Accounts Receivable Coordinator with strong expertise in claims management and denial resolution. Skilled in analyzing denied claims to identify trends and implement effective solutions for revenue recovery. Demonstrated success in recovering millions in revenue while maintaining compliance with billing guidelines.
Overview
9
9
years of professional experience
Work History
Accounts Receivable Coordinator
New Season
Maitland
05.2022 - 11.2025
Lead AR Coordinator over two states, nine facilities of insured patients, and approximately 75 payers addressing MAT (medication-assisted treatment) for substance abuse clinics.
Managed denials for assigned states/clinic for all unpaid claims by reprocessing corrected/replacement claims, applying adjustments as needed, and filing appeals with payment corrections within timely filing.
Consistent weekly review of all third-party insurance contracts, including Medicaid and Medicare, for any changes, and reviewing each claim and service line for coding combinations, diagnoses, and place of service discrepancies.
Assistance to the refund team for a thorough review of denied, processed, or unprocessed claims, ensuring account and payment accuracy, and applying any adjustments that may be needed to complete a refund request.
Discovered trends associated with denied claims, resulting in millions of dollars in acquired revenue.
Ensured compliance of CMS billing guidelines per state, and ensuring correct information on claims processing.
Consistent review of counseling notes to ensure accurate codes and configurations are being billed out.
Assisted patient coordinators with the correct eligibility requirements per center, and ensured that accurate billing and patient responsibility amounts were followed.
Pharmacy Technician
CVS Pharmacy
Archdale
01.2021 - 05.2022
Processed prescription orders accurately and efficiently for customers.
Prepared medications by counting, pouring, labeling, and verifying doses.
Maintained cleanliness and organization of pharmacy workspace according to standards.
Management of inventory, ensuring all drugs were correctly accounted for, and filing any discrepancies.
Operated pharmacy software for entering patient information and managing prescriptions.
Collaborated with team members to ensure smooth workflow during busy periods.
Filing all insurance and discount cards correctly to ensure customers are receiving the best prices for medication.
Managed filing of prescriptions, both electronically and manually.
Ensured compliance with all federal, state, local laws and company policies related to pharmaceutical operations.
Assistant Store Manager
AVAIL Vapor
Greensboro
02.2018 - 12.2020
Trained new employees on product knowledge and customer service standards.
Implemented visual merchandising strategies to enhance product displays.
Increased sales revenues by promoting popular products, and educating customers about store promotions.
Monitored inventory levels and coordinated restocking efforts with suppliers.
Handled customer inquiries and resolved issues to ensure satisfaction.
Conducted regular staff meetings to communicate goals and expectations.
Oversaw daily cash handling procedures, reconciling discrepancies as necessary.
Provided leadership support during peak business hours by motivating staff members to meet targets.
Checked monthly sales and performance reports to support operational planning and strategic decision-making.
Lead Customer Service Representative
Golden In-home Appliance Repair Services
Greensboro
07.2016 - 08.2017
Managed scheduling for service appointments and technician dispatching.
Main operations include handling incoming calls and managing escalated needs with targeted resolutions.
Coordinated responses for key accounts, using business acumen, and attention to detail to balance company and customer demands.
Collaborated with technical teams to troubleshoot appliance issues effectively.
Delivered fast, friendly, and knowledgeable service for routine questions and service complaints.
Performed root cause analysis on recurring customer service problems.
Maintained up-to-date knowledge of company products and services.
Developed strategies to improve the overall quality of customer experience.