Edwina Etheridge
Virginia Beach
Summary
I am writing to express my interest in the Contract Specialist position. After reviewing the job requirements and responsibilities, I believe that my experience and skills make me a strong candidate for the role.
Proven professional with exceptional record of achievement in enhancing quality improvement initiatives for billing cycle. Exceptional partner to executive team, improving accounts receivable, and assisting with special projects. Dedicated to team success and solving problems with minimal oversight.
Overview
13
13
years of professional experience
2024
2024
years of post-secondary education
Work History
Reimbursement Specialist
Chesapeake Integrated Behavioral Healthcare
06.2024 - Current
- Prevented delays and claim denials by correcting information prior to submission.
- Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
- Performed VA and federal regulations compliance audits related to documentation and reporting.
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Processed vendor and supplier payments on weekly basis.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
VP Premium Disbursement Processor
USI Insurance
11.2020 - 05.2024
- Process check requests to forward premium payments to clients, finance companies, or direct bill insurance companies.
- Prepare checks, wire transfers, and ACH payments for premium disbursements.
- Communicate with internal USI offices, finance companies, and insurance carriers regarding premium payments.
- Manage assigned email boxes and respond to requests efficiently, potentially within a specified timeframe.
- Monitor open check requests to ensure payments are received, process returns, and resolve uncleared checks.
- Manage tasks within systems like ImageRight, including processing premium disbursements for assigned regions or offices.
- Meet quality standards for processing.
- Follow all audit policies and procedures.
- Scan approved payment support into electronic document management systems.
Office Manager
World Class Realty
06.2012 - 11.2020
- As an Office Manager at World Class Realty, I have gained extensive experience in managing accounts payable and receivable, reviewing contracts for compliance, and processing commission checks. I am confident that these skills will be an asset in preparing and verifying client information to set up accounts and records for insurance processing.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
Education
Certificate - Medical Coding And Billing
DeVry University
Virginia Beach, VASkills
- Staff hiring
- Bookkeeping
- Billing
- Vendor engagement
- Business administration
- Financial tracking
- Organizational skills
- Office administration
- Clear oral/written communication
- Contract administration
- Compliance monitoring
- Contract negotiations
- Prior authorization
- Insurance verification
Personal Information
Timeline
Reimbursement Specialist
Chesapeake Integrated Behavioral Healthcare
06.2024 - Current
VP Premium Disbursement Processor
USI Insurance
11.2020 - 05.2024
Office Manager
World Class Realty
06.2012 - 11.2020
Certificate - Medical Coding And Billing
DeVry University