SUMMARY:

• Motivated Administrative/Executive Assistant with over 10 years progressive experience providing administrative, operational and front office management support for a thriving environment; with a proven ability to efficiently plan and manage multiple assignments to meet tight organizational deadlines in a proactive and efficient manner.
• Ability to work independently as well as in a team - oriented environment
• Adept at proactive problem-solving and follow through
• Ability to interact effectively with internal staff, senior management and external clients
• Strong background in developing and maintaining data management systems
• Developed scheduling and organizational skills
• Recognized for improving office systems and processes with a strong attention to detail
• Proven knowledge of Microsoft Office, SQL and other office automation tools

PROFESSIONAL EXPERIENCE:

Confidential

Medical Claims Examiner

Responsibilities:

• Processes claims; confirms policy coverages and acknowledges receipt of claims
• Determine validity and compensability of submitted claims by gathering necessary documentation for approval of claim disbursement
• Establish reserves and authorizing payments reserving authority limits
• Communicates promptly and effectively the status of claims to providers, claimants and customers
• Assists other claim professionals in resolving problematic claims
• Manages non-problematic med-only claims as well as minor lost time workers compensation claims
• Adheres to client and carrier guidelines and participates in claim reviews, as needed

Confidential

Claims Assistant

Responsibilities:

• Set up new claims timely and accurately
• Performed claims system documentation; complete diaries, tasks and process mail daily
• Provided superior customer service through the timely interaction with clients, injured workers, providers and vendors
• Processed payments daily accurately and proficiently
• Processed mandated form letters, state forms and reports
• Performed other necessary administrative functions for claim personnel

Confidential

Office Manager /Administrative Support

Responsibilities:

• Provided primary administrative support for the Executive Director, Clinical Director, and 19 Care Coordinators
• Scheduled, planned and assisted for meetings and special events such as training, retreats, workshops, travel, conferences, and holiday celebrations
• Coordinated, retained, and retrieved electronic and hardcopy documentation
• Managed reception office space and routed telecommunications to office personnel
• Modeled values and guiding principles with internal customers
• Developed program specific communications, including emails, newsletters
• Ensured that all conference rooms, offices and other shared space was clean and organized.
• Reduced office supply budget by 30% by consolidating redundant processes
• Prepared and modified official correspondence
• Reorganized and manage the filing systems of the blue client confidential charts
• Responsible for accounts payable and receivable, monthly invoices for vendors and providers
• Auditing of filings, compliance training, new hire training
• Liaised directly with maintenance contractors, clients and vendors
• Data Entry of notes, monthly and quarterly marketing information, entry of customer and client account data by inputting alphabetic and numeric information
• Prepared data for computer entry by compiling and sorting information; establishing entry priorities

Confidential, Washington, DC

Office Administrator

Responsibilities:

• Prepared official correspondence, reports, forms, engineering specifications, work orders and documents related to the functions of the operating staff.
• Entered and retrieved data, maintained technical and office files in a coded format; assisted with purging and microfilming of records and files
• Ordered office supplies, sorted and distributed mail, searched and retrieved information upon request
• Proactively utilized conflict management techniques to resolve staff relation issues
• Performed quality control on official forms such as leave and personnel; purchase requisitions and purchase orders
• Operated standard office equipment and provides relief for other office support staff
• Received and screened telephone calls; provided information regarding activities and functions; dispatched messages via two-way radio system
• Verified customer and account data by reviewing, correcting, deleting, or reentering data; combining data from both systems when account information is incomplete; purging files to eliminate duplication of data

Confidential, Landover, MD

Posting and Billing Associate

Responsibilities:

• Input of new applications from potential members
• Responsible for handling all incoming inquiries about union dues, problems and or concerns
• Managed and scheduled all of the membership report records and edits
• Data entry of the union updated information
• Management of the union companies and quality assurance of union dues and fees accrued by members and clients
• Completed quarterly and monthly expense report
• Tracked new companies approved as union members
• Posted all union dues collected from the members, and bill the company client accordingly
• Tested customer and account system changes and upgrades by inputting new data
• Secured information by completing database backups
• Maintained customer confidence and protects operations by keeping information confidential

Confidential, Washington, DC

Receptionist/Office Assistant

Responsibilities:

• First point of contact for both clients and vendors, handled and directed all incoming calls throughout the 8 different offices countrywide
• Completed monthly expense and purchase reports
• Managed and scheduled calendars for the Washington DC metropolitan personnel
• Set up meetings, gatherings, and travel for the clients, and staff
• Responsible for all for the filing of the office, as well as the faxing, copying, and data entry of confidential information
• Performed overall office management support
• Maintained operations by following policies and procedures; reporting needed changes