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Administrative Support Resume

PROFESSIONAL SUMMARY:

I have over twenty years of experience in Customer Service, Claims Processing, Healthcare Insurance, Medical Terminology, Research and Development, Medicare/Medicaid and Data Analysis.

SKILLS SUMMARY:

  • Written and Verbal Communication
  • Claims Processing
  • Claims/Customer Service
  • Data Analysis
  • Healthcare Administration
  • Computer Literacy
  • Medical Benefits
  • Research and Development

TECHNICAL SKILLS:

Management Tools: Epic Tapestry AP, QC Application Lifecycle Management Tool

Project Management: MS Project 98

Office Tools: MS Office XP Professional Word, Excel, PowerPoint, Outlook, Lotus Notes, Office 365, and Sharepoint

Software: Diamond, KmateWeb, Macess Claims Systems

Data Modeling Tools: Visio Professional, Adobe Pro

Operating System: Windows 98/NT/XP/7.0/Windows 10

Databases: MS Access, Oracle, Business Objects

EMPLOYMENT HISTORY:

Administrative Support

Confidential

Responsibilities:

  • Organize the store management office
  • Execute operational administrative functions
  • Oversee departmental scheduling maintenance
  • Performed end of the night balance sheet maintenance
  • Distribute reports from the My Confidential ’s portal to the management team
  • Facilitate the onboarding process for new hires and other Human Resource functions as needed
  • Performed other administrative duties as assigned

Testing Analyst/User Acceptance Tester

Confidential

Responsibilities:

  • Assess results for documented feedback on processes and capabilities
  • Perform comprehensive configuration testing processes for provider contracts of benefits
  • Serve as technical resource for business concerns
  • Communicate outcomes of user testing results to business partners for sign off and approval
  • Create testing scenarios according to product plans for benefit configuration validation and proper claims adjudication
  • Perform parallel validation testing with stakeholders ensuring accurate benefit builds according to stakeholder requirements
  • Execute claims quality review testing to validate member benefits before claims are correctly adjudicated
  • Perform ICD 9 and ICD 10 testing for various claims projects
  • Create and present weekly status reports for stakeholder
  • Assist in the on boarding process for new hires

Business Process Consultant

Confidential

Responsibilities:

  • Conducted User Acceptance Testing (UAT) with testing and validation team
  • Maintained integrity of the business model testing environment
  • Coordinated testing schedules with project team
  • Triaged all incoming service request from project team
  • Created an internal audit process for quality control
  • Created a structured workflow process
  • Performed testing and validation configuration design process
  • Tested BETS system
  • Conducted testing for code freeze changes and updates from project team

Customer Relation Billing Rep

Confidential

Responsibilities:

  • Handled customer inquiries/complaints in a call center regarding a myriad of lines of business
  • Created a matrix design to handle customer inquiries that was utilized throughout the call center
  • Received escalated calls from customers with complex inquiries

Subject Matter Expert/Business Analyst

Confidential, Maryland

Responsibilities:

  • Supported team leads with modifying, creating and writing of test scripts for claims processing and management system
  • Supported project team with data and systems analysis support
  • Assisted in developing testing and systems deployment activities
  • Created documentation for project team to use for customer requirement documents
  • Researched and analyzed claims adjudication issues from provider network and reported findings back to Project Managers
  • Was a project team member for various federal mandated projects including HIPAA and ICD 10 migration

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