Michele Hibbler
Lawrenceville,GA
Summary
Medical Office Team Lead with over three years of experience managing office operations in a busy ophthalmology practice. Extensive knowledge of latest medical standards and best practices including HIPAA compliance and patient services. Collaborative individual with expertise in providing exemplary service regarding benefits support. Multitasking Benefits Specialist knowledgeable in state and federal regulations and maintaining employee confidentiality.
Overview
7
7
years of professional experience
Work History
Senior Benefits Specialist
Carlin Vision
10.2019 - Current
- Audits records of patient billing information and claims to ensure all compliance requirements are satisfied and report any claim discrepancies
- Improved patient electronic health record filing system that increased check-in and checkout efficiency by 19%
- Demonstrates professional relationship with various insurance companies such as Humana, Anthem/BCBS, United Healthcare, Medicare, and Medicaid for insurance verification and claim pre-certification
- Restructured direct communication process with insurance companies decreasing claim rejection rate and missing claim rate by 22%
- Communicates with patients to verify coverage and medical history to create treatment plan.
- Improved staff morale by implementing grade, salary and benefit programs in accordance with established standards.
- Assisted with design and implementation of various employee benefits programs.
- Negotiated and managed contracts with health insurance providers to secure cost-effective employee coverage.
- Streamlined benefits administration processes for increased efficiency and reduced errors.
Program Coordinator
Center for Leadership Development
07.2017 - 09.2019
- Managed all project facilitation including preparing agendas, scheduling, materials needed, meeting minutes, follow-up, or action items
- Managed college prep programs for students grade 5-12 focusing on study skills, organization, workload management and persistence
- Facilitated outreach programs for students in need of resources alongside community leaders and organizations.
- Facilitated regular meetings with team members to discuss progress updates, address challenges, and brainstorm solutions for ongoing success.
- Maintained detailed records of program activities and participant data, ensuring compliance with internal policies and external regulations.
- Created and delivered program training and education to keep participants knowledgeable about program and provide necessary skills to participate productively.
- Organized events and workshops to engage participants, enhancing their learning experience within program framework.
- Scheduled and supervised staff meetings to discuss new ideas and update participants on program details and milestones.
- Created comprehensive reports on program progress, presenting findings to stakeholders and adjusting strategies as needed.
- Implemented evaluation tools to measure program effectiveness, utilizing data-driven insights for continuous improvement.
- Monitored performance metrics closely to evaluate areas requiring intervention or adjustment, making data-informed decisions that contributed positively towards overall results.
- Optimized resource allocation by using data analysis techniques to determine most effective way of balancing project priorities and personnel availability, ultimately meeting deadlines with high-quality outcomes.
- Oversaw staff schedules and assignments to handle programming demands.
Education
No Degree - Biology
Gwinnett College
Atlanta, GA05.2026
Skills
- Compulink
- Siebel
- Oracle OS
- Insurance/Benefits Verification
- Medical Billing/Coding
- Customer Service
- Patient Management
- Claims Administration
- New employee enrollment
- Healthcare Benefits
- Benefits Explanation
- Verbal and written communication
- ADP Workforce Now
- Talent Recruitment
- Interpersonal Communication
State
GA
City
Lawrenceville
Zip
30043
Volunteer Experience
Behavioral Observationist & Research Coordinator, GEORGIA AQUARIUM, 2020, Present
Timeline
Senior Benefits Specialist
Carlin Vision
10.2019 - Current
Program Coordinator
Center for Leadership Development
07.2017 - 09.2019
No Degree - Biology
Gwinnett College
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