
Annie Mays

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About me
RCM Lead at Prosper Health | Basically the Beyoncé of Google Suite |
Education

Claxton High School
2005 - 2009High School DiplomaActivities and Societies: Award winning FBLA member

Ogeechee Technical College
2018 - 2018Certificate Basic Shielded Metal Arc Welding A
Experience

Parker's
Jan 2013 - Oct 2016● Worked closely with management and executives to establish short-term goals and long-termobjectives● Developed team members into successful leadership positions and supervised staff
Assistant Manager
May 2015 - Oct 2016Cashier
Jan 2013 - May 2015

Lisa Sampson Cleaning Services
Mar 2014 - Sept 2015Assistant Housekeeper● Administered all aspects of general housekeeping, deep cleaning, and organization for upper echelon clients. ● Extremely detail oriented and able to execute precise time management through day to day requirements.

Cobra Self Defense Savannah
Sept 2016 - Jan 2019● Developed and implemented short and long-term marketing strategies and advertising campaigns tocreate and increase brand awareness● Gathered and tracked market trends, account analyses, sales data, and forecasts to present● Created graphics for promotional materials and managed mailing lists● Reviewed expenses, sales, and additional business data to efficiently analyze service sales● Monitored company budgets, prepared forecasts, and offer recommendations on ways to save onpromotional campaignsKey Accomplishment:– Increased sales and class engagement by launching a social media campaign to promote the business;maintained Facebook and Instagram ad services Show less
Senior Project Manager
Mar 2017 - Jan 2019Marketing Coordinator
Sept 2016 - Mar 2017

Circle K
Oct 2016 - Jan 2018● Multifaceted manager capable of being utilized in an assistant management role or store-managementrole● Assumed responsibilities of daily activities that included daily paperwork, scheduling, inventorymanagement, and ordering● Responsible for the hiring and development of a successful teamKey Accomplishments:- Broke nationwide sales records- Created and Developed the Standard Operating Procedures by which all Foodvenience overnight shifts nationally now operate
Multi Unit Manager
Jan 2017 - Jan 2018Foodvenience Team Manager
Nov 2016 - Jan 2017Cashier
Oct 2016 - Nov 2016

JCB North America
Dec 2018 - Dec 2019Assembler● Read, interpret, and followed basic blueprints, diagrams, engineering drawings, specifications, bills ofmaterials, and other written instructions to accurately assemble equipment and products● Reworked or repaired assembled equipment and products according to engineering specificationchanges● Performed all work in accordance with quality standards and established safety procedures

JENIFER M BARRETT
Jan 2020 - May 2021● Promoted from Coordinator to management within five months of hire● Verified patient’s insurance and billing● Entered treatment plans, post payments, entry charges, and handled pre-authorizations● Accurately maintain all patient records including personal and medical information● Answered incoming calls and responded to approximately 100 patient inquiries daily● Managed dentists' and hygienist's schedules by confirming patient’s appointments and managingschedules
Office Manager
May 2020 - May 2021Front Office Coordinator
Jan 2020 - May 2020

Delivery.com
Feb 2020 - Mar 2021Delivery Driver● Provided quality customer service through positive and professional interaction with customers in person or by phone. ● Worked as part of a team and assisted each other by being on time for their shift. ● Accurately processed order paperwork and payment transactions and execute cash management duties. ● Protected the company's assets by maintaining organized, safe, and clean work areas; complying with safety and security standards at all times.

Cerebral
Jul 2021 - Sept 2022● Promoted from Clerk to management within four months ofhire● Oversee the productivity and development of 20+ insuranceclerks● Create, analyze, and modify procedures to accommodate rapidgrowth within the company● Assist in day-to-day operations of insurance responsibilities -facilitating prior authorizations and direct communicationswith national pharmacies● Analyze statistical data and create reports for high-levelmanagement and network reimbursement requests● Monitored and followed up on the status of submitted claims● Executed and interpreted eligibility requests● Conducted outreach to clients and clinicians regarding missingor incorrect insurance information● Determined and billed client’s Health Insurance patientfinancial responsibility● Created invoices for out-of-network reimbursement requestsKey Accomplishments:– Created a new workflow structure that was morestreamlined, removed redundancies, and enabled betterleveling of metrics– Develop a project management solution that allowedcharting and tracking of daily, weekly, and monthlyassignments, in addition to charting individual and teamgoals– Transited workflow to ASANA that allowed for 100% accuratetrackable timestamped metric workflows Show less ● Submission of Claims to Health Insurance Payers. ● Monitoring and Following-up on the status of submitted claims. ● Executing and interpreting eligibility requests. Conducting outreach to clients and clinicians regarding missing or incorrect insurance information. ● Determining and billing clients their Health Insurance patient financial responsibility.● Creating invoices for out-of-network reimbursement requests.Key Accomplishments:- Promoted to management within 4 months Show less
Insurance Clerk Team Manager
Nov 2021 - Sept 2022Insurance Clerk
Jul 2021 - Nov 2021

