Occupation:Claims Examiner |
Location:Hot Springs National Park, AR |
Education Level:Bachelor |
Will Relocate:YES |
Description
My objective is to leverage my experiences while remaining teachable to essentials needed to grow within a new company. With 15 years of experience in a variety of workplace environments and business types ranging from management within an international food chain to processing medical insurance documents while supervising several teams to produce the best quality provides me with a strong background to benefit within any company or task placed before me. SCHOLARLY DEGREES University of Arkansas - Fort Smith, Arkansas 2010 - 2011 * Bachelor of Applied Science Criminal Justice and Psychology University of Arkansas - Little Rock, Arkansas 2009 - 2010 * Added courses to finalize degree for Criminal Justice and Psychology NPCC - Hot Springs, Arkansas 2005 - 2009 - Associate of Applied Science Criminal Justice - Associate of Liberal Studies - Associate of General Studies (basics) OCCUPATIONAL HISTORY Conduent Transaction Processing Lead (7 years) January 21, 2012 - Current Lead 3 teams in Hot Springs - US, Indore - India, and Cebu - Philippians team's transaction process teams. My responsibilities consist of the following: controlling quality and production in processing several sections of Healthcare documents from Part D prescription reimbursements, Medicare/Medicaid applications, children Healthcare Insurance (CHIP), disease/illness informative/preventative documents to physicians and members, and also vehicular claims involving vehicular injuries and Workers Compensation, payroll, billing for five projects, and direct contact with customers to ensure process and procedures stay within contract (s) and changes are made according to customer (s) request (s) and requirements. Sonic Drive-In Shift Manager May 2003 - May 2010 Started working for Sonic Drive-In until last couple semesters of college to focus fully on studies and degree (s). Cashier, cooking, delivery of food, and manage crew of 3-6 workers and ensure staffing stayed within requirements. attributes Proficient in processing Part D claims, Excel (creating tables, charts, dashboards with large volumes of data etc.), Word (process/procedural summaries, guidelines), Power-point, Data analysis, multi-tasking, strong work ethic, highly self- motivated to accomplish requested task and always hold a high standard