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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Florence Dr.Newnan, Ga. Street Address
E-Mail: EMAIL AVAILABLEPhone: PHONE NUMBER AVAILABLESummary of Qualifications:Extensive background in Accounting, including reconciliation and audit functionsProficient in a variety of software and accounting systemsExperience in conducting needs assessments and implementing process improvementsCustomer Service experience in the Health Insurance and Construction fieldsAbove average analytical, and problem solving skills; ability to think independentlyWork Experience:June. 2018- March 2024 Aspinwall Chiropractic Clinic, Lagrange, Ga.Insurance Billing Manager: Filed Chiropractic Medical Claims to Commercial Health Insurance Companies as well as Medicare. Resolved billing issues and maintained office reports. Insured compliance with Provider contracts. Performed bank reconciliation of the Clinic bank account to the accounts receivable accounts.Sept 2016- Nov. 2017 Elite Foam, Newnan, GaAccounts Payable Specialist : Issued payments to vendors after verification of purchase orders and any other applicable documentation .Processed employee expense reimbursement upon receipt of employee vouchers. Entered journal entries and performed bank reconciliation.Aug 2015 Aug. 2016 Greenway Healthcare, Carrolton, GaClaims Analyst: Managed claims processing for medical practices, resolved issues regarding payments, benefits, and coordination of benefits in order to receive reimbursement for medical services.Nov. 2014 Apr. 2015 Chattahoochee Gutter Co, Salem, ALAdministrative Assistant: Processed invoices, payroll, accounts receivable accounts payable and completed other administrative functions using Microsoft Office, Microsoft Excel and QuickBooks. Designed and implemented Excel-based Automated Invoicing System using Quickbooks .Feb. 2010 Sept. 2012 Remitco (First Data), Columbus, GAExceptions Associate: Processed payments and correspondence using automated mail systems and scanning equipment in accordance with contracted client specificationsMar. 2001 - May 2009 Blue Cross Blue Shield, Columbus, GAMedicare Provider Auditor II (2003 - 2009): Responsible for handling Medicare desk reviews of the Hospital and Skilled Nursing facility Medicare cost reports, pre-audit, and post-audit work Interpreted Federal laws pertaining to Medicare reimbursement. Applied those laws in the audit of providers of Medicare services for the State of Georgia while under contract with the Center of Medicare ServicesCustomer Service Representative (2001 - 2003): Handled incoming calls from customers regarding various health insurance concerns, resolved customer problems and explained Blue Cross and Blue Shield policy and procedure, benefits; medical insurance claim payment; coordination of benefits between multiple insurance plans, COBRA and HIPAA lawsJan. 2000 Sept. 2000 Greenpoint Mortgage, Columbus, GAStaff Accountant: Performed reconciliation of the Mortgage Corp and Bank's general ledger accounts in order to properly reflect the financial position of both entities. Performed daily cash balancing for the Investor Reporting department Prepared daily wire transfers of funds requestsJan. 1999 Jan. 2000 Total System Services, Columbus, GABusiness Analyst: Implemented testing of software for Y2K, GUI Mapping, acted as a clients needs. Used TS1 and TS2 to create software tailored to specific client needs.Oct. 1991 Nov. 1998 AT&T (Citibank) Universal Card Services, Columbus, GAAccounting and Analysis Associate: Reconciled financial systems suspense accounts and general ledger rejected items related to customer payments and unallocated funds.Held sole responsibility for maintaining and reconciling all restitution payments averaging $35,000 weekly over a period of three years.Performed payment research for Pass 1 and Pass2 payment issues including encoding errors and misapplied payments.Military Service (Mar. 1982 Jun. 1985): United States ArmyCalibration Specialist: Responsible for calibration, maintenance, and repair of signal support equipment, to include multimeters, signal frequency generators, oscilloscopes and frequency counters.Software Knowledge:Audit Command LanguageMicrosoft Office (incl. PowerPoint, Excel, Word, Outlook, and Access)Health Financial Systems / Q-Care / STARsQuickBooksEducation:Troy State University Phenix City, AL1994 -- Bachelor of Science, Business Admin. (Major: Accounting)Columbus State University Columbus, GA1999 - Certificate, Data Processing (ICAPP Program) |
