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Claims Analyst Process Technician Resume...
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Title Claims Analyst Process Technician
Target Location US-TX-Austin
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Street Address  Oak Creek Dr.Austin TX Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEBackground SummaryExtensive office experience and two years of accounting and auditing experience. Skilled in accounts receivables, some payables, customer service, communication skills, writing skills, data entry, office automation, word processing, numerous office copiers, computers, printers, fax machines and support equipment, Microsoft Word and Excel. Bilingual.Experience12/11/17 - Current Self-Employed General Lines Agent Life, Accident, Health HMO Assist in providing Life Insurance products and solutions for families and developing their long-term needs. Contact referral clients via email or by phone for a thirty-minute presentation on life insurance products. Collect clients PHI information on life insurance application and submit to home Office for review, once clients application is completed then a paramed health screen is scheduled for clients. Once clients are approved the policy is issued. Aug 2015 - July 2018 Xerox Mail/Finishing Second Level 2 High production mailout for Chip Program, Medicaid Program, Attorney General, TWC, HHSC, OAG. Operate high volume letter printing equipment and postage machine. Pitney Bowe s- meter postage and Flexible Productivity Series machines.3/30/15 - 12/11/17 Cenpatico Credentialing Specialist 1 Provided credentialing and re-credentialing services for health care professionals. Collected and maintained information and documentation regarding the professional experience and qualifications of the practitioners and facilities requesting participation. Assisted with coordinating credentialing committee. Processed, tracked and filed credentialing applications within established standards. Responded to internal and external agents inquiries regarding credentialing status.8/9/2014 - 1/26/2015 Travis Central Appraisal District Data entry, residential and commercial documents into database, updated fiduciary contracts, ensured all residential and commercial exemptions are updated and entered in database in a timely manner. Assisted other staff members with projects needing to be completed to meet deadlines. Updated property titles and deeds according to property ownership. 02/2014 - 07/2014 Maximus Enrollment BrokerProvided State Medicaid and Chip clients with information on choosing Medical and dental plans; assisted clients with medical and dental coverage information and facilitating their choice plans.10/2010 - 10/2013 Owens-Minor Inventory Control Coordinator Provided Cycle counts on $30 million warehouse inventory, daily to Project Manager and Home Office. Ensured that all incoming receivables were counted and processed into system correctly. Informed all warehouse teammates on handling the correct shipping quantities. Ensured that all damaged products/ Candidate's Name  3600 Oak Creek Dr. Austin TX 78727 737-222-0386 EMAIL AVAILABLEreturned product were processed by quantity and cost into system correctly. 02/2008 - 10/2010 State of Texas (HHSC) Public Health Technician I Performed highly technical and efficient telephone customer service; receiving and screening requests; arranged authorize medical transportation for Medicaid clients. Worked in a fast-paced call center, dealing with Medicaid clients, advocates, contractors & medical providers. Determined reasonable and most cost-effective mode of transportation. Authorized and arranged timely contracted services for local/long distance trips, urgent trips overnight/out of town trips to include air fare, ground transportation, mileage reimbursement, lodging and meals.01/1996 - 07/2007 ACS/EDS NHIC Third Party Recovery Unit Claims Analyst Updated other insurance information for Medicaid and Medicare clients, code, state forms in a timely manner. Money recovery for Texas Medicaid from Third party insurance providers. Processed new day claims and adjudicated claim appeals for state providers.08/1993 - 11/1995 Xerox/The Document Company Account Lead Maintained all accounts receivables, generated balance reports for billed materials versus delivered materials, proof, print and prepared invoices for mailing; apply cash receipts, researched delivery tickets and invoices for customers; maintained invoices, cash receipts and monthly balance records. 01/1983 - 07/1993 IBM Senior Process TechnicianSupervised manufacture operations, production experience in building mainframe circuit boards. Trained and coordinated employee job functions. Upgraded equipment operating procedure manuals utilizing production system for tracking and receiving workflow demographics. Managed employees and day to day operations. Evaluated employee reviews, job functions, and training assessments. Safety liaison, trainer, upgrade safety procedures, review safety issues regarding OSHA requirements.Texas Department of Insurance Licensed # 850456General Lines Agent Life, Accident, Health HMOEffective Date: 03-10-1994 Expiration Date: 01-17-2022 Effectively able to retain clients by offering better solutions and products. Traits: Dependable, self-starter, highly motivated, good communication & presentation skills.

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