Billing, Administrative

Summary       

Seeking a career position offering advancement opportunities allowing me to express/ engage in a self-fulfilling, motivated career opportunity that will utilize the use of my accomplished knowledge attained in multiple areas with acknowledgement in leadership abilities to analyze, problem solving along with my expedited organizationa1 and communication skills that will effectively contribute values to the organization and its missions.

 EDUCATION              

Associate Degree, Remington College – Houston, TX, 2000

WORK EXPERIENCE   

 2011- 2013                     Discount Mattress                           Indianapolis, IN

Retailer Office Administrator/Human Resource

  • Utilized Genesis System to access protected documents regarding distributor quoting, etc.
  • Handled store sales advertisements Responsible for in store  inventory stock
  • Responsible for in store inventory stock
  • Implementation of deliveries and product quality assurance
  • Scheduled delivery to customers and or returns
  • Handled all  furniture distributor purchase orders and pickups
  • Maintained bi-weekly in  store inventory
  • Expedited daily invoices on sales/ customer lay-a-ways
  • Up keep of employees files
  • Ran weekly submissions on all employees payroll and commission reports
  • Maintained all furniture distributors financings
  • Tallied daily customer/distributors invoices and purchases
  • Responsible for all distributor’s financing up keep
  • Entered numerical data into database in a timely and accurate manner

 

2007-2010                     ITT Technical Institute                           Carmel, IN 

Administrator of Records Coordinator for Regulatory/Academic Affairs - Compliance 

 For 211 Online – 212 Hybrid Instructor’s Division

  • Pursued, tracked/follow-up with new Instructor’s throughout hiring/ enrollment process by sending requests for all completed college transcripts/or partial completed transcripts along with completed remaining new hire paper work
  • Create and maintain all data entry on all computerized and paper records on each instructor within 211-212 divisions
  • Maintained all paper work/ electronic files regarding all adjunct online instructors for 211 – 212  divisions
  • Responsible for the upkeep /data entry and corrections regarding  ITT Technical Institute facility catalog of all courses /course descriptions  for all 211-212 online/campus  divisions requested by (Headquarters Wendy Kendal manager of Regulatory Affairs) with both 211-212 divisions instructors listed
  • Created excel spread sheet on all requested   financial currency used to pay for all foreign/domestic and out of state transcripts on both 211-212 online divisions new  hires /updated transcripts while maintaining input of all transactions
  • Responsible for both/all internal/external HR  new hires  transcripts/completed paper work requests for both 211-212 online divisions (Jeanna Dallas of human resource)
  • Created/maintained  a detailed financial excel spreadsheet expense report for HR (Jeanna Dallas) on all  new hires, internal  and external employees transcripts request for both  211-212  ITT Technical Institute divisions  
  • Created and  maintained all input/data entry updates on all new hires within multiple Excel Spreadsheets on 211 – 212 online division regarding each individual instructor and course approvals
  • Audited/maintained all 211-212 online division instructor files to ensure that each file/record contains all the necessary documentation according to Accrediting Council for Independent Colleges and School 
  • Follow through with appropriate contacts to 211-212 online division instructors to  obtain any needed file documentation
  • Complete d and initiated all presentable applications forms regarding new course programs and curriculum changes within established programs to Accrediting Council for Independent Colleges and School from headquarters for accreditation approvals for (Headquarters Wendy Kendal manager of Regulatory Affair)
  • Submitted all requested  information from Regulatory /Academic Affairs as requested by (Headquarters Wendy Kendal Manager of Regulatory Affairs)
  • Responsible for the upkeep of numerous online Faculty Development & Compliance department files  on all  211-212 online division  instructors’ according to the state, Accrediting Council for Independent Colleges and School
  •  Received/assigned various Administrator /Regulatory duties  from multiple head quarter personnel
  • Ran a daily reports to ensure  instructors were completing all internal courses assigned by ITT 
  • Create Certificates for all instructors whom  completed/attended quarterly mandatory meetings assigned
  • Assisted with receptionist duties, file organization and research and development.
  • Outlined the appropriate process and procedures necessary to fulfill and complete inquiries for instructors
  • Organized forms, made photocopies, filed records and prepared correspondence and reports 
  • Scanned documentation and entered into the database
  • Added new material to file records and created new file records on instructors

 

2006-2007                                    Lincare, Inc.                                  Indianapolis, IN 

Patient Accounts Coordinator

  • Utilized AS400 application software system to close out/suspend patient accounts
  • Rebilling  of and on all mishandled DME claims (Durable Medical  Equipment)
  • Maintained current Patient Insurance information
  • Handled incoming /returned outgoing calls to patients and insurance billing
  • Ordered supplies for patients in home/portable equipment
  • Create delivery tickets on patient equipment pick up and deliveries
  • Insure balance are paid out by insurance/Patients
  • Responsible for daily track of all A/R accounts received and pay outs
  • Maintained documentation on all incoming payments from patients, CMS and insurance parties
  • Handle/processed TPA claims and payments
  • Priced Durable Medical Equipment  utilizing AS400 system
  • Ensured/maintained  all data entries of patients insurance companies deductibles, co-pays and maximum payout  were update within the AS400 system

 

2002-2006                                            Anthem/Wellpoint                             Indianapolis, IN                                          

Claims Processor II/Appeals Clerk                                                                            

  • Processed/priced Medical, Prescription, DME and Dental Claims utilizing Nasco EEC claims recovery system
  • Processed all various claim types, DRGs, Medicare, Medicaid, VA, Hospice, TPA claims along with HMO and PPO plans
  • Utilized the Nasco EEC claims recovery system to efficacy and characteristic meet daily/weekly production quota
  • Requested medical documentation of services rendered to members from providers for claim payments
  • Researched provider/member claim inquiries
  • Adjusted/corrected suspended claims for re processing of correct payments according to members insurance plan
  • Reprocessed various incorrectly processed claims /over paid claims to members and providers
  • Reimbursed members/insurance companies on  under paid claims
  • Assist team members and Customer Service Representatives with claims
  • Floater/assist other National Business Units
  • Worked Levels I & II provider and member appeal with minimum supervision
  • Researched/prepared appeals for Appeals Representatives
  • Prepped and loaded all incoming members/provider written appeals into Nasco system
  • Returned member/Provider and insurance companies calls

 

Administrative to the Virtual Call Center Manager

  • Transcribed daily meeting minutes
  • Scheduled and set up all meetings( Jag meetings)
  • Supported more than 200 customer service representatives in the 1-800-Medicare call center
  • Created a GT-X downtime production form for all five virtual sites
  • Composed and assisted Marlin Boothby (Contract Admin. /Gov. Liaison) with SADBUS telephone directory/projects
  • Produced and researched a monthly virtual turnover term counts report for CMS.
  • Maintained the upkeep of all the Universal Data Forms that is used throughout the virtual sites
  • Supported the Content team on all feedback closing from CSRs throughout the virtual sites
  • Assisted with receptionist duties, file organization and research and development.

 

  • ID#: 73983
  • Location: Indianapolis, IN , 46229

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