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Click here or scroll down to respond to this candidateCandidate's Name
Summary:Ten years of experience and responsibility with documented success in all areas of management at various organization levels including Manager, Supervisor and Team Lead, VerizonExperienced in all aspects of the billing process including high volume invoice generation, project billing for specialized accounts, research and resolution of billing disputes, billing for time, material, management budgeting, VerizonAble to create a workable schedule for up to 30 staff employees and met deadlines consistently, VerizonMajor strengths in billing, payment processing, data entry, inventory control, retention, collections, planning, problem solving, document control, contracts, testing, project management, time management and customer service, VerizonComputer literate in all popular office software programs, including MS Word, Excel, Outlook, Word Perfect, Lotus Notes, QuickBooks, ADP, SAP, People Soft, Quicken and quickly learns new programs.Responsible for correct data entry into multiple systems, typing skills of 35 wpm, AS400, Internet applications, SAP, MS Spreadsheets and MS WordProject Managed 30 large corporate customers, including scheduling, and conducting conference calls, Sprint, VerizonSkills:Administrative AssistantClericalBilling/Payment ProcessingInvoicesCollectionsData Entry/10 key35 WPMCalendarsPresentationsQuality ControlInventory ControlMedicaid BillingMedicare BillingInformation TechnologyTraining and Classroom Set upHR Functions, Staffing, Development, Compliance, Employee and Labor RelationsEducation:Monte Vista High School - Diploma receivedPhysical Education, Three months/No degree, Long Beach City College - Long Beach, CAHIPAA Compliance//Certification, February 2019 June 2022Professional Experience:Evolent HealthcareJanuary 2022 June 2023Arlington, VAAdministrative Assistant/Customer Service Representative/Payments/Claims/Medicade/MedicareResponsibilitiesResponsible for HIPAA standardsResponsible for interacting with Evolent Healthcare members over the phone and in a fast-paced, call center environmentMaintaining a high level of professionalism and present the organization in the best light possibleMaintaining each call in a positive way by adding value to our organizationAlways enthusiastic and listens and offers an innovative solution to each inquiryResponsible for answering incoming customer calls regarding billing issues, address changes, provider inquiries, including selecting new providers and adding them to their account, making sure Hospitals, Urgent Care Facilities are also, within our networkUpdating customer information in the customer service database during and after each callWorking with the management team to stay updated on enrollment processes for 2022Responsible for taking all training classes throughout the yearEvolent HealthcareMay 2020 Feb 2021Arlington, VAAdministrative Assistant/Customer Service Representative/Payment ProcessingResponsibilitiesResponsible for HIPAA standardsResponsible for interacting with Evolent Healthcare members over the phone and in a fast-paced, call center environmentMaintaining a high level of professionalism and present the organization in the best light possibleMaintaining each call in a positive way by adding value to our organizationAlways enthusiastic and listens and offers an innovative solution to each inquiryResponsible for answering incoming customer calls regarding billing issues, address changes, provider inquiries, including selecting a new provider and adding them to their account, making sure Hospitals, Urgent Care Facilities are also, within our networkUpdating customer information in the customer service database during and after each callWorking with the management team to stay updated on enrollment processes for 2020 and 2021Responsible for taking all training classes throughout the yearSeptember 2019 May 2020DXC Technology - Reno, NV January 2019 - September 2019Provider Enrollment Specialist IIResponsibilities:Responsible for HIPAA standards.Responsible for working directly with Providers, reviewing and processing Medicaid, provider enrollment applications according to DHA approved enrollment criteria, ACA and other Federal requirements and procedures.Updated and maintained accurate provider files in their Interchange System which includes documenting information such as a provider such as a provider address(s), Social Security Numbers, Tax ID numbers, any past cancellations or sanctions, any changes to the provider file and pay to information.Responded to written correspondence received from providers relating to enrollment issues as needed.Performed daily verification of keyed data for accuracy.Other duties may be assigned.EP Minerals August 2018 - December 2018Administrative Assistant/Customer Service (Contract)Reno, NVResponsibilities:Responsible for handling EP Minerals products and services through their order entry in SAP.Responsible for all EDI orders daily, along with ticket entries.Some other work in this field were for the Pre-Authorizations and Claims.Responsible for invoicing of all domestic orders and maintain files for domestic order confirmations.Worked closely with Operations and Sales Management teams.Responsible for sending quality documents to customers as requested.Provided Department coverage (Vacation and sick time).Responsible for processing all large customer sample shipments.Other duties may be assigned.Seeking Employment May 2018 - July 2018CIOX August 2017 - April 2018Document Control Specialist (Contract)Reno, NVResponsibilities:Responsible for HIPAA standards and adherence to quality standards.Responsible for correct data entry into Healthcare's Web based applications and MS Spreadsheets.Responsible for reviewing files to ensure documents are accurate before sending them to clients.Responsible for monitoring Healthcare's email box and completing Faxes, Mail and Email.Seeking Employment September 2016 - July 2017JPMorgan Chase Bank, N.A - Fort