Medicaid Auditor Resume Jackson, MS - Hire IT People

SUMMARY:

To gain employment that will allow me to utilize my diversified experience in administration, accounting, auditing, financial analysis, medical billing, budget analysis, or customer service.

SKILLS

Windows 98, XP and Vista

Microsoft Office

10 - key

Claims

Medicaid Management Information System

Optical Image Technology

Business Object Database

Reports On-Line

Patient Account Systems

EXPERIENCE:

Medicaid Auditor

Confidential, Jackson, MS

Responsibilities:

Provide report layouts to reveal financial audit findings and methods of analyzing financial data as well as maintain account receivables
Investigate providers and recipients of services under the Medicaid Program to determine compliance with State and Federal laws, rules, and regulations
Conduct in - depth investigations of all provider cases involving suspected fraud and/or abuse preliminary to an administration hearing or the initiation of a civil or criminal action
Acts as divisional liaison and consultant to agency administration and providers
Identify and eliminate fraud, waste, and abuse among Mississippi providers

Medicaid Auditor

Confidential, Jackson, MS

Responsibilities:

Handled claims issues accurately and efficiently on a daily basis
Communicated with providers involving check related requests such as electronic funds transfers, check copies, and missing checks
Classified overpayment files, processed checks and issued overpayment letters for collections
Answered all calls related to overpayments
Reviewed check receipts and entered data in the tracking system
Assisted in the development of charts and graphs for statistical analysis to accompany federal reports

Customer Service Specialist

Confidential, Jackson, MS

Responsibilities:

Coordinated and developed statistical reports for cost allocations
Analyzed outstanding account receivables for possible issues and resolved them
Assisted in hiring and training of staff
Created and managed donor records
Maintained filing system, scheduled appointments, ordered supplies, opened and distributed mail
Prepared purchase orders and requisitions

Front End Manager

Confidential, Jackson, MS

Responsibilities:

Maintained overall operational integrity of the store
Ensured all products and displays were merchandised effectively in order to maximize sales and profitability
Recruited and hired the most qualified candidates to meet the store’s needs
Forecasted scheduling needs to ensure sufficient associates on the floor to meet customer demands
Ensured customer concerns were solved effectively and promptly

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Medicaid Auditor Resume

Jackson, MS

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