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SKILLS Data Validation Claims and authorization research Microsoft Office 2010, 2013 and 365using Excel, Word, PowerPoint Facets and Emdeon Google Docs, Sheets, Drive Research and Planning Over 4 years of Customer Serviceexperience Communication both written and verbalEXPERIENCEUS Bank March 2023 - September 2023Intake and Dispatch View and capture data from shipping documents Ensure documents are scanned in properly, manually enter data into database as needed Print and combine copies to be mailed out with original documents from Issuing Bank to Remitting BankJND Legal Administration September 2021 - January 2023 Class Action Lawsuit Claims Specialist Data validation and entry of class action lawsuit claims into Daybreak database Review supporting documents for claim accuracy and validity Assembly and verifying ad-hoc report for web domains to ensure client does not have fraudulent websitesGenCon August 2021 - September 2021Admission Packet Assembly Matching admission name badges to be mailed to customers QA of admission packetsCognizant October 2016 - February 2017Claims Processor Data validation to ensure data matches from Softheon to UMV Logging production data into excelTriwest Healthcare Alliance January - May 2016Administrative Assistant Claims research and repricing Track and report team production numbers Enter incoming OHI (Other Health Insurance) surveys into CRM Process inter-office and incoming mail for claims department, route mail to correct department Log Congressional issues emails into excel spreadsheet to be assigned and worked Pull EOBs and Remits from Emdeon Look up Medical claims in Facets, to gather information and resolve claim issues Complete special projects as assigned Data entry into CRM and Excel spreadsheetsCVS Caremark July 2015 November 2015Print Validation Review outgoing Medicare Part D letters for various events such as enrollment to ensure accuracy Review outgoing Annual Notice of Change Packets for completeness and accuracy Review Templates for various letters for placement errors, grammatical errors, and any other errors Communicate with lead to have letters destroyed if errors are found to maintain CMS Star ratings, guidelines, and member satisfaction Communicate and meet with team members and leads to keep all processes up to date and improve when necessary to maintain department metrics Data entry into excel spreadsheets to track department metrics Viridian Health Management April 2013 - July 2015Data Management Coordinator Reporting: Aggregate, Ad-Hoc, development of custom reporting Data Validation Utilization of CRM to assist in managing client programs including incentive tracking, reporting and documenting outcomes for worksite health and diabetes prevention programs. Organize multiple projects meeting client needs and specifications by deadlines Coordinate with other departments to complete large projects seamlessly in timely manner Train others on how to use CRM Trained on how to file claims through clearing house Assisting in Claims department by verifying participant eligibility HIPAA Compliant Other duties as assigned Account Management Direct point of contact responsible for deliverables i.e. Client Reports Marketing Development of marketing materials including content for sales and client use Walmart September 2010 - March 2012Deli Sales Clerk Utilize customer service and phone etiquette to provide a fast and enjoyable experience for customers to promote sales and return clientele Quickly take customer orders, Data Entry prepare hot foods, slice meats and cheeses, subs-sandwiches, and party trays Clean and sanitize all equipment to Health Department and K-Chemical standards Wet N Wild June - September 2010Food Server/Cashier Work with a team to take orders and serve food in a fast and efficient manner Prepare made to order Sub-sandwiches to customers specifications Ring up food items in fast paced, high traffic environment EDUCATION January - December 2009Arizona School of Massage Therapy Professional Massage Therapy Program 815.5 Total Hours Accet Accredited 3.76 GPA |
