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PHONE NUMBER AVAILABLE (mobile) EMAIL AVAILABLEQUALIFICATIONSA driven IT professional with an educational background in planning,, analyzing and implementing solutions in support of required objectives. The ability to provide comprehensive and secure network design, systems analysis and full life cycle project management. Hands on experience leading all stages of system development efforts, including requirements definition design, architecture, testing and support. Outstanding project and program leader; able to coordinate and direct all phases of project-based efforts while managing, and database administration to communicate and manage contents, motivating and guiding teams to a successful delivery.ADDITIONAL PROFESSIONAL EXPERIENCEContract for State of Michigan - throughRobert Half Staffing Remote October, 2020 June, 2021Agent - worked remotely answering questions for claimant, processing unemployment claims, making sure documents were completed correctly in order for claimant to receive benefit payments, updating files to better serve the customers etc. etc.TG Staffing Flint, MI.Administration March, 2020 June 2020Promote maintenance of apartment complexes, Contracts Monitoring for Quality and Compliance, Lead Meeting Agenda Meetings, Registration, Annual Quality Management Summary, Use QAPI Database, Use CMS Conference Call Worksheet for Incidents, Data Policy and Procedures, Participate in required quality assessments and continuous improvements such as; infection and safety control standards, Medical Records Management Policy and Procedures, Supporting technical systems, Complete appointment scheduling, utilization review medical terminology, patient registration, Complete projects of some sort relating / demonstrating system design, documents, work plans, test new, data collection, Answer incoming and outgoing calls Call Center, Pull reports using different systems / codes, Provide administration support intake / claque and clerical responsibilities.A LIL MORE HANDS - Flint, MI Accounts Receivable March, 2019 February. 2020Entech Staffing /Ascension Health, Flint, MI January, 2019 February, 2019 Quality Data AnalystPromote maintenance of participant health, Contracts Monitoring for Quality and Compliance, Lead Meeting Agenda Meetings, Registration, Annual Quality Management Summary, Use QAPI Database, Use CMS Conference Call Worksheet for Incidents, Data Policy and Procedures, Participate in required quality assessments and continuous improvements such as; infection and safety control standards, Medical Records Management Policy and Procedures, Supporting technical systems / medical records information for electronic (EMR), Complete appointment scheduling, utilization review medical terminology, patient registration, Complete projects of some sort relating / demonstrating system design, documents, work plans, test new, information technology, EMR (Epic), data collection, Answer incoming and outgoing calls Call Center, Pull reports using different systems / codes, Provide administration support intake / claque and clerical responsibilities, Chart/ Auditing, Maintain medical records, Medical Billing / Coding (ICD), SQL (Structured Query Language)ALTEGRA HEALTH / CHANGE HEALTH, Flint MI December, 2016 August 2018FIELD REVIEWER ADVOCATERegistration, document management -scanning and saving patients documents, Reviewing information that has been scanned, Epic Certified, Attaching documents to EMR & LIDS, Uploading & managing chartsElectronic Medical Billing, Records (EMR) - Epic System, Coding / ICD9, Inventory, Distribute contract information status updates, Chart Acquisition Process and Coversheets, Traveling Field ReviewerProject Base, Participate in quality assessments and improvements, Ability to identify and solve problems HIPPA CERTIFIEDUAW LOCAL 659, Flint MI April 2015 August 2017ADMINISTRATIVE RECEPTIONISTProving detailed information to Union Reps, Documenting and keeping track of all Legal Binding information, Modifying event flyers, Scheduling meetings for the President, Recording proceedings of all membership, Handle appeals and take care of union correspondence, Lead the meetings for the collective bargaining power to negotiate with employers, Create spreadsheets for financial contributions regarding fundraisers, Cobra payments and tracking past and existing collections.Various computer programs used such as; Outlook, PowerPoint, Excel, Microsoft, Overnight packages and sending email along with creating Flow charts,etc. etc.ENTECH AGENCY HEALTHPLUS OF MICHIGAN, Flint MI Nov 2013 Dec 2014IT PROVIDER NETWORK ANALYSTInitiating, documenting, tracking and screening provider application request by:Developing and maintaining accurate provider application materials and contract templatesCoordinate credentialing process with Quality Management Credentialing DepartmentSend out necessary documents for provider applications i.e. W-9, Intake, Contracts Forms, etc.Monitor database on an ongoing basis to maintain integrity of data and identify and resolve data issues contained therein.Responsible for organization and corporate reporting provider network data utilized in and reported through the Corporate Score Card and the Presidents Report.Communicate with provider, internal and external customers, such as PHO Administrators to facilitate and track status of provider application requests, provider record change request to ensure HealthPlus provider database is accurately maintained for external publication.Provide on-going status reports of e provider credentialing process to Provider Network Management, Legal and Physician Hospital Organizations and others, as applicable.Maintain on-going communication with IS, Provider Network Management and Customer Service Departments to ensure provider data is consistently updated, accurately reflected in multiple system and current on he corporate website, at all times.Produce customized provider directories for all product lines for external and website use by: employer groups, County Health Plans, Sales and Services, PHO and POsDirect involvement in the analysis and recruitment of providers.Other duties as assignedWork on special projects for different departmentsComplete the 020 Process Steps by closing out and implementing notes for PIM, LEGAL and Credentialing Department.Mailing out contracts to providers and ensuring the addresses are correct.Upgrading spreadsheets for P.N.M. DepartmentReport injuries to CMS FOR Medicare purposesAccess medical records using healthcare systemsComplete request from Law Firms, Hospitals, Insurance Companies and Doctors OfficesPITNEY BOWES, Flint, MI May 1996 Feb 2009Follow Up Team LeaderProcessed Warranty claims from other vendors by handling incoming and outgoing documents that consisted of personal data for General Motors, Handle express packages: Fed-Ex, U.P.S. and DHL,Place orders throughout the GM Facility for customers/employees using Boise.Directed workflow by providing service to customers that consisted of sorting, processing and distributing mail, Proofread corporate material, made necessary modifications and communicated changes throughout organization, Examined work queues for requests in jeopardy of missing service agreements, Lead meetings concerning contracts, checks, accounts payable, inventory, stock market, benefits, discrepancies, incoming and outgoing process packages; etc. etcEDUCATIONAssociate of Applied Science, Computer Information Systems Sept, 2009 May, 2011University of Davenport, Grand Rapids, MichiganCERTIFICATIONS IN PROGRESS & COMPLETED TECHNICAL PROFICIENCIESCISSP CERTIFIED Information System ISSA Information System Security AssociationMOSC Microsoft Office Specialist Certification A + Certification, 2011Platforms: UNIX, Windows 9x/NT/2000/XP/Vista, Linux, Mac OS, VM/370Networking: TCP/IP, Novell, DECNET, SO/OSI, IPX/SPX, SMS /SQL, EHTERNET Secure ID, PGP, PKI, PAYMENT HSMS, HARDWARE & SOFTWARE SECURITY, MOBILE DEVICES, VPNMANAGEMENT & AUTHENTICATIIONTools/Applications: Lotus Notes Excel & Microsoft Office Suite Data Entry Visual Basic Fox ProCOBOL dBase IV Microsoft Money Olympic System Drivers AnalyticalCEO (Computer) Flowcharts Quality Control Professional File Problem solvingMICROSOFT DYNAMICSRECOGNITIONLetters of outstanding service from parents, teachers and studentsReceived High ReviewsAwarded Certificate of Achievement in Customer Service StarEmployee of the Month |
