Human Resource Generalist, Medical Biller, & Administrative Assistant who is an expert communicator and negotiator with strong conflict resolution skills. Extensive background in recruitment and retention, mediation and records management, customer service, medical billing, and administration support.
Skills
Performance management strategies
Employee relations
Manager coaching and training
Benefits administrator
Event management
Independent judgment and decision making
Promotes positive behavior
Independent judgment and decision making
Supervisory training
Employee handbook development
Education
Pima Community CollegeTucson, AZExpected in 2013 ā āAssociate of Science:General Studies - GPA:
Coursework in Business Management
Coursework in Financial Accounting
Coursework in Health Services Administration and Business
Coursework in Healthcare Administration
Accomplishments
Supervised ten HR interns and provided assistance in resume building, training and career
path development.
Promoted to supervisor after two years of employment.
Developed departmental handbooks that presented criteria on how to navigate various
departments.
Work History
Kemper - Medical Claims Processor Booth, AL, 01/2013 - 05/2013
Monitoring itemized billings for excessive charges, duplications, unbundling, and medical coding.
Determining prior authorization/precertification of services paid via system and/or health services.
Requesting and reviewing medical records as needed for basic information to validate billing information.
Reviewing claims for required information, pending claims when necessary, maintaining a follow-up system, and updating and releasing pending claims when indicated.
Meeting and exceeding performance measurements for Claim Examiners as required by department to meet regulatory compliance.
Ability to operate PC-based software programs or automated database management systems.
Strong communication skills with excellent analytical and problem- solving skills.
Extensive knowledge of medical terminology, standard claims forms and physician billing coding, ability to read/interpret contracts, standard reference materials (PDR, CPT, ICD-9, and HCPCS), and complete product and Coordination Of Benefits (COB) knowledge.
Ridout Lumber Company - Administrative Assistant Little Rock, AR, 05/2010 - 2013
Drafted meeting agendas, supplied advance materials and executed follow-up for meetings and team conferences.
Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.
Served as central point of contact for all outside vendors needing to gain access to the building.
Maintained an up-to-date department organizational chart.
Supplied key cards and building access to employees and visitors.
Managed the day-to-day calendar for the company's senior director.
Received and screened a high volume of internal and external communications, including email and mail.
Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.
Managed daily office operations and maintenance of equipment.
Maximus, Inc. - Human Resource Specialist Rochester, NY, 06/2000 - 02/2007
Explained human resources policies and procedures to all employees
Worked closely with HR business partners to facilitate year-end talent reviews and articulate team strengths
Created job descriptions to attract a targeted talent pool within the market wage range
Managed over 100 personnel files according to policy and federal and state law and regulations
Generated employee tracking reports each month
Offered consistent payroll disbursement with accurate record keeping of employee PTO and vacation accruals
Helped training and development staff with all aspects of training coordination
Organized employee schedules, department phone lists and business card orders.
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