SUMMARY:

Accomplish Account Manager/Data Analysis with extensive experience in client & project management skills. Business oriented professional offering expertise in providing solutions for data analysis, coding, and variable information controls. Ability to assume responsibility and perform with little or no supervision. Strong attention to detail & extensive knowledge of customer provisions. Experience and qualified billing analyst and looking for the best opportunity to work in reputed organization and prove my worth.

SKILLS & ABILITIES:

Vast knowledge in account balancing and reconciliation, efficient execution of administrative paperwork, extensive experience in MS Word, MS Works, Excel, and Power Point, develop interpersonal skills, excellent organizational and phone skills. Knowledge of medical terminology, records management professional, Confidential, Confidential, AS400, RX Claim, Provisioning, De - provision, 3+ years SFTP, Electronic Data Interchange (EDI) formats and file transfer protocols, 10+ Years Business to Business client relations preferably in Account Management and/or Implementations.

EXPERIENCE:

Senior Customer Service Rep

Confidential

Responsibilities:

• Assigned to specific clients/accounts and manages all inquiries and information transactions made between management and the clients.
• Guiding representatives in the execution of assigned tasks and ensuring that their services are of maximum satisfaction to customers.
• Develop rates and/or provide quotes for the movement of shipment(s) via Ground/Express/Freight.
• Research and negotiate carrier rates.
• Manage integrated convergent billing software, setup, configuration implementation and system/software support Confidential .

Healthcare Data Analyst

Confidential

Responsibilities:

• Updated records with a 98% on time rating, efforts prevented participant prescription enrollment disruption.
• Obtained information to carry out registration and pre-registration of patients.
• Facilitated file sharing and correspondence tracking with SharePoint.
• Accountable for timely and accurate end to end processing for enrollment (Batch, Portal, Paper, etc).
• Subject matter expert for Medicare guidelines, EDI Protocol, File Layouts having full knowledge of processes and impacts.
• Analyzed reports and communication results to client (FBF/SLRs, etc).
• Lead implementations for new and/or existing clients, utilizing standard implementation tracking and documentation tools.
• Improvements for Confidential into IT Operations.

Identity & Access Analyst

Confidential

Responsibilities:

• Monitored and ensured security controls effectiveness (eg, user add/remove, systems patching, firewall changes.
• Knowledge of cable billing systems (such as Confidential .
• Executed bulk user loads for processing large scale user adds, modifications, and/or revocations.
• Responsible for actions related to competitive responses such as contract violations or termination of service which include leading project calls and communication with property owners, management and Confidential team.
• Completed the work of providing network security on AS/400 systems for protecting the files.
• Kept up with changes in Confidential, Confidential, Salesforce, NetMind, and associated fraud. Responsible for negotiating Service Level Agreements for response time, batch processing and overall performance for Confidential billing system.
• Responsible for documenting requirements to support Confidential shared services concept.

Implemenation Specialist

Confidential

Responsibilities:

• Attended & participated in regular conference calls with external clients/vendors/internal personnel from a work at home base.
• Built a loyal customer base by using a consultative sales approach.
• Analyzed contracts to ensure contract and invoicing are in compliance with appropriate guidelines, and regulations.
• Identified any issues that may affect billing and determined the proper course of action.
• Liaison between Developers, Business Analysts and clients, resolving business and technical challenges for successful transition to client led systems.
• Managed, forecasted, communicated resource capacity planning and client pipeline assignments, while ensuring quality and service standards are met, including contractual deliverables and overall client satisfaction.

Administrative Assistance

Confidential

Responsibilities:

• Successfully managed production activities so all orders were shipped on time.
• Prepared reports/presentations using Microsoft Word/Excel/Power Point.
• Improved communication efficiency as primary liaison between internal & external personnel.
• Assisted in all areas of administrative work including; data entry, receptionist duties, file organization, & research/development.

Senior System Analyst

Confidential

Responsibilities:

• Compiled and analyzed monthly completion tracking data.
• Developed and maintain security profiles to support billing system access, including internal users and external Vendors/Contractors.
• Assumed a mentorship role with other team members as needed to distribute work, share knowledge, and contribute to the fulfillment of departmental goals.
• Prepared Salesforce and EDW reports for MDU Sales Managers and Directors.
• Knowledge of cable billing systems (such as Confidential .

Billing Analyst

Confidential

Responsibilities:

• Ensured performance to meet operational metrics (e.g., on-time performance) and contractual obligations (e.g., SLA delivery).
• Coordinated escalations with Leads, Provisioning, Service Delivery, Construction, Operations, Project Management, and other related groups.
• Validated in the billing system for any prior write-off balances for a new customer account.
• Assured timely completion of all assigned Billing projects and that the results are of a consistently high quality that meet the business needs.
• Meet with and participate in meetings related to Confidential product launches and system changes.

Customer Service/Cashier

Confidential

Responsibilities:

• Greeted consumers entering the store to ascertain what each consumer wanted or needed.
• Maintained up-to-date knowledge of store policies.
• Assisted consumers with returned items & product selections while performing cashier transactions.
• Inventoried out of stock products based on consumer requests.

Claims Processor/Client Service Specialist

Confidential

Responsibilities:

• Investigated & resolved curative claims.
• Processed claim forms, adjudicated for provision of deductibles, co-pays, co-insurance maximums, & provider settlements.
• Researched claim overpayments & requested refunds.
• Provided timely customer service to members, providers, third party vendors, billing departments, & other insurance companies on the subject of claims.

Survey Interviewer

Confidential

Responsibilities:

• Contacted patrons from a prepared list of names from management to schedule consumer interviews in regards to different subject matters.
• Interviewed patrons to obtain relevant information by asking queries from a prepared outline.