Supervisor Resumes in US-Florida-Orlando: Linda

Supervisor Resume

Contact Candidate

Name:

Linda

Location:

US-Florida-Orlando

Experience:

Most Recent Job Title:

Supervisor

Objective:

To work as part of a team, utilize my healthcare knowledge and experience and provide caring customer service in the coming years.

Resume Text:

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LINDA J. REIDEL

2913 EAGLE LAKE DRIVE ORLANDO, FL 32837

PHONE: (407) 810-9813 E-MAIL: LJREIDEL@GMX.COM

HEALTHCARE / REIMBURSEMENT / SUPERVISOR

KEY SKILLS

REIMBURSEMENT CASE MANAGEMENT PRICE NEGOTIATION INSURANCE VERIFICATION PRE-DETERMINATIONS

PBM CLAIM SUBMISSION MEDICAL TERMINOLOGY DIAGNOSIS & PROCEDURE CODING ACCOUNTS RECEIVABLE

COLLECTIONS EMPLOYEE MANAGEMENT OPERATIONAL PROCEDURES CUSTOMER SERVICE MICROSOFT OFFICE

PROFESSIONAL EXPERIENCE

AppleOne (Employment Agency) Orlando, Florida

Supervisor (Temp assignment) 07/06/09 – 09/04/09

Custom Staffing (Employment Agency) Maitland, Florida

Biller/Collector (Temp assignment) 05/18/09 – 07/03/09

Florida Eye Clinic Altamonte Springs, FL

Office Coordinator (Manager) – Lake Underhill Office 02/09/09 – 05/05/09

• Manage, lead, and mentor 9 employees in a heavy volume/fast paced office environment

• Assist with appointment scheduling, check-in, check-out, insurance verification, medical records and accounts receivable

• Prepare accounts payable vouchers, daily deposits and cash reports

• Coordinate schedules and approve time off requests to meet the operational needs of the office

• Approve weekly time sheets and report attendance infractions

• Conduct regular staff meetings

• Evaluate employee performance. Write and deliver annual performance reviews

• Inventory and order office supplies to maintain all operating requirements

Medical Insurance Verifier– Ambulatory Surgical Center 01/06/09 – 02/06/09

• Review and update patient computer files for all ambulatory surgical procedures

• Verify benefits, obtain pre-certifications and referrals for a high volume of ambulatory surgical and office procedures

• Review all insurance company billing and payment requirements

• Provide support and intervention for all personnel and patients in insurance issues

• Update and keep current all information for insurance provider manuals

• Handle telephone interventions on a daily basis

Unemployed (lay off due to restructuring/position elimination) 11/14/08 – 01/06/09

CuraScript Specialty Pharmacy – Division of Express Scripts Orlando, Florida

Patient Admissions Center Supervisor 01/31/06 – 11/14/08

• Manage up to 22 employees and a high volume of referrals

• Develop defined roles and responsibilities for all team members, evaluate employee productivity, initiate growth and development plans

• Analyze processes and implement methods which realign workflow to improve the internal operating efficiency and performance of the department

• Research strategies to remove obstacles and maintain a positive work environment, enhance employee motivation by actively seeking input and providing constructive feedback

• Coordinate schedules and approve time off requests to meet the operational requirements of the department

• Administer performance improvement notices, generate monthly report cards, conduct annual reviews, approve weekly time sheets and report attendance infractions

• Revise job aids to optimize work procedures while ensuring company set policies are upheld

• Interview and hire internal and external applicants that exemplify company values and excellence in customer service skills

Accounts Receivable Supervisor 11/02 – 01/06

• Oversaw daily operations and encouraged cooperation among staff, which produced high levels of teamwork to meet monthly, quarterly and yearly goals

• Developed policies, procedures and forms ensuring accuracy, consistency and a standard of excellence within the department

• Supervised employees, conducted performance reviews, assessed strengths and provided feedback based on the employees individual evaluation

• Inventoried and purchased office supplies to maintain all operating requirements

• Performed all A/R duties

Reimbursement Specialist Supervisor, Oncology 02/00 – 11/02

• Familiarized new staff with the Reimbursement Specialist roles and responsibilities

• Conducted overall training to create a qualified and talented staff of Reimbursement Specialists

• Delegated work responsibilities, monitored overall job performances and ensured the adherence to all policies and procedures

• Performed all Reimbursement Specialist functions

Reimbursement Specialist, Verifier 11/97 – 02/00

• Verified medical insurance benefits, transmitted PBM claims to obtain prescription coverage, documented detailed descriptions of all benefits, submitted pre-determinations, obtained initial and subsequent authorizations

• Established case management for accounts and negotiated discount pricing with payers and Case Managers

• Communicated services to non-contracted payers and Case Managers, which gained referrals and new business collaborators

Ingham Regional Medical Center Visiting Nurse Services Lansing, Michigan

Accounting Assistant – Reimbursement 1986 – 10/97

• Verified insurance benefits, obtained authorizations, coded diagnosis, procedures and accurately entered all data

• Processed claims manually and electronically for Medicare, Medicaid, BC/BS, Workers Compensation and commercial payers

• Assisted with the follow up of all unpaid claims, reimbursement issues, audits, adjustments of bad debts and contractual allowances

• Projected expenditures and prepared monthly, quarterly and yearly grant monies utilization reports

• Provided high quality and detailed support to the Admissions Department and Nurse Case Managers

• Negotiated pricing and terms for services

Other Related Work Experience: Prior To 1986

MEDICAL RECEPTIONIST / BILLER: J. P. WULFF, D.O. – EATON RAPIDS, MICHIGAN 1983 – 1986

Admitting Clerk / Cashier: Eaton Rapids Medical Center– Eaton Rapids, Michigan 1979 – 1983

Training

Management Development, Labor/Management Contract Negotiations

SYSTEMS

MYSIS, AVAILITY, ZIRMED, PEOPLE SOFT, AVAYA

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