SUMMARY:

• Currently seeking a full time permanent position, for any shift. Bilingual in English and Spanish.
• Positions held in Financial Analysis, Telecom, Project Management, UAT, Claims, Billing, Grievance & Appeals, Customer Service, Administration, Collections, Credit Reporting Analysis, Loan Modifications, Property Management, Public Relations, Underwriting, to also include Subject Matter Expert worthy.
• Other experience held in Remote / Travel, Management, Supervision, Payroll and more. Possess self - confidence and diplomatic interaction with individuals at all levels. Self-sufficient, detail oriented, determined to learn new skills while multi-tasking attentively.

PROFESSIONAL EXPERIENCE:

Telecom Analyst / Billing & Administrative Analyst

Confidential, San Diego, CA

Responsibilities:

• Collaborate to assist with billing backlogs for Telecom Internal usage accounts for UCSD Health
• Project Management for Peoplesoft Invoicing of phones, pagers, extensions, answering services, etc
• Work within TMS, Access, BMC Track IT, FAR, CAS, MySoft.net systems for production and invoicing
• Arrange month-end reporting and analysis for items billed, discrepancy clean up, report findings
• Communicate with other technicians and users to determine proper billing codes, rebills and credits
• Participate in QA Data Migration to new billing system within Calero, Amdocs, MySoft / Service Now
• Process/Order Management of invoicing, troubleshoot problematic phone issues, disconnects, rebills
• Work with other Accounting Departments and Senior staff to further Invoice and collaborate on any outstanding items or discrepancies, provide department updates, status, training and meetings
• General Office duties, telephonic duties, data entry, any other duties as assigned

Business Metrics Financial Analyst

Confidential

Responsibilities:

• Project Management to merge Financial accounts with Internal Audit review for CareFusion BD within Salesforce, execute acceptance test plans for new account merge and new software functionality
• Review contracts, fee schedules, Vendor Invoices, Accts Receivables, verification of licensing
• Some grievance and appeals review, determining eligibility of contracts and payment status, payroll
• Utilize Cognos, SAP, ERP, SDI, CSP Facets, Net Suite, Amdocs, PeopleSoft Salesforce, FAR, MDM software to merge data and QA, ensuring no account duplication within the new system and new account number. Internet searching, account research to ensure accuracy, any duties assigned.

Marketing Analyst

Confidential

Responsibilities:

• Serve as a Financial Business Analyst, via Salesforce, reviewing telecommunications conversion from hardwire analog cable, to digital for Cox Business TDM, handling conversions and life cycle anaylsis
• Monitor Telecom inventory of accounts, reviewing constant status and progress of digital conversion
• Communicate constantly with peers, management and other departments like i.t. installation
• Project Management to work heavily with Excel, Global Max preparing analysis, QA, Test data creation, testing new software and reporting of overall figures and status of display. Create pivot tables, graphs, complex graphing and layered graphing to display overall progress, training guides
• Host meetings, escalated issues, often utilizing SharePoint, Excel, Amdocs, SAP and PowerPoint
• Coordinate to discuss accounts, general Office duties, strong Analysis, any other duties assigned.

Senior Title Analyst:

Confidential, San Diego, CA

Responsibilities:

• Serve as a Financial Business Analyst, creating technical pricing for Title Insurance rates via Excel
• Verify policy rate information for contracted vendors such as Fidelity, Chicago Title, Commonwealth, processing Grievance and Appeals for rates misquoted and determine reimbursements if any.
• Triage and process QA cases through Salesforce, Cognos, CAS, SAP, Amdocs, SharePoint, Encompass
• Project Management to Implement new created Software for Confidential providers within the Unified Modeling Language (UML), creating of testing modules with developers, User Acceptance Testing (UAT), life-cycle development, working with developers, created training manuals
• Perform quality checks, Lifecycle review, mathematical calculations, formulas, update data
• Arrange ADP payroll entries, General office, telephonic duties, strong data entry, any duties assigned.

