Financial Clearance Representative Resume ,Â St. Louis, Missouri - Hire IT People

SUMMARY:

Detail oriented, flexible, proactive, and extremely reliable self - starter. Highly successful record of personnel management; including staff development, and the training and mentoring of numerous individuals who eventually moved into future leadership roles.
Proficient in the use of Microsoft Word, Excel, PowerPoint, and Sage 50 Accounting software.
Experienced in ICD-10 diagnosis and CPT procedure coding applications.
Proven track record of meeting schedules on time and within budget, while promoting inter and intra-departmental team building. Dedicated to ensuring exceptional customer service satisfaction results.

PROFESSIONAL EXPERIENCE:

Confidential, St. Louis, Missouri

Financial Clearance Representative

Responsibilities:

Verification of patient Medicare A & B, Medicaid, Commercial, Government and Third Party insurance benefit eligibility for scheduled surgeries through payer website utilization, one-on-one direct telephone contact with other healthcare professionals, and coordination with other Confidential team members
Initiation of inpatient and outpatient surgery authorizations; price estimation and point of service billing for collection of applicable deductible, coinsurance, and copay out-of-pocket charges
Communication and coordination with offsite care management nurses, case managers, financial counselors, hospital and physician office staff to effectively address and resolve patient insurance issues

Confidential, St. Louis, Missouri

Real Estate Sales Associate

Responsibilities:

Represented individuals and investors in the listing, marketing, and sale of residential, commercial, and REO investment properties
Achieved total first year sales productivity of $4.2 million; increased second year totals to 5.7 million; and maintained an aggregate subsequent average of $3.1 million per year

Confidential, Earth City, Missouri

Project Manager & Financial Analyst

Responsibilities:

Transferred from Milwaukee by Confidential Cable to initially perform due diligence, and eventually to assist with the facilitation of system ownership transfer to A.T. & T. Broadband
Attended public meetings and field appointments with municipal government leaders and officials
Performed financial analysis, auditing and general accounting relating to over $100 million of ongoing capital plant upgrade and construction projects

Confidential, Milwaukee, Wisconsin

Quality Assurance Manager

Responsibilities:

Supervision of twelve direct-report staff; eight office-based customer service representatives and four field-based quality assurance field technicians, utilizing CSG Data billing software
Responsible for coordinating the daily activities of approximately 80 subcontract field technicians, and ensuring that all scheduled on-time arrival subscriber commitments were met
Administered an average $2.3 million capital budget, and $1.8 operating budget

Confidential, Eau Claire, Wisconsin

Project Manager

Responsibilities:

Successfully met all technical and construction deadlines and budget administration goals associated with overseeing a two-year $13 million dollar, 594 mile, 550MHZ fiber optic plant upgrade
Secured office and warehouse facilities, purchased equipment and vehicles, hired and trained a staff of four project support personnel, and coordinated the activities of a 65+ person contractor workforce
Worked closely with the Technical Operations, Customer Service, and Marketing departments to minimize subscriber service disruptions, and to ensure that overall budgeted team revenue performance and sales profit target projections were achieved in regard to the launch of new service offerings
Traveled to numerous Confidential divisions throughout the country to perform system upgrade-related PowerPoint public speaking presentations and provide training to large groups of industry colleagues

Confidential, Milwaukee, Wisconsin

Project Manager

Responsibilities:

Directed the engineering, design, and construction of 190 individual plant construction projects
Supervised a staff of four Field Engineer Technicians, and two construction contractor groups

Confidential, Wilmington, Delaware

Account Executive

Responsibilities:

Negotiated Multi-Dwelling-Unit Right-of-Access agreements with building owner/managers
Performed field engineering and formal project cost estimation for engineering projects

Confidential, Dallas, Texas

Account Retention/Collection Representative

Responsibilities:

Contacted customers by telephone and door-to-door contact to make delinquent account collection arrangements in order to maximize the retention of current accounts
Performed subscriber field audits and physically disconnected unauthorized services