• Benefit Administrator for roughly 340 employees. • Implemented a new enrollment system with 100% participation this enrollment year.• Handle incoming vendor bills and work closely with accounting to assist in reconciling bills to be sure we are billed appropriately.• Assist with payroll audits.• Have participated in some interviews, onboarding and screening responsibilities.• Creates reports and spreadsheets for upper management.

• Lead administrator in a department that obtains authorizations for 11 orthopedic surgeons and 5 pain management doctors and MRI.• Coding (CPT and ICD 10) for insurance purposes to request authorization.• Responsible for financial counseling and pre-collections on surgeries and procedures.• Handle collection reports and process payments.• Problem solving and clinical interpretation for need of requesting authorizations.• Our teams initiative was to reduce paper and we recycle using our department along with others one-sided paper to cut cost and reuse the paper before shredding.

• Worked in a resident clinic managing 35 physicians scheduling, billing, insurance verification, referrals, front desk duties and office support to all physicians.• Handled referrals to specialists for patients.• Scheduled patients for special testing and did follow up to get report for my physician that ordered it.• Billing, coding, referrals, prescription refills and office issues such as IT system issues and making repair calls.

• Responsible for working an AR report to correct claims and get clean claims out in order to produce money coming in.• Coding, going through notes to verify information, confirm appropriate billing, eligibility of patients and problem solving.• Handling audits, working audits and working from mass reports.• Patient phone calls, billing questions and filing.• Point of contact for several offices to handle their behind the scenes billing and coding questions and concerns.

• Registering patients for urgent care and emergency room.• Obtaining insurance and financial information.• Collection of copay and deductibles.• Utilized the Accretive Health tools, payor internet databases and telephone communication to confirm eligibility.• Communicate to patient and educate them on their benefits and answer any questions they may have. Complete initial screening of self pay patients and offer financial counseling.• Training of new employees to the department and working close with the supervisor for training and updating of current procedures and manuals.

• Point of contact for clients a well as their employees and retirees.• Assisting in the administration of their benefits and complying with all the rules governing Section 125 and COBRA.• Provide resolutions to all employee/client benefit inquiries in an call center environment• Assist with billing and reconciliation process and demonstrate the highest level of customer service when interacting with internal and external customers.• Assisted during annual enrollment and provided IVR and WEB support.• Put on a team for Customer Service Quality Coaching and actually listened and graded the calls of our call center representatives and offered suggestions on ways to improve phone skills.