Business Analyst

Confidential, San Diego, CA

Responsibilities:

• Establish QA Oversight standards for the Obama Care Program, with CMS, for Kaiser Permanente
• Handle insurance complaint cases to correct errors in enrollment, eligibility, premiums, invoices, etc.
• Project Management to Underwrite contracts for patients/ providers, credentials, pricing and stop loss
• Process Grievance & Appeals for denied services and review for reimbursement decision, letter writing.
• Resolve Special Enrollment Periods (SEP’s), due to defective enrollments that did not process correctly.
• Work with a 3rd party administrator (KPC) to research cases; caseload: 1600 accounts handled monthly
• Strong working environment with the Cosmos, CMS HICS systems, UNET, EPIC, EPSI Financial Systems, Salesforce, Sharepoint, Conexis, Excel and Word, data entry of each action handled in multiple systems, including Lotus Notes and Mainframe and Created user friendly training guides; Any other duties as assigned.

Operations Support Analyst II

Confidential, O’Fallon, MO

Responsibilities:

• Travel across the U.S., attending events while meeting clients to underwrite Modification options
• Initiate Financial proposals for modification including Repayment Plans, Forbearance Agreements, Conventional and 2nd lien review via Mainframe systems, and analysis via Salesforce.
• Property Tax review and analysis for the appropriate City and rates, TRID, Title review, Deed/Recording
• Income and Mortgage calculations for Underwriting modification applications, Escrow Analysis Audit,
• Project Management for Credit reporting analysis, multi-state banking, Government / Conventional
• Create training guides and train other new hires, Audit / update existing user manuals on processes.
• Expense Reporting via Concur, Travel handling for each event attended, general office duties

Underwriter Processor

Confidential, San Diego, CA

Responsibilities:

• Underwrite Finances and determine borrower’s financial status to qualify or deny Loan Modifications
• Loss Mitigation review, TRID regulations, process and audit applications for stipulation agreements.
• Credit Reporting analysis and evaluate records, recommend payments based on credit history
• Prepare Forbearance Agreements, Repayment Plans, Deed in Lieu’s, Short Sales, Account Receivables-Payables and Invoicing, Review for Due Diligence, Title and Recording information, Deed of Trusts,
• Property Tax analysis related to delinquent amounts due, rates, for the Foreclosure Attorney
• Property Project Management process foreclosures including sale listings, postponements, auctions
• Payroll, Data Entry and Inventory reporting, general office duties, any other duties as assigned

Patient Access Rep IV

• Handle Patient Registration, Bedside Registration for Emergency Room; under HIPPA regulations.
• Account Receivables, co-pays, account updates, balance, reporting, auditing, bank deposits.
• Worked within Meditech accounts transferring information to EPIC and UNET as their new system.
• Arrange payroll via ADP and EZ Pay for HR Department, create step by step training guide manuals.
• Patient translation in English and Spanish, Data Entry, General Office duties, other duties as assigned

Subject Matter Expert

• Customer Service & Claims Specialist, Internal Auditor for Medicaid, Medi-Cal, Medicare Part D, Blue Card, HMO, PPO, Individual, Indemnity, Workers’ Comp. Work as a trainer and create user manuals.
• Call Center environment - handled 100 calls daily. Processed Oasis Claim forms, UB92, HCFA1500.
• Provide Claim/ eligibility, Process, adjudicate, keying, scanning, adjustments, payments and status
• Project Management to Underwrite applications, audit outgoing correspondence regarding claims and its processes, create letters to providers; communicate with other Health Plans for claim status, stop / loss. Review credentials, fee schedules, carved out benefits
• Train employees by shadowing and providing information regarding all aspects of job.
• Documentation for each account within SAP, Cognos, Net Suite, AIMS, UNET, Callcare & Mainframe
• Worked within EPIC and EPSI for account handling and financial reporting and Ventor Invoicing. Collaborated with I.T. developers to formulate improvements for claim processing, analysis and reporting functions through the life-cycle process from start to finish, business rule modeling, execute acceptance test plans for new software creation, Life Cycle analysis, QA, FAR, CAS, UAT with Amdocs.
• Work with Concur for travel arrangement and expense reporting, book airfare and hotels, rental cars
• Assisted Lead with payroll distribution, purchasing, reporting, general office duties, any duties assigned