Ameris Bank
Aug 2022 - May 2023Construction Closing Specialist● Lead a variety of pre-close activities for moderately complex to complex construction loans, including coordinating all aspects of loan closings.● Accurately evaluate and upload data into the systems of record to ensure compliance with all bank policies, procedures and regulatory requirements.● Document and coordinate legal activities for loan documentation that may also include documentation purchased from third party sources, with internal staff and the Corporate Legal group● Work collaboratively with Credit, Sales and Legal regarding proper procedures and documentation requirements necessary to ensure accuracy with negotiated terms and ensure alignment with appropriate compliance standards● Review and negotiate complex legal documentation, evaluate risks, develop strategies to mitigate documentation risk and identify procedural modifications● Serve as an escalation point in the resolution of client issues● Conduct quality reviews and monitor key performance metrics as related to efficiencies and effective processes● Identify activities of the team to ensure conformity with established procedures● Collaborate and consult with peers, colleagues and managers to resolve issues and achieve goals● Facilitate the closing and funding of new loan transactions including participations and loan restructures.● Organize legal documents, internal documents and post-closing items.● Coordinate funding logistics for new financings, participations and complex restructures.● Collect, review and negotiate acceptable insurance certificates and endorsements. Show less

Charlie Health
May 2023 - Dec 2023Financial Counselor● Provided comprehensive financial counseling to clients, offering clear explanations of available services and payment options.● Developed personalized payment plans to assist clients in managing their financial obligations for health services.● Collaborated with insurance companies to verify benefits and coverage, ensuring clients maximized their insurance benefits.● Conducted financial assessments and eligibility screenings to determine clients' qualifications for financial assistance programs.● Assisted clients with the application process for financial aid and other support services, ensuring accurate and timely submission of necessary documentation.● Maintained detailed and confidential records of financial interactions, ensuring compliance with all regulations and policies.● Addressed and resolved client inquiries and concerns regarding billing and financial matters in a professional and empathetic manner.● Monitored and tracked client payments, following up on outstanding balances to ensure timely collections.● Worked closely with the billing department to reconcile accounts and resolve discrepancies efficiently. Show less

Weekend Health
Jan 2024 - Jan 2025Pharmacy Operations Manager● Reviewed and processed prior authorization requests for medications, ensuring timely and accurate determination of approval or denial.● Communicated with healthcare providers, pharmacies, and patients to gather necessary documentation and information for prior authorization requests.● Evaluated clinical documentation and medical necessity criteria to determine eligibility for medication coverage.● Ensured compliance with insurance policies, guidelines, and regulations in processing prior authorization requests.● Entered and maintained detailed records of prior authorization requests, decisions, and communications in the appropriate systems.● Provided clear and concise explanations of prior authorization decisions to healthcare providers and patients, addressing any questions or concerns.● Collaborated with the pharmacy and medical teams to resolve issues related to prior authorization and ensure continuity of patient care.● Monitored and tracked the status of pending prior authorization requests, following up as needed to ensure timely resolution. Show less

Prosper Health
Jan 2025 - nowRCM Lead
Licenses & Certifications
- View certificate

Agile Foundations
LinkedInJul 2022 - View certificate

Scrum: The Basics
LinkedInJul 2022
Volunteer Experience
Photographer
Issued by Evans County Humane Society on Dec 2009
Associated with Annie MaysChristmas Sponsorship
Issued by Brightside Child & Family Advocacy on Nov 2021
Associated with Annie MaysChristmas Sponsorship
Issued by Brightside Child & Family Advocacy on Nov 2022
Associated with Annie Mays
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