Facs Administrator resume example with 20+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Skills
·Great Attendance
Collaborative Environment
· Dependable/Adaptable
· Problem Assessment
· Data and Record Confidentiality
· Requirement Gathering and Analysis
· Advance Computer Skills
· MS Word
· Advanced MS Excel
· Medical Claims Billing and Claims Payor
· Account Reconciliation and Adjustment
· Benefit Coverage Determination
· Admin/Clerical Support
· Professional Verbal and Written Business Communications
· Office and Internal Documents
· Account Billing
· Electronic and Written Data
· Data Research and Analysis
· Calendar and Appointment Booking
· Front and Back Medical Office and EkG
· Medical Records
· Call Center Trained
· Difficult Customer Training
· Call Center and Auto Call Center Routing Software
· Call Metrics Monitoring
· Phone Etiquette Skills
· Multi-Line and Internal Systems
· Call Screening, Transfers and Routing
· Phone Messages
· Human Resources Dept Processes
· Employee Relations
· Employment and Union Contracts
· Grievance Handling and Redress
· Wage Garnishments
· Benefits and Deductions
· FMLA/CFRA/Leaves of Absence
· Deduction Calculation
· Bookkeeper and Accounting
· Payroll Processing Exempt and Non-Exempt
· Time Reporting
· Payroll Liabilities and Adjustments
· Payroll Taxes
· A/P, A/R. G/L
· Monthly Reconciliations
· A/P Account Billing and Management
· Expense Reports
· Profit and Loss Statements
· Balance Sheet
· Vacation and PTO Schedules
· State and Federal Disability
· FLSA and other Federal and State Laws
· EEO, Diversity and Inclusion
· Mandatory Coverages and COBC
· Safety, Health and Emergencies
· Attendance Tracking
· Work Schedules
Work History
08/1993 to 12/2022
FACS AdministratorSedgwick Claims Management Services, Inc. – Pascagoula, MS, San Ramon, CA
Performed at 100% Accuracy for 100's of orders per week
Translated technical concepts and information into terms parties could easily comprehend.
Documented software development methodologies in technical manuals to be used by IT personnel in future projects.
Tuned systems to boost performa
Plant and services that consistently evolved and changed
Internal and external customers who rated service as 5 star, highest rating
Collaborated with developers and performance engineers to enhance supportability and identify performance bottlenecks.
Consulted with engineering team members to determine system loads and develop improvement plans
Gathered requirements to determine necessary hardware configurations for planned software
Provided technical assistance to technicians and other internal customers
02/1997 to 01/2000
Maintenance Administrator/DispatcherA.T&T – City, STATE, San Ramon, CA
Evaluated and adjusted 100 routes based on daily needs, available workers, traffic hazards and weather conditions.
Directed dispatching, routing and tracking of more than 100 fleet vehicles.
Coordinated schedules for optimal coverage of daily workload and adjusted quickly to changing demands.
Received new orders, prepared documentation and assigned person.
Served as mediator when appropriate to settle conflicts and discrepancies between field personnel and management.
Assessed regulatory and operational risks for escalation to management.
Increased area coverage by 38% through effective scheduling and detailed location monitoring.
Monitored priorities and liaised between maintenance team and management, delegating tasks to complete on time.
Delegated tasks to carefully selected employees in alignment with resource management goals.
Assisted technicians in closing out orders and repair tickets after completion.
Helped technicians to maintain customer service records that were correct
Maintained short time frames to dispatch on business services
Created Team with Technicians in order to zero out daily workload
08/1993 to 02/1997
Annoyance Calls A.T&T – City, STATE, San Ramon, CA
Educated customers on company systems, form completion and access to services.
Investigated and resolved customer inquiries and complaints quickly.
Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
Applied highly effective selling skills while properly engaging and presenting solutions to customers
Handed over 60 calls per shift signing up new customers, retrieving customer data, presenting relevant product information.
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Maintained up-to-date knowledge of product and service changes.
Performed various clerical duties by filing and faxing documents and creating customer databases.
Attended telephone skills and program information training sessions to boost aptitude.
Created filing system to access records being subpoenaed or updated. Made easier to access information and purge to storage more easily.
Created records of files purged to storage so they would be readily available if subpoenaed at later date.
11/1992 to 08/1993
Workers' Compensation Claims AssistantInsurance Professionals Of San Francisco – City, STATE, San Francisco, CA
Checked documentation for accuracy and validity on updated systems.
Verified client information by analyzing existing evidence on file.
Generated, posted and attached information to claim files.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Modified, updated and processed existing case files
Calculated adjustments and payment.
Processed invoices and mailed documentation to clients.
Made sure letters and notices were sent at proper time for each case under my control, as per state law
Updated case files and electronic records of each case
Education
Expected in
: Accounting And Business Management Chabot College - Hayward, CA GPA:
Expected in 1981
High School Diploma: San Leandro High School - San Leandro, CA GPA:
Honor Roll 1977 through 1981
Studied Bookkeeping and Business Machines relevant at that time.
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