Stacey Bert
Nottingham
Summary
A healthcare management professional with solid foundation in utilization management, delivering impactful results through strategic oversight and adherence to industry standards. Well-regarded for fostering collaborative team environments and adapting to evolving needs. Skilled in data analysis and process optimization.
Overview
15
15
years of professional experience
Work History
Utilization Management Supervisor
Catholic Charity
06.2024 - Current
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
- Collaborated closely with physicians to identify appropriate levels of care based on medical necessity criteria during admissions process.
- Served as a liaison between patients, families, caregivers, providers, payers, and community resources to ensure seamless transitions throughout the continuum of care.
- Reduced hospital readmission rates through thorough assessment of patient needs, developing appropriate post-discharge plans.
Authorization Manager
Stella Maris Nursing Home
01.2022 - 05.2024
- Performed administrative duties such as faxing and filing confidential documents, answering telephones and responding to emails
- Managed and motivated employees to be productive and engaged in work.
- Conducted regular audits of authorization records to verify accuracy and adherence to regulatory requirements, minimizing risk of noncompliance.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
- Trained staff on current eligibility requirements and policies.
Business Office Manager
Keswick Multicare
05.2019 - 01.2022
- Gathered over 150 employees and temps data to develop monthly work schedules, enabling proper staffing for departments for each shift
- Migrated legacy HRIS system to new technology to minimize business impacts
- Conducted patient intake interviews, recording and documenting relevant information.
- Posted payments to accounts and maintained records.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
Scheduling Manager
Genesis HealthCare
05.2014 - 05.2019
- Gathered employee data to develop monthly work schedules, which ensured that all departments were properly staffed for each shift
- Performed calculations in payroll categories such as overtime, vacation and sick hours
- Produced documentation and reports regarding payroll activities
- Developed and implemented scheduling policies
- Assessed urgency and priorities before accepting or declining appointments and meetings with the Director
- Balance the budget for the center
- Prepared accounts for regular audits and assisted with the process
- Served as the central point of contact for all outside vendors
- Received and screened phone calls and emails
Senior Payroll Specialist
Abacus Corporation
06.2013 - 05.2014
- Provided subject matter expertise to management and employees regarding payroll issues
- Performed calculations in payroll categories such as overtime, vacation and sick hours
- Applied knowledge of regulations, employment law and tax code to keep operations in compliance
- Suggested budgetary changes to increase company profits
- Investigated and resolved variances and employee claims
- Monitored hiring market and potential executive candidates
- Verified applicant references and employment details
- Compiled financial reports pertaining to cash receipts, expenditures and profit and loss
Human Resources Manager
Thrift Stores Of DC
05.2010 - 06.2013
- Directed job fairs to bring in local talent for long term and seasonal positions
- Structured compensation and benefits according to market conditions and budget demands
- Implemented the new-hire program by incorporating training initiatives while resolving problems and processing related documents
- Monitored and handled all employee claims, including performance-based and harassment incidents
- Controlled workmen's compensation claims by eliminating unnecessary filings and streamlining processes
- Directed and controlled various programs, including 401K, medical, dental and vision programs
Education
Bachelor of Science - Business Administration/Human Resources
University of Baltimore
Baltimore, MD01-2025
High School Diploma -
Patterson High School
BaltimoreSkills
- Medical terminology
- Healthcare systems
- Case management proficiency
- Utilization review expertise
- Insurance verification
- Task prioritization
Timeline
Utilization Management Supervisor
Catholic Charity
06.2024 - Current
Authorization Manager
Stella Maris Nursing Home
01.2022 - 05.2024
Business Office Manager
Keswick Multicare
05.2019 - 01.2022
Scheduling Manager
Genesis HealthCare
05.2014 - 05.2019
Senior Payroll Specialist
Abacus Corporation
06.2013 - 05.2014
Human Resources Manager
Thrift Stores Of DC
05.2010 - 06.2013
Bachelor of Science - Business Administration/Human Resources
University of Baltimore
High School Diploma -
Patterson High School
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