Human Resources Manager Resume Profile

KEY STRENGTHS:

A good oral and written communicator with skills and patience to work with off-shore staff
An aggressive IT professional with excellent problem solving and research skills.
A self starter, team player who enjoys challenges and meeting deadlines early.
B/A Lead for Offshore Contractors.
Excellent oral and written communication and interpersonal skills. Ability to communicate effectively through a variety of media to individuals or groups in a manner that engages the audience and helps them to understand and retain the message.
Technical understanding of the federal certification and accreditation life safety and physical environment standards for hospitals, including OSHA, and CMS.
Interpret technical issues and provide recommendations to management.
Ability to organize and prioritize work to meet job demands.
Strong decision-making identifies and understands issues, problems and opportunities compares data from different sources to draw conclusions. Uses effective approaches for choosing a course of action or developing appropriate solution. Takes action that is consistent with available facts, constraints and probable consequences.
Ability to develop and use collaborative relationships among team and departments to facilitate the accomplishment of work goals.
Ability to supervisor/train for enhanced skill development.

Technical skills:

PROFESSIONAL HISTORY:

Technical/Tester and Software Researcher

Confidential

Work with End-User to created and organized Memorandum of Understanding MOU in regards to testing and implementation accuracy.
Provide testing online screen completed by programmers.
Create test criteria to ensure online edits were working properly.
Document pass or fail results for sign-off or retesting.
Generate reports via batch Job submission for test results review.
Document batch and online problems found during testing.
Created documentation for out-of-scope changes found during testing.
Assisted providers with EDI transaction testing using EDIFECs.
Worked with BIZ-Talk developers to derive the applicable EDI transaction Companion Guide.
Worked on ICD-10CM and ICD-10 PCS development design based on overall concept.
Developed overlapping codes between ICD-9 and ICD-10 documentation.
Worked on backward and forward mapping strategies between ICD9 and ICD10 to be used by developers and testers.
Analyzed and test the MMIS Provider Enrollment/payment process.
Reviewed current system write-ups and new system rules to ensure that all areas were included and data discrepancies were known.
Created 4010 companion guides and data cross-walks required for the following X12 transactions: EDI: 820 834 837-I 837-D, 837-P.
Worked with the programming staff to reconcile required data fields and the compliance EDI X12 820 and 834 fields as well as required mainframe processing fields.
Created test results using SQL data retrieval using XQMF database.

Billing and Enrollment Specialist/Customer Service

Confidential

Implement and build web enrollment pages for groups who have contracted with Humana using a documented process.
Participated in conference calls with groups and Humana Associates to plan the group web implementation.
Perform testing of system enhancements to ensure all processes performed correctly.
Send correspondence to beneficiary pertaining to incomplete applications, capacity issues, selection choices and other discrepancies as needed.
Special assignments, investigations, and other duties as requested by management.
Responsible for ensuring that customers had a positive web experience when resolving customer errors.
Coordinate with multiple departments to resolve the errors as one of the top error resolution producers on the project.

Human Resources Manager

Confidential

Organize and prioritize work to meet job demands.
Maintain a good working relationship with peers, superiors and subordinates while working under stressful or emergency situations.
Supervised /train for enhanced skill development.
Prepare new hire documentation.
File proper documents
Provided aid to employees in matters involving their work performance
Prepared documents that evaluate each employee's performance.

Skilled Labor/Forklift Driver

Confidential

Responsible for making concrete an mortar for commercial and residential projects.
Building scaffold.
Setting up brick and cmu for masons.
Driving Forklift to distribute masonry materials to masons.
Ability to lift 75lbs or more.