Michael Sealey Email & Phone Number

Performed analytical, procedural, and diagnostic processes aimed at identifying and implementing process improvements. Researched billing projects within assigned group. Ability to troubleshoot and resolve issues quickly to ensure minimal workflow disruption. Proficient in writing SQL and using analytic based software. Capacity to analyze information and develop comprehensive solutions to address practical work related issues. Adept at functioning under pressure, to be organized, and simultaneously manage multiple projects. Performed well in a team environment, including all levels of staff from multiple groups, to achieve business goals, as well as able to work independently to meet objectives. Leveraged multiple systems to report metrics, examined methodologies, and protected the integrity of data.

Responsible for monthly production billing ensuring client specific requirements, billing, and revenue goals were met. Managed contract cycle processing on a monthly, bi-monthly, and quarterly basis for multiple contracts. Analyzed and benchmarked the comparison of cycles to ensure accuracy of cycle output. Received and processed multiple files from Medicaid, Medicare, Providers, and Insurance Carriers. Communicated workflow changes from the client to the programming team, then tested the changes to ensure the proper modifications were implemented. Executed mainframe and DB2 processes to identify recipient's eligibility and claim date matches to make certain precise billings were sent out. Researched and presented discrepancies in the source data. Led a team to correct missing and incomplete data to increase billings. Discussed variances on billing results and revenues with Program Directors and Managers. Worked proficiently with Microsoft Excel, Word, and SQL. Ability to multitask, prioritize, and be thorough about detail.

Managed monthly invoicing reconciliations and all client deliverables for assigned contracts in a timely fashion. Maintained the daily Macro posting process to the internal Accounts Receivable system and processed the electronic remittances for select healthcare payers. Reviewed overpayments, job output reports, updated Excel files for remits and reconciliation, and prepared invoice letters with the necessary attachments. Utilized mainframe computer applications to troubleshoot errors and analyze data sets. Successfully worked with personnel from the Operations Support department as well as TOS, EDI, and Finance to ensure all monthly invoicing goals were met.