Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
36
36
years of professional experience
1
1
Certification
Work History
Denial Specialist
Opelousas General Health System
Opelousas, LA
07.2025 - Current
Analyzed denied claims to identify root causes and implement effective resolutions.
Collaborated with insurance providers to negotiate claim approvals and expedite processes.
Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
Maintained up-to-date knowledge of industry trends and best practices in denial management, ensuring the organization''s processes remained competitive and effective.
Billing Supervisor
Allegiance Health Management Inc
Shreveport, LA
11.2022 - 05.2023
Supervision of all aspects of hospital business office. Training employees on billing and collections of hospital accounts.
Business Office Manager
Mercy Regional Medical Center
Ville Platte, LA
09.2020 - 11.2022
Supervision all aspects of the hospital business office. Training of billers and collectors in the hospital business office
Business Office Director
Oakdale Community Hospital
Oakdale, LA
04.2019 - 08.2020
Analyzed financial data and prepared accurate and timely reports for senior management. Expedited billing and collections procedures to maximize revenue and cash flow. Organized tasks to meet deadlines and prioritize competing office demands.
Cashier
Savoy Medical Management Group
Mamou, LA
03.2010 - 12.2012
Made daily bank deposits. Posted insurance and patient payments to patient accounts. Reconciled general ledger accounts. Helped accounting with end of the month closures. Balanced deposits at end of the day postings. Posted Medicare and Medicaid remits.
Patient Access Director
Savoy Medical Management Group
Mamou, LA
06.2008 - 03.2010
Oversaw day to day operations of registration department. Weekly scheduling of registration and emergency room clerks. Patient day reconciliation. Interacted with patients, case management personnel, physicians and physicians staff. Oversaw the day to day operations of the cashiering department.
Asst. Business Office Director
Savoy Medical Center
Mamou, LA
03.2004 - 06.2008
Oversaw billing and collections personnel. Supervised cashiering and logging personnel. Reconciled Medicare and Medicaid remits to the general ledger. Recapped Medicare and Medicaid remits. Approved and reviewed refunds to insurance companies and patients.
Managed Care Director
Savoy Medical Center
Mamou, LA
10.1997 - 02.2004
Supervised cashiering and logging personnel. Kept track and understood all managed care contracts. Modeled contracts in HCA contact modeling system. Checked payments for accuracy with contract.
Insurance Clerk
Savoy Medical Center
Mamou, LA
06.1990 - 10.1997
Billed inpatient and outpatient insurance claims by computer and mail. Called insurance companies to check status on insurance claims. Interacted with patients. Kept HMO and PPO discount logs and was familiar with all HMO and PPO contracts the hospital was involved in.
Education
Associate's Degree - Business Management
Louisiana State University at Eunice
Eunice, LA
Skills
Eligibility determination
Medicaid guidelines
Appeals processing
ICD-10 proficiency
Claims analysis
Denial management
Medical billing
Multitasking
Organizational skills
Microsoft office
Certification
03/2013 Medicaid Application Representative University of New Orleans