Worth, TX March 2016 - August 2016Title Research Specialist (Contract)Responsibilities:Responsible for pulling and reviewing files to ensure that loan and lease motor vehicle title documents are complete.Responsible for monitoring the department fax and email box, answer and direct phone calls, take messages and distribute to staff.Received, sorted and distributed mail.Responsible for correct data entry into multiple systems, AS400, Web based applications, SAP, MS Spreadsheets, open and closing tickets and MS Word.Responsible for photocopying, scanning, faxing, preparing and sending outgoing mail.Interacted with external customers, dealerships, state and county offices, and business partners to identify, research and resolve billing issues of various complexities.Responsible for production standards & adherence to quality standards.Sarstedt - Sparks, NV June 2015 - February 2016Administrative Assistant/Billing/Customer ServiceResponsibilities:Responsible for product quotes, contracts, standing product deliveries, provided accurate pricing and available product information.Facilitated payment processes, which included accounts payable and receivable, returns, billing, credits and collection information.Reception desk responsibilities and Clerical tasks (e.g., data entry, filing, inventory control, Scanning files, records management, financial records in QuickBooks and billing) and Claims.Matched delivery documentation to invoices, prepared customer invoices for assigned accounts using electronic billing system.Interfaced with operations and sales departments to resolve issues regarding billing discrepancies, including collections. Performed the research and gathered the supporting documentation to assist with the resolution of customer billing discrepancies.Ability to research and answer customer and/or sales representative's complaints and inquiries.Responsible for correct data entry into multiple systems with typing skills of 35 wpm, AS400, SAP, MS Spreadsheets and MS Word.Seeking Employment May 2015TriNet - Reno, NV December 2014 - April 2015Administrative Assistant Specialist/Data Entry/Flexible Spending Accounts (Contract)Responsibilities:Responsible for correct data entry into TriNet's Alleges Health Care Administration System and HR Prod websites for claims and debit card transactions.Continuously monitored the billing system for completed service tickets, placing completed service tickets on bill to ensure timely and accurate invoice generation.Responded to e-mail or telephone billing inquiries from service locations, including copying documentation and summarizing data on spreadsheets.Maintained client and customer information in People Soft.Bennett Medical - Reno, NV October 2014 - December 2014Billing Administrative Assistant/Clerical/Data Entry (Contract)Responsibilities:Greeted Customers at reception desk with answering phones and assisted in directing them to the correct internal department or answered their questions.Provided clerical support as necessary, including filing, faxing, and scanning, archived reports, typing, copying, performing data entry.Supported customer requests for specialized billing services not accommodated systemically, preparing supplementary documentation as requested by customers to accompany invoices.Acted as a liaison between the company and patient/client, family, caregiver and other healthcare agencies when at the reception desk or answering customer service calls.Responsible for calling Healthcare clinics/hospitals when Medicare/BCBS/Medicaid and other Medical providers where missing information was required.Seeking Employment July 2014 - September 2014The Entrust Group - Reno, NV March 2014 - June 2014Account Specialist/Customer Service (Contract)Responsibilities:Developed IRA rate sheets and prepared transfers, distributions and closures in accordance with government regulations and bank policies.Maintained retirement records and was responsible for current and proper financial statements in QuickBooks.Managed payments and allocation of payments to plan administrators, and mailing of client invoices.Responded to questions to resolve retirement related inquires, issues or escalations and provided website support assisting clients for 1st time access and technical issues.Ability to work in a fast-paced, team environment and under pressure of deadlines.Seeking Employment December 2013 - February 2014Sprint - Irving, TX March 2003 - November 2013Dedicated Care Representative II - Long Distance /Business Customer Service - Early RetirementResponsibilities:Project Managed 30 large corporate customers, including scheduling and conducting conference calls.Responsible for providing detailed information on each customer's accounts which included billing, payments and collection activities.Responsible for the interactions with customers both internal and external to resolve billing requests in a timely manner.Compiled based on research techniques and on statically calculations involving an understanding of operating unit programs, policies and procedures.Resolved all billing issues which included, collections, credits and re-payments for each large corporate customer.PCS Trouble Specialist III WirelessResponsibilities:Responsible for performing a variety of wireless customer service functions, which included handset activation, changes, billing, collections, sales and account maintenance in several Sprint applications.Responsible for resolution of technical problems, surrounding handset call completion using several applications, mainframe and web based.Recommended several functional practices and procedures.Established procedures that implement operational and/or fiscal policies.Interpreted policies and procedures as established by management.Awards:Customer Service, Numerous emails sent to Management for going above and beyond - Evolent Health CareCustomer Service "The Best of the Best" SprintCustomer Service "Employee Spotlight Monthly Awards" - SprintBilling Implementation for California/Hawaii/Northwest - "Presidential Gold Award" Verizon 1995 |