Underwriter Assistant

• Assisted and reported directly to a Commercial Lines Underwriter, application processing and sales quotes, Marketing / Administrative duties including Policy issuance, processing of SLA taxes
• Property Tax analysis/ verify delinquent taxes, mortgage calculations, audit applications
• Assist in multiple areas related to auditing of documentation and assist Underwriters for any items needed from clients related to accounts receivables, payables and creating of insurance policies related to Commercial, Casualty, Personal Articles, Umbrella etc., working brokerage companies

Default Collections Specialist /Loss Mitigation Specialist and Training Auditor

• Handle all calls related to subprime default collection, handled average of 200 calls daily
• Project Manager to direct in assisting in special projects with Auditing, Reporting, Accounting
• Customer Service related to loan, escrow, foreclosure, loss mitigation, bankruptcy, refinance, stop / loss, analysis related to Property Tax documents, outstanding balances, liens, judgements
• Credit reporting analysis to confirm debt, ability to repay and dispute resolution for credit reporting
• Payments, bookkeeping and reporting for funds processed, worked in Encompass and Optimal Blue
• Handle Loss Mitigation process and loan application for analysis, Loan to Value Ratios for reporting and application's acceptance or denial for Loss Mitigation program. Work as an Underwriter Assistant to obtain needed documentation, clarification of information, mortgage calculations. Any duties assigned

Production Assistant and Underwriter

• Create Home Insurance Policies, underwrite to determine risk, handled detailed correspondence for Claims, Applications, Endorsements, communicate with Mortgages re verification of Property Tax
• Verification and handling of other related documents including payment processing and bookkeeping collections, bank deposits. Review all applications, Alarm Certificates, Acord Applications, and all mail.
• Project Manager for Invoicing and log all files to show current including cycle audits. Process all California SLA forms for required State Filings Taxes through the Winbroker System
• Arrange time entries for payroll via ADP, any other duties as assigned. Train and create user manuals

Executive Administrative Assistant

• Assisted with Due Diligence, Title Search and Recording information related to purchase of properties
• Review Home Inspection reports and forward findings to process required property repairs.
• Responsible for scheduling of appointments and coordinating each business partner’s schedule.
• Accounts Receivable and Bookkeeping / Purchasing, related to incoming rental payments, post payment, send invoicing and assist with collection notices and multiple bank drops weekly for deposits
• Develop and create spreadsheets through Excel. Arrange and tabulate Expense reports.
• Create property Real Estate legal documentation, auditing of rental applications and file purging.
• Mail clerk duties. General office skills: Copy/Fax/File. Any other duties as assigned.

Project Coordinator, Grievance & Appeals Associate, Customer Service Specialist II, Internal Auditor

• Audited over 300 medical group’s created Service Denial Letters and managed reporting of findings to State and Government entities such as Medicare Part D, all via HIPAA mandated criteria.
• Develop Excel logs and reports for departmental tracking of cases and audits, worked within EPSI for financial reporting and EPIC for patient account handling, fee schedules and contract verification, per diem rates, billing procedures and methodologies, stop loss, carve out benefits, contracts
• Project Leader to Log and forward denial letters to the Centers for Health Dispute Resolution (CHDR) for final determination in the Grievance Tracking System (GTS) and Mainframe (AS400) systems
• Audit for required Government mandated criteria by CMS, create and prepare training guides
• Log and forward audits to contracted medical groups for their review, corrections and follow up.
• Customer Care Center, Inbound & Outbound Call-Care Rep. for Eligibility / Claims over 150 calls daily.
• Claim processing, keying, stop / loss, adjudication and adjustments. Train Employees as needed.

Office Manager

Responsibilities:

• Worked in the Immediate Care Unit, Dermatology, OB/GYN, and Scheduling Departments
• Position was Per-Diem. Patient registration, assist with vitals, handle accounts receivables, update patient information, transcribe dictation, transcribe provider recorded data
• Patient translation, book appointments, handle medical records, returned mail, purchasing, general office duties, payroll processing via ADP, Autopay and EZ pay, any other duties as assigned. Some UAT and UML for new systems that were created. Troubleshooting and QA for system development, test data life cycle management working with the I.T. developers on a weekly basis, oversee data migration projects. Create training classes and script manuals Any other duties assigned.