Livecareer-Resume
Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Highly communicative Payroll Specialist promoting more than [5] years of expertise in auditing payroll data and processing garnishments. An action-oriented professional with skills in ADP processing and Matrix, Tyger, E-Clinical, & Careview. Offering talents in cultivating lasting relationships, resolving issues quickly and identifying mistakes on time sheets.

Skills
  • Performance Management
  • Microsoft Office Suite
  • Staff Development and Training
  • Handling Customer Complaints
  • Complex Problem Solving
  • Regulatory Compliance
  • Team Management and Supervision
  • Motivational Leadership
  • Team Building
  • Coaching and Mentoring
  • Schedule Coordination
  • Report Preparation and Analysis
  • Decision Making
  • Quality Assurance
  • Recruitment and Hiring
  • Project Management
  • Microsoft Office
  • Verbal and Written Communication
  • Friendly and Relatable
  • Variance Resolution
  • Program Development
  • Leadership and Change Management
  • Information Security
  • Inventory Oversight
  • Research and Analysis
  • Delegation and Work Assignment
  • Administration and Operations
  • Mail and Package Distribution
  • Accounts Payable and Receivable
  • Customer Service Management
  • Meeting Coordination and Support
  • Payroll Administration
  • Employee Motivation and Discipline
  • Account Reconciliation
  • Multitasking and Prioritization
  • Attention to Detail
  • Contracts and Vendor Agreements
  • Honesty and Integrity
  • Diligent Follow Through
  • Remote Work Coordination
  • Goal Setting
  • Confidence and Drive
  • Intuit QuickBooks
  • Documentation and Recordkeeping
  • Adaptable and Resilient
Work History
Billing and Payroll Coordinator, 08/2016 - Current
Gila Regional Medical Center Silver City, NM,
  • Applied knowledge of regulations, employment law and tax code to keep operations in compliance with applicable standards.
  • Offered payroll-related subject matter expertise to management and employees to resolve payroll discrepancies.
  • Performed calculations in overtime, vacation and sick hours to provide accurate data to payroll processing database.
  • Investigated payroll variances and employee claims to resolve discrepancies and balance financial records.
  • Verified and submitted timekeeping information for accurate and efficient payroll processing.
  • Completed bi-weekly payroll for 125 employees.
  • Prepared accounts for scheduled audits and assisted with audit process to facilitate faster completion of tasks.
  • Produced payroll activities documentation and reports to meet corporate guidelines and promote transparency.
  • Maintained [Software] timekeeping system.
  • Reviewed time records for [Number] employees to verify accuracy of information.
  • Uploaded time records into [System] and made adjustments to create accurate database for payroll processing functions.
  • Trained and led team of [Number] payroll specialists.
  • Managed payroll data entry and processing for [Number] employees to comply with predetermined company guidelines.
  • Reconciled accounts, managed deposits and tracked expenses.
  • Built and maintained contract calendars and managed set up for new banks for direct deposit and accrual year-end processes.
Prior Authorization , 10/2014 - 08/2016
Axis Pain Center City, STATE,
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Created and maintained spreadsheets detailing medical procedures and insurance denials and approvals.
  • Maintained compliance with patient privacy and security regulations such as [Area of certification].
  • Authorized surgical and [Type] requests in accordance with applicable plan guidelines.
  • Triaged unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response.
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Collected and processed patient liability statements prior to service.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Collaborated with [Job title]s to process patients lacking coverage for planned procedures.
  • Managed financial documentations such as expense reports and invoices.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Accurately completed insurance and Medicaid billing and OASIS documentation for patient visits.
  • Facilitated organized record retrieval and access by maintaining filing system for both in-house and discharged residents.
  • Greeted visitors and initiated triage processes for clients to streamline patient flow.
  • Kept detailed records of office inventories and placed $[Amount] orders for more supplies.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Organized patient files and streamlined operations to improve efficiency.
  • Registered and verified patient records before triage with most up-to-date information.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Implemented [Software] for digitizing and organizing over [Number] medical records.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Collaborated with assistants and [Type] doctors to prepare and set up rooms with adequate supplies and equipment.
  • Received, recorded and addressed incoming and outgoing communication via telephone and email.
  • Managed office bookkeeping with insurance billing and patient payments.
  • Answered telephone calls to offer office information, answer questions and direct calls to staff.
  • Placed new supply orders, managed inventory and restocked clerical spaces.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Carried out front office duties utilizing data entry skills in framework of medical database.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Prior Authorization Specialist, 01/2003 - 10/2013
UPMC Hamot City, STATE,
  • Input all patient data regarding claims and prior authorizations into system accurately.
  • Reached out to insurance carriers to obtain prior authorization for testing and procedures.
  • Collaborated with [Job title]s to process patients lacking coverage for planned procedures.
  • Maintained compliance with patient privacy and security regulations such as [Area of certification].
  • Escalated requests for non-standard services to [Type] personnel in [Area of expertise].
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Created and maintained spreadsheets detailing medical procedures and insurance denials and approvals.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Triaged unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response.
  • Authorized surgical and [Type] requests in accordance with applicable plan guidelines.
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Researched denied claims and contacted insurance companies to resolve these issues.
  • Reviewed insurance coverage for patients to determine which party was liable for payment.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Collected and processed patient liability statements prior to service.
  • Provided consulting services to over [Number] individuals on various career-related issues and communicated with clients to determine needs and goals.
  • Sorted out jobs relevant to interests of candidates to forward information to candidates.
  • Assessed information gleaned from interviews, educational, and medical records, consultation with other professionals and diagnostic evaluations to identify clients' abilities, needs and eligibility for services.
  • Documented all communication with applicants and inputted information into system using [Software].
Education
Associate of Arts: Business, Expected in 05/1998
-
Jamestown Community College - Jamestown, NY,
GPA:

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School Attended

  • Jamestown Community College

Job Titles Held:

  • Billing and Payroll Coordinator
  • Prior Authorization
  • Prior Authorization Specialist

Degrees

  • Associate of Arts

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