Manage incoming program inquiries; set up trial lessons; coordinate program details (schedule, materials); assist in organizing group language programs (coordinate scheduling, levels and placement, re-enrollment); billing and collections; general customer service, assist with social media account monitoring

Billed outpatient medical claims for several providers; researched claim payment history to resolve patient account issues; posted payments and adjustments as needed

Responsible for daily cash bank deposits, researching shortages and handling all cash related services for the Philadelphia store. Responsible for signing out keys and other equipment to various departments on a daily basis. Assist, as needed, in opening registers in the morning, helping out on the floor and covering for the supervisor when needed

Monitored claim status online and by phone; posted insurance payments; audited denials to make corrections and rebill or appeal as needed; worked accounts receivable tasks; processed insurance company refund requests; responded timely to all correspondence received; documented all action taken on each account within the system, NextGen; posted credit card payments from patients over the phone; mailed or electronically filed claim forms to insurance companies; answered phone calls from patients, insurance representatives and staff

Assisted in team growth from 6 members with monthly goals of 1.4 million dollars to 30 members with monthly goals of 10 million dollars; prepared weekly reports and agendas for staff meetings, lead staff meetings; reviewed and approved time cards before submission and requests for time off; monitored and forwarded all department facsimiles; resolved underpaid claims from HMO, PPO, Medicaid and Workers’ Compensation Insurances; articulated contract provisions and state or federal legislation to insurance representatives; managed account information; analyzed underpayment risk areas to ensure audit accuracy; maintained persistent and professional follow-up to ensure claim resolution; responded to claim denials from insurance companies to ensure contractual payment of submitted claims; resubmitted claims and wrote appeals to insurance companies; maintained continuous flow of communication between department and on-site consultants

Resolved underpaid claims from HMO, PPO, Medicaid and Workers’ Compensation Insurances; articulated contract provisions and state or federal legislation to insurance representatives; managed account information; analyzed underpayment risk areas to ensure audit accuracy; maintained persistent and professional follow-up to ensure claim resolution; responded to claim denials from insurance companies to ensure contractual payment of submitted claims; resubmitted claims and wrote appeals to insurance companies; maintained continuous flow of communication between department and on-site consultants

Assessed county and private referrals for admission to the adolescent facility; conducted interviews on all applicable candidates and provided outcome letters to referral sources; completed client files on all approved admissions; gathered admission data and provided monthly reports; updated and provided program information to county agencies, private referral sources, and families; scheduled and conducted facility tours for potential clients and family members

Responsible for coordination and delivery of all medical services within the adolescent facility; scheduled medical and dental visits for all clients within 30 days of admission; assessed clients’ medical problems and scheduled follow-up appointments as needed; administered medications and refilled prescriptions; informed therapists of changes in medications and informed doctors of clients’ physical and mental conditions; performed general administrative filing and record keeping; ensured compliance with state codes and regulations

Managed the complaint process for two million people; issued corporate responses to providers, insurers and their members; triaged complaints to determine issue and notified appropriate department; identified clinically urgent customer comments to expedite their resolution; monitored turnaround time to ensure compliance with state and internal guidelines; gathered data for tracking, trending and reporting purposes; analyzed complaint figures and wrote monthly reports; prepared and presented complaint files for client audits; trained all new hires on customer comment process; provided ongoing training to the New York Regional Service Center staff

Responsible for direct management of 28 customer service representatives; interviewed, hired, trained and evaluated all customer service staff; managed all high-level client account complaints and issues; served as a support to account management on all member issues; monitored productivity of customer service department; ensured that all benchmarks and quality performance standards were met; produced, analyzed and consulted on reports for customer service call center; adjusted workflows based on statistical analysis; prepared and conducted customer service staff meeting; ensured compliance with all MBC standards and policies; monitored department compliance quarterly and annually; successfully reorganized department to meet performance guarantees set by MBC accounts

Responsible for supervision and training of 23 patient care coordinators; monitored patient care coordinators' call volume and content to ensure that customer service provided met National Committee of Quality Assurance (NCQA) standards; developed and maintained tracking spreadsheets for call center statistics and employee productivity; generated and reported daily call center statistics to managers and directors; provided customer service to members accessing their mental health and substance abuse benefits; verified insurance benefits, made referrals to providers, authorized care, and answered claim inquiries; screened and assisted patients in crisis situations; primary Employee Assistance Program (EAP) contact; verified provider availability and scheduled appointments for members

Provided customer service to members accessing their mental health and substance abuse benefits; verified insurance benefits, made referrals to providers, authorized care, answered claim inquiries; screened and assisted patients in crisis situations; primary Employee Assistance Program (EAP) contact; verified provider availability and scheduled appointments for members

Managed cases of two clients in a nine-person residence; administered medications; developed program-specific treatment plans; wrote assessments and monthly progress reports

Managed cases of up to four clients in a team environment; co-chaired evening discussion groups; administered medications; developed program-specific treatment plans and maintained client files; advocated clients' legal rights as the human rights officer

Managed cases of two clients in a twenty-person residence; assisted in the administering of medications; coordinated client activities and outings; developed program-specific treatment plans and maintained client files