James Beard Email & Phone Number

Oklahoma City, Oklahoma, United States

Oklahoma City, Oklahoma, United States

I liaised directly with the client patient advocate department to resolve issues. This involved reviewing and researching insurance denials or billing errors and resolving them in a timely manner. I also ensured proper communication of all payor issues and trends both internally and with clients through tracking and other reports. I negotiated settlements with attorneys, insurance carriers, and 3rd party negotiation companies in order to ensure optimal results both for the clients and the patients. I collaborated with other RCM departments to ensure overall billing and account accuracy.

Luxembourg

I utilized my extensive corporate process background, training experience, and English language education to teach English as a foreign language to a variety of students in both small group and classroom settings. I strived to individualize the educational experience for my students by examining their corporate and personal goals, background, and hobbies. I incorporated a variety of classroom materials and activities in order to maximize student comprehension, and set personal goals to assure my students achieved their language needs in the most fun and efficient manner possible. I also made myself available for private tutoring and assistance with day to day translation and editing needs.

Luxembourg, Luxembourg

Effectively managed relationships with vendors and partners to quickly resolve ePayments issues. Audited and managed platform accesses, negotiated contracts, managed purchase orders, and monitored invoices.

San Francisco Bay Area

Investigated potentially fraudulent claims through collection of detailed statements, preparation of documentation, and coordination with local and federal authorities. Audited files to ensure compliance with company standards, state contracts, and insurance regulations. Established working relationships with law enforcement agencies, other insurance companies, attorneys, private investigators, and witnesses

Portland, Oregon Area

Managed claimant direct, attorney represented, and litigated claims to ensure appropriate processing. Leveraged extensive knowledge of Farmers policy contracts, medical coding, insurance terminology, and interviewing to advise the business during investigations. Wrote key claims documentation, audited files, and settled obligations with other insurance carriers. Earned frequent recognition for exceptional performance and quality assurance scores.

Tefl Certificate

100 Hours Certification for Teaching English as a Foreign Language

Bachelor Of Arts (B.A.), English Language And Literature, General