Experience

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  Conagra grocery products (formerly ihf)

  Apr 1998 - May 2002

  Assistant plant controller

  Managed up to 7 employees, responsible for financial and standard cost functions of a nationally recognized food manufacturer of Chef-Boy-Ar-Dee, Gulden’s Mustard, and Crunch-N-Munch brands.• Played key role in preparation and management of $300M annual budget.• Produced weekly reports highlighting actual versus budgeted financial results and operational / financial KPIs • Prepared detailed analysis to estimate costs of new products and facilitate vendor selection• Prepared and assisted with annual physical inventory and monthly reconciliation of consignment inventory Show less

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  Self employed - consultant

  Sept 2002 - Oct 2004

  Independent contractor

  • Developed client list and provided recommendations on operational and financial improvements. • Conducted employee interviews to define job roles and responsibilities; Documented procedural changes and trained employees. • Prepared corporate and individual tax return; Performed account reconciliation; Identified errors and implemented changes to prevent reoccurrences.

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  Robert m. sides, inc.

  Oct 2004 - Sept 2006

  Controller

  • Managed 3 employees, directing all financial accounting, credit/collections, payroll, and human resource functions for a multi location retail organization.• Coordinated implementation of third-party collection process for delinquent receivables• Overhauled payroll to integrate time & attendance tracking and decrease payroll preparation costs with outside vendor.• Implemented improved processes for cash flow analysis and projections.

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  First quality tissue

  Sept 2006 - Jun 2009

  Accounts receivable team leader

  • Managed up to 5 employees, supervising all Accounts Receivable functions for the retail segment of a multi location manufacturing concern including Credit, Collections, Invoicing, Pricing, Sales Reporting, Promotional Expense Analysis, and Broker Commissions.• Interfaced with customers, sales representatives, and outside parties to gather credit-related information, establish lines of credit, obtain payment for open invoices, and resolve open credits and chargebacks.• Compiled data and generated reports on sales revenue, margins, outstanding receivables, promotional spending, prospective clients, and broker commissions for senior managers • Assembled documentation and prepared reports required for the annual audit performed by the outside audit firm. Show less

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  Liberty tax service

  Dec 2011 - Sept 2012

  Office manager

  •Managed staff of 17 employees in two locations focused on marketing, consultation, preparation, and processing of approximately 400 personal income tax returns •Completed small business and estate tax returns

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  Geisinger health plan

  Oct 2012 - Jul 2015

  Billing and accounts receivable manager

  • Manage and direct a staff of 25 + employees responsible for all aspects of billing and accounts receivable: rate entry, premium billing, payment acceptance, group account reconciliations, cash application, month end closing, dunning, & collections.• Participate/Lead interdepartmental workgroups designed to plan, develop and/or coordinate policies/procedures related to health plan operations and healthcare exchange • Assisted in selection of new premium billing system and served in a lead capacity in meeting implementation deadline of 10/1/13 to coincide with new Exchange Marketplace• Coordinate the monthly production, review, and submission of payment files to a regulatory agency resulting in reimbursement of healthcare premium subsidies.• Compile documentation, reports, and analysis required for internal, external, and regulatory audits• Oversee the preparation and completion of monthly closing reports and reconciliations. Show less

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  Carefirst bluecross blueshield

  Jul 2015 - now

  • Responsible for driving the business and technical day-to-day activities and support for enrollment & financial member reconciliation and associated reporting• Recommends, coordinates and directs solutions to improve internal operations and interactions with the state and federal exchanges as well as the Center for Medicare and Medicaid Services (CMS).• Develops a reconciliation framework within the SBU to ensure compliance with regulations and mandates from both state and federal health insurance exchanges (HIX) and any other regulatory agency promoting fair and equitable administration of health insurance enrollment and subsidy payments. • Aligns department systems, processes, procedures, and resources to ensure the monthly identification and resolution of enrollment and financial discrepancies. Adopts best practices to effectively manage and coordinate the escalation and effective resolution of discrepancies with the CMS Enrollment Resolution and Reconciliation (ER&R) contractor.• Provides strong oversight of the project management functions related to Health Insurance Exchange reconciliation. Directs extensive interface and collaboration between business, project, and IT personnel to define, prioritize and plan implementation of project deployments as well as day to day change management to meet internal and external commitments.• Keeps abreast of key regulatory and mandated reporting requirements in regard to member enrollments, subsidy payment reconciliation, and enrollment reconciliation. Show less • Supervise between 15-20 technicians responsible for receivables for member level premium payments and Federal Government subsidy payments, Credit & Collections, and Enrollment and Billing activities. • Provide analysis and reporting related to key financial and reconciliation activities including: Applied Suspense, Unapplied Suspense, Account Receivables, Refunds, Discretionary Billing Credits, Non-Sufficient Funds, Membership Voids, Reinstatements and Inbound/ Outbound Credit & Collections campaigns.• Provide oversight and make recommendations related to the development and update of departmental policies, work flows and standard operating procedures. Coordinate with training, quality, and compliance areas to ensure team is trained and following standard guidelines and procedures.• Monitors internal controls, systems, and processes and assists with identifying and remediating business practices which may adversely impact operations or financial records. • Assist with the technical innovation, optimization and administration of the Affordable Care Act and Strategic Business Unit Requirements. Key participant on $10M Corporate Initiative Project Team tasked with aligning HIX financial reporting and reconciliation with CMS guidelines. Show less

  • Director of Operations

    Mar 2023 - now

  • Supervisor, Enrollment & Billing Account Reconciliation

    Jul 2015 - now