Chelsea McCranie
Cairo,GA
Summary
Proven leader in finance, payroll, and operational efficiency who's adept at driving significant cost savings and revenue growth through expert cash flow management and strategic audit oversight. With twelve+ years of experience in fostering team development and implementing robust internal controls for financial effectiveness; I'm a skilled professional that excels at decision-making and financial integrity. Expert liaison with superior communication and an in-depth knowledge base of finance and healthcare concepts including network building, benefits management, and provider contracting.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Director of Finance & Administration
Georgia Banker's Association (Paragon Benefits)
02.2022 - Current
- Company Overview: (Third Party Benefits Administrator)
- Oversaw accounts payable and receivable functions, maintaining strong cash flow management practices that ensured prompt payment from clients and timely settlements with vendors for all client and operational accounts
- Strengthened internal controls through periodic review, updating policies as necessary to improve the accuracy of financial reporting and reduce the risk of fraud or mismanagement of funds.
- Prepared internal and regulatory financial reports, balance sheets, and income statements.
- Optimized cash flow management by implementing effective accounts receivable collection procedures and monitoring working capital levels closely.
- Checked payroll, vendor payments, commissions, and other accounting disbursements for accuracy and compliance.
- Compiled and distributed monthly administrative billing statements for all clients to include medical and network management costs
- Achieved third-party administrative licensing in over 20 foreign states to effectively broaden client marketing
- Assisted in negotiating terms of new prospects and current clients to include administrative rates, contract verbiage and terms, vendor election, and stop loss risk factors
- Collaborated with external vendor partners for stop loss risk assessment, network rate management, member platform maintenance, pricing transparency availability, and concierge implementation
- Coordinated with external auditors to ensure a smooth and annual audit process addressing any concerns or discrepancies in a timely manner. Assisted with both external audit and internal SOX compliance and maintained required documentation throughout the testing cycle
- Oversaw all payroll operations, including auditing, approving exemptions, salary changes, timekeeping, and implementing guidelines for 50+ employees.
- Handled complex payroll situations such as back-pay calculations, garnishments, and overtime payments with accuracy and professionalism.
- Facilitated all benefit changes, annual renewals and deduction reconciliation
- Maintained compliance with all relevant foreign & resident tax laws and regulations, minimizing risk exposure through diligent oversight of filings and documentation practices
- Played a pivotal role in the successful execution of mergers and acquisitions, providing expert financial analysis and guidance throughout the transaction process.
Network Benefits Manager - Insurance Agent - Life, Sickness & Health
Forsyth Insurance
01.2018 - 02.2022
- Co-founded and managed a self-funded insurance network based on RBP Pricing. The network was derived from individual contracts negotiated to deliver cost savings while offering a discounted reimbursement rate to a vast variety of specialty providers and facilities, effectively reducing healthcare costs for employers tremendously.
- The Plan Host of this medical network consisted of three tiers of service and out-of-pocket pricing allowing the member to have more variety of care. Worked closely with the plan sponsors to manage all aspects of the multi-tiered benefit plan.
