement information and general questions on Medicare matters.
*Answered customer inquiries and provided accurate information regarding products and services.
*Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
*Remained calm and professional in stressful circumstances and effectively diffused tense situations.
Director of Transportation CARING, INC
Pleasantville, NJ Mar 2001 - Sep 2003
*Over saw transportation department, including its assets and employees
*Formulated and implemented policies, procedures, goals, and objectives
*Planned, organized and managed the work of subordinate staff to ensure that the work was accomplished in a manner consistent with organizational requirements
*Directed activities related to dispatching, routing, and tracking transportation vehicles
*Promoted safe work activities by conducting safety audits, attending company safety meetings and meeting with individual staff members
*Monitored spending to ensure that expenses were consistent with approved budgets
*Direct activities of staff performing repairs and maintenance to equipment, vehicles, and facilities
*Conducted investigations in cooperation with government agencies to determine causes of transportation accidents and to improve safety procedures
*Negotiated and authorized contracts with equipment and materials suppliers, and monitored contract fulfillment
*Recommend capital expenditures for acquisition of new equipment or property to increase efficiency and services of operations department
*Conducted employee training sessions on subjects such as hazardous material handling, employee orientation and quality improvement.
Sharon Snellbaker (John Brooks Former Supervisor)
Gloria Rossell (Friend and former Coworker)
Tracey Innella (Friend and Volunteer committee members)
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