Frances G Reyes Email and Phone Number

Managing a caseload of client cases and administering the policies and procedures of the program as directed by the contracting agency and the Facility Director. Performing duties that include resident/client intakes, check-ins, breath analysis and drug screens, to provide backup when necessary. Preparing written personalized programs to establish measurable criteria of expected behavior and accomplishments and a time frame for achieving specified goals. Reviewing plan with residents/clients on a weekly basis and documenting progress or revisions so that they are gaining the life skills necessary to make a successful re-entry into the community. Assisting residents to establish personal budget, locating suitable housing, enrolling in educational and vocational programs and participating in family and community activities, as appropriate; ensuring that they are working towards financial independence. Monitoring facility sanitation and safety; a Orienting participants upon arrival at facility to provide smooth assimilation into program including having them complete paperwork. Making entries into confidential participant files to provide the structure for case analysis and program planning and to provide documentation of program participation; ensuring files are secure to protect resident confidentiality Assisting Job Developers in verifying residents'/clients' jobs to ensure residents'/clients' employment is suitable under established program plan; counseling unemployed residents/clients by providing guidance in obtaining employment in cooperation with the Job Developer

Perform billing in commercial, private, and managed care insurances, including Medicare and Medicaid. Explain benefit (EOB) rejections within standard billing cycle timeframes to customers. Respond to insurance agencies on a timely basis. Maintain optimal patient confidentiality, while ensuring compliance with HIPPA standards. Negotiate payment arrangements with customers or facilitate financial assistance options. Prepare delinquent accounts for agency transfer. Leverage analytical abilities to pinpoint and resolve medical billing/coding and insurance discrepancies. Executed a high volume of outbound calls, while still attaining daily metrics. Acted as a subject matter expert by training newly hired personnel in establishing work flows and mitigating escalated billing inquiries. Earned recognition as a top collector in the department, surpassing the established goal by 20%.

Offered a variety of products that helped meet a number of insurance and financial needs, including, but not limited to college funding, retirement, managing costs for extended periods of care and lifetime income strategies.

Cultivated regional business alliances to drive product sale and distribution. Created captivating product displays. Attended trade-shows to initiate new client relationships. Employed robust communication skills to deliver informative product demonstrations Optimized existing processes such as sales strategies, relationship development, and marketing utilization.Dispensed exemplary customer service, with over 90% of satisfied customers during tenure. Opened 200 accounts and secured relationships with 100+ clients.

Maintained consumer confidence. Negotiated with consumers and proposed payment methods. Reviewed calls and accurately documented the account queue. Acquired and honed skills in negotiations and problem solving.Conducted comprehensive reviews of account documentation and assessed payer potential. Achieved status as a top collector by consistently exceeding daily, monthly, and annual goals.