| Candidate Information | | Title | General Manager Financial Services | | Target Location | US-PA-Philadelphia |
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Click here or scroll down to respond to this candidateObjective: Seeking to work within an organization, where I have the ability to grow, coach and contribute to the overall profitability and growth of the organization. To be given the opportunity to utilize my skills, strengths and talents yielding positive contributions within the company.Professional Experience:Jackson Hewitt RJ Financial Services, LLC November 2017 - PresentGeneral Manager: Tax Preparation and Financial PlanningResolves client complaints, execute determination (as appropriate) for resolution.Obtains profit contribution by managing staff; establishing and accomplishing business objectives.Increases management's effectiveness by recruiting, selecting, orienting, training, coaching, counseling, and disciplining team members; communicating values, strategies, and objectives; assigning accountabilities; planning, monitoring, and appraising job results; developing incentives; developing a climate for offering information and opinions; providing educational opportunities.Maintains quality service by establishing and enforcing the promotion of marketing additional products and value-added services.Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.Contributes to team effort by accomplishing related results as needed.Ensure the accuracy of payroll and time reports from floor supervisorDaVita, Inc June 2014 May 2017Regional Reimbursement Specialist: Corporate Health InsuranceInitiate and/or maintain ongoing communication with facilities to ensure timely and accurate receipt of each patient's insurance coverage information,enter insurance information into billing system, verify patient insurance with payors including eligibility and benefits related to outpatient kidney dialysis, Update Patient Registration and associated systems accurately and as required,Coordinate and partner closely with Patient Referral Coordinators (PRC) to obtain required documentation for successful patient registration,Partner with facility and Insurance Management Team to resolve incomplete registrations, Review registration denials received to determine root cause,Resolve patient account errors that cause registration denials, Help identify process changes to prevent failed registrations,Determine Coordination of Benefits as required; maintain current patient account information at all times, Follow-up as necessary to ensure insurance changes are verified and line of coverage is reset,Submit internal requests, including but not limited to RCUs, SMARTFORMS, PCS Inquiries, SPA Requests, etc., to ensure accurate and timely claims submission to the correct payor,Complete all ancillary reports and assigned projects within established timeframes, Support Patient Account Representatives and other ROPS teammates as needed,Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policiesCIGNA Corporation - Genex Services Inc. : October 2009 September 2013Disability Management Account Specialist: Corporate InsuranceContinuously monitor Case registration Inbox for incoming customer referralsAccurately establish claims in the CMS system with appropriate billing and product rates specific to the customer requirementsDemonstrate the ability to select proper service type based on customer requestsExemplify the ability to map products and services based of product and service mapping guides. Be proficient in all systems to facilitate the establishment of a disability claim. Be knowledgeable in all areas of the CCIU Department and answer all questions via 800 line from customers.CIGNA Corporation: October 2008 0ctober 2009Accident Proposal Specialist: Group InsuranceAccurately reflect quote parameters including plan design, enhancements, exclusions, quoted rates and rate guarantee provided by UnderwritingComplete accident proposals which match plan design quoted in timeframe set forth by Acquisition ProcessReturn completed proposal to sales within a 24 hour timeframe from receipt to the Proposal MailboxMake appropriate and timely proposal revisions should plan design change following proposal releaseMaintain and update proposal information in accident proposal folder and mailboxMaintain record of all proposals completed, sent and revised including email confirmations and notificationsResearch Pharmaceutical Services: September 2007 October 2008Clinical Data Management: Pharmaceutical IndustryEnter a variety of complex data in appropriate formats utilizing designated applicationsEffectively confirm data integrity validation through physical identification and use of computer data basesEnsure data is filed appropriately within its system designationPromote data control quality and auditing by recommending/communicating appropriate corrective actionsPerform special projects and other ancillary dutiesAct as liaison through the evaluation and resolution of quality issues pertinent to client informationQuest Diagnostics: November 2005 September 2007Lead Specimen Technician: Corporate Health and Wellness DivisionPrepared all urine specimens received for screening by dispersing designated amounts of sample into customized culture tubes for their appropriate machinesPerformed detailed data entry by inputting pertinent client information into databaseFrequently assisted the department supervisor or lead in executing annual objectives for the processing departmentConducted highly effective hands on training to all new personnel encompassing all facets of the duties of a specimen technicianEnsured day to day operation was in alignment with all company policies, safety and regulatory requirements |
