SUMMARY:

A results - driven professional with ten years of providing office administrative and medical support, including managing confidential information; of that ten years, two years of supporting in an insurance background and one year in a hotel industry. Well-developed office techniques, attention to detail and effective in managing a wide variety of task or projects independently or as a team member

EXPERTISE AREA:

• Ability to key 10,000ksp and type 45wpm
• Balancing Data information in an accounting setting
• Knowledge of: Accounts Payable & Receivable; Travel and Living Expense system; Membership Eligibility; Benefit Access; AMMS Numbers; Detail Claims Listing Reports; Aggregate Reports; Specific Stoploss Reports; Suspense Log; ICD-9 Codes; CPT Coding; Claims Processing; Collections, Editing Videos, PSA & Commercials, Promotions

TECHNICAL SKILLS:

• IBM; Apple; Dell; HP; Compaq; Final Cut Pro; iMovie; Audacity; Cool Edit Pro; Jing Movie Maker; DSLR Camera; WordPerfect; Microsoft Word; Excel; PowerPoint; Practice Partner; HBO; Microsoft Outlook; Microsoft Works; Crystal Reports; AutoQuotes; Elliott, TAO; Reflections- Session; Lotus Sametime Connect; PowerMHS; RAD-Access Database; Microsoft Outlook Web Access; ICOMS; Kronos; Oracle; AS/400; PC Miler; FileBound; Manugistics; ACSS Web; Infomanger; Cali; CTI system

PROFESSIONAL EXPERIENCE:

Confidential, Columbia, SC  

Customer Advocate

Responsibilities:

• Handle confidential customer information; successfully resolve customer complaints and answering questions relating to their account, follow-up with customers when appropriate. Process upgrades; add a line, accessories, features and plan changes.
• Research payment issues, process payments and change method of payments. Top enroller Champion for insurance protection plan. Utilize tech-savvy skill to troubleshoot devices; familiarize myself with customers’ needs and decrease churn with every call. Selected for a plot plan to decrease unnecessary follow-ups

Confidential, Columbia, SC

Intern

Responsibilities:

• Work as a board operator for WGCV; Producer and Call Screener for P.A Bennett and Armstrong Williams show; Screen all calls before putting them on-air for Everett Summers Sport Talk Show. Assist in radio announcing, producing PSA and editing PSA. Run live show within the studio.
• Assist guest and help with administrative duties; load PSA in computer to put over the air. Assist WFMV when needed with other radio functions; Camera Operator during Gospel Concert for WFMV.

Confidential, Columbia, SC 

Sales Associate, Trainer and Credit Coach/Mentor

Responsibilities:

• Effectively utilized the three No policy on offering credit cards to customers; Trained and mentored associates on achieving credit card goals. Reorganized store for Metro and assisted managers in inventory.
• Helped customers with their selection of purchase; handled cash, check and credit card purchases while managing front wrap desk. Opened store and prepare for customers, closed store; making sure the registers was closed down, and all closing paper work for front end was handled properly.

Confidential, Columbia, SC

Accounts Payable Processor II

Responsibilities:

• Prepared all invoices in Microsoft Excel format; Coordinated and distributed SDO invoices for keying into the system. Created excel formulas to process invoices while preparing invoices for uploading into Oracle.
• Researched, coded and reconciled invoices for discrepancies; Performed audits to verify miles billed utilizing PC Miler software. Attended conference calls and meeting with Black Belt team to come up with ideas on an effective audit system. Researched invoices in Filebound system.

Confidential, Columbia, SC

Billing Customer Service Representative

Responsibilities:

• Processed collection payments and scheduled arrangements on customers’ accounts.
• Upgraded and downgraded customers’ accounts while processing credits and adjustments. Resolved/scheduled trouble and technician calls in addition to verifying all addresses, to insure serviceability.

Confidential, Columbia, SC

Qualified Independent Contractor

Responsibilities:

• Utilized Medicare Appeal System to analyze and process appeals. Determined, processed and closed misrouted cases, while communicating with AC (Affiliated Contractors).
• Fed EX misrouted appeals to AC, produced and mailed out correspondence letters.

Confidential

Representative

Responsibilities:

• Provided and handled enrollment while processing disclosure information for beneficiaries in the New Medicare Drug Plan.
• Reviewed all plans, sent out publications, looked up preventive services, researched general information and explained all referrals.

Confidential

Billing Specialist

Responsibilities:

• Managed and Processed 75 Major Group Accounts (Stoploss Contract); overseen all banking information, i.e. Pre-noted, set-up, updated banking, researched for NSF and Invalid accounts.
• Manually ACH banking accounts, adjusted Claims Experience and Aggregated Cap Calculation Reports, processed cash posting and produced payments subs for claims billed.
• Reviewed all PDW’s and Mapping while working closely with Structure and Stoploss Auditors; Generated/created manual bills for Major Accounts; ensuring all information is mailed out i.e. Claims Expense and Detail Claims Listing Reports to all groups.
• Assisted and helped developed desk procedures to make the department more efficient
• Appointed to assign and organize incoming new Major Accounts
• Designed and managed excel Billing Metrics for billing team
• Established templates for billing team
• Assisted recruiters in the hiring process of applicants; administered test, verified, notified and updated test scores. Coded applications and resumes; scheduled interviews and pre-interviewed applicants before meeting with recruiters.
• Notified internal applicants of interview results; signed and mailed out acknowledgement letters to external applicants. Developed and organized the Hiring/Location Applicant spreadsheet; created memos and assisted in the recreation of desk procedures.