- Collaborated with underwriters and plan sponsors to compile, structure, and review SPDs and SBCs for the numerous plan designs made available through the health network
- Ensured each SPD was specific and contoured to each plan's unique needs and requirements
- Worked closely with Third Party Administrators to ensure accuracy in claims by balancing weekly check registers for each employer
- Developed a systematic process for auditing all medical and pharmaceutical claims to ensure proper reimbursement, processing and member expense
- Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of multiple benefit plans funded by employers (clients)
- Hosted annual open enrollments for several employer groups consisting of 1,200+ members
- Assisted members in choosing the best option for Medical, Vision, Dental, Short-Term Disability, Long-Term Disability, Life and AD&D lines of coverage
- Presented and discussed all aspects of the plan design to members choosing to participate in their employer's self-funded health plan
- Reconciled accounts for accurate employee payroll deductions
- Kept accounts and records current by actively pursuing error resolutions and independently correcting problems
- Applied advanced administrative and analytical skills in overseeing day-to-day operational activities
- Aggregated and analyzed data related to administrative costs to prepare budgets for corporate-level management
- Produced high quality documents, spreadsheets and presentations for internal and customer-facing needs
- Worked proficiently with Microsoft Excel, Word and PowerPoint to demonstrate, display and share weekly, monthly, quarterly and yearly plan savings based on category or tier of service
Senior Revenue Manager
Memorial Hospital & Manor
04.2012 - 01.2018
- Enforced accurate billing procedures for Medicare, Medicaid, Commercial and Private insurance claims
- Increased revenue and cash flow by educating staff on specific billing and compliance requirements, collections techniques and the importance of initial accuracy for professional (1500) and institutional (UB04) claims
- Reviewed billing discrepancies, researched variances, and resolved concerns
- Performed month-end reconciliation and developed reporting metrics in coordination with the financial director
- Worked cross-functionally with Medical Records, Provider Management staff and Tech Support to ensure all parameters and dictionaries pertaining to the billing structure of each specific insurance scenario was accurate and up to date per guidelines
- Credentialed newly contracted providers employed by the hospital organization or associated practices with Medicare, Medicaid (all CMOs), Anthem, United Healthcare and all other participating insurance carriers to successfully ensure expedited care for all members
- Oversaw high-volume accounting operations with six-person team focused on efficient budget administration, AP/AR and other financial management needs
- Prepared cash flow projections, cost analysis and monthly, quarterly and annual reports
- Validated existing accounting management and reporting systems to assess quality and conformance, identify problems and implement corrective actions
- Conducted regular reviews of pricing structures to remain competitive within the healthcare market landscape
Office Manager
Bainbridge Ophthalmology
01.2010 - 04.2012
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets
- Oversaw office budget, ensuring all expenditures were within allocated funds and identifying cost-saving opportunities
- Assisted staff with education of proper Ophthalmic billing procedures and requirements to successfully increase cash flow and accuracy
- Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping
- Managed budgets, appointment scheduling, employee and event itineraries and accounts to improve productivity initiatives
- Facilitated positive work environment, addressing employee concerns promptly and fostering culture of mutual respect
- Handled sensitive employee and client information with utmost confidentiality, maintaining trust and integrity
- Monitored and evaluated personnel performance to complete annual reviews, recommend advancement or address productivity concerns
- Oversaw all payroll operations for office staff, including time keeping, salary revisions, PTO accruals, exemptions, and benefit management
- Coordinated with HR on all benefit guidelines and relevant tax regulations
- Managed vendor relationship
- Negotiating contracts for cost savings while maintaining high-quality services
- Reduced costs with meticulous budget monitoring and expense tracking for essential supplies and equipment
- Properly credentialed providers (Ophthalmic Technicians, Optometrists & Ophthalmologists) in specific areas to increase reimbursement rates for procedures and diagnostic testing previously being denied or partially reimbursed
Education
Resident Agent - Life & Health Agent Education - Georgia
AD&D Banker - Office of Commissioner of Insurance
08.2021
Business Management -
Bainbridge State College
Bainbridge, GA08.2013
Skills
- Data Analytics
- SOX Compliance
- Audit Procedures
- Accounts Payable
- Expense Tracking
- CMS Requirements
- Bank Reconciliation
- PowerBi Proficiency
- Accounts Receivable
- SalesForce Expertise
- Budget Management
- Financial Forecasting
- Revenue Recognition
- Network Management
- Payroll Administration
- Cash Flow Management
- General Ledger Management
Certification
- Foreign Resident Agent - Life, Health, and AD&D
Kentucky
- Corporate Finance Institute
Accounting Fundamentals
Corporate Finance Fundamentals
- Georgia Health Financial Management
CPAR - Certified Patient Account Representative,
Personal Information
Title: Accounting Director
Timeline
Director of Finance & Administration
Georgia Banker's Association (Paragon Benefits)
02.2022 - Current
Network Benefits Manager - Insurance Agent - Life, Sickness & Health
Forsyth Insurance
01.2018 - 02.2022
Senior Revenue Manager
Memorial Hospital & Manor
04.2012 - 01.2018
Office Manager
Bainbridge Ophthalmology
01.2010 - 04.2012
Business Management -
Bainbridge State College
Resident Agent - Life & Health Agent Education - Georgia
AD&D Banker - Office of Commissioner of Insurance
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