teI have a background in the Finance/Accounting field since 2005
with 2 years in a Commercial Bank, 7 years as a DA Civilian Financial Technician with the US Army
Health Command, and just recently with the Department of Veterans Affairs as Medical Reimbursement Technician. All these
positions require learning the Financial System developed within each program
and their respective business operations (funds control activities). I have
acquired the necessary skills and knowledge to locate data, analyze it and
prepare the necessary budget and expenditure reports (usually monthly) for
upward reporting to leadership or briefing to VIPs and/or visitors. A typical analysis
includes projection of future revenue and expenditure (budget analyzing) based
on current data. Further details on my
assignments are provided below.
Medical Reimbursement Technician07/2015 to Current Department of Veterans AffairsLas vegas, Nevada
Insurance coverage for Inpatient and Outpatient Services.
benefits, policy number, pre-certification requirements, insurance contact
information, and effective dates of coverage.
my own site to keep it current. I also assist my teammates in maintaining their
sites to be up to date.
consistently meet the monthly Quality Review expectations and insurance file
consistently exceed the monthly Productivity over 100 to 200%.
with the other departments like Billing, Accounts Management, and Pharmacy
billing through the VA system using QUIC and ONTRAC to determine if a bill
needs to be submitted, cancelled or updated based on the patient's policy.
worked on overtime/comp time to meet mission essential goals and schedule.
able to maintain and prioritize work through the VA system using QUIC, ONTRAC, BUFFER and HURON/VISTA.
to help Central CPAC with workload for 2 months in order for them to meet their
goals as a special project.
Volunteer to teach new team member on question about IV workload.
Financial Technician GS 6 Series 050303/2009 to 09/2014 US Army Medical CommandCamp Zama, Japan
I serve as the
Accounting Technician for the Third Party Collection Program (TPCP), Medical
Services Accounts (MSA) and Interagency Programs for BG CRAWFORD F SAMS USAHC in
Camp Zama. Duties include serving as a point of contact for medical accounting
representatives from insurance companies and other Federal agencies; reviewing
and reconciling insurance and medical data; establishing and monitoring various
accounts, billing and collecting reimbursements for medical services for the
I review the Insurance Information Worksheet from the patient along with the
Insurance Claim Form (DD2569) to ensure that documents are completed and that
the Assignment of Benefits portion is accurate.
I analyze information against
the explanation of benefits received from the insurance companies (e.g.,
withholding of monies, denial of payment, incorrect procedures, invalid policy and the like. I post transactions, applying debits and credits to a general ledger
account (both manual and automated systems such as General Fund Enterprise
Business System (GFEBS) and Automated Disbursing System (ADS)).
reconciliation documentation and check register to ascertain accuracy of
statements of accountability.
I prepare month-end and year-end adjustments to
the ledger balances. I prepare error correction document, finalize income
statements, balance sheets and accounts.
Determines if the account was inappropriately paid by the insurance company
and determines what other deviations or problems exist with the account (e.g.,
pre-certification errors with the documented DRG in terms of medical necessity
and the number of hospital days credited by the insurance company).
Provides review status for audits to show initiations, commitments (return
of overpayments), obligations, and accounts receivable.
Develops worksheets in
order to identify the source transactions and processing cycles utilizing
computer software and manual records. Adjusts entries and isolates
discrepancies and errors in accounts. Develops and changes forms and/or
procedures to prevent recurrences of errors.
Receives payments, verify accounting data (i.e., patient name, insurance
carrier billed, amount billed, etc.), and records receipts in the manual and
computer system and in the accounts receivable ledger.
Prepares payment voucher
DD Form 1131 Cash Collection Voucher in CHCS and reconciles with accounts to be
posted, then using the finance online GFEBS and ADS systems inputs the data to
the finance system.
Prepares SF 1049 Public Voucher for Refund to be input in
GFEBS. Serves as a point of contact for accounting aspects of the TPCP, MSA,
and Interagency programs. Makes contact with the insurance carrier concerned,
setting the stage for future contacts by the pre-certification nurse to discuss
diagnoses and treatments and takes steps to comply with the requirements of the
If accounts become delinquent will initiates correspondence and/or
telephones insurance carrier in order to identify the reason(s) for nonpayment
and to resolve the issue. Reviews the automated aging schedule for outpatient
accounts in the Account Receivables Management System - Professional (ARMS-Pro)
System. Each account (claim) on the schedule is reviewed individually, ensuring
that all accounts are being monitored and followed. Ensures that a Claims
Action Log is attached and that all conversations are documented involving the
status of the account.
Establishes and monitors cost accounts. Cost accounts are established in
cases where there is a discrepancy between the amount received from the
insurance company and the amount the government billed (i.e., one check from
Blue Cross/Blue Shield will include monies for 23 different accounts). If the
amount is incorrect for any reason, then the entire check (and all accounts
relating to the one check will be held until the issue is resolved (i.e.,
refund, overpayment, nonpayment, etc.).
Initiates procedures relating to
refunds and transfers from the DFAS office. Establishes and maintains a number
of different subsidiary accounts to provide control and financial
accountability by subprogram and type of account.
I maintain account data in automated database and utilizes other software
for correspondence and record tracking. Enters and extracts data for reports
needed by supervisor or management officials of TAMC or MEDCOM.
spreadsheets using commercial software and determines appropriate parameters
(e.g., formulas, computations, etc.).
Enters corrections to accounts in the
automated systems as well as the manual system and performs other account
correction processes required by the ARMS-Pro automated billing system.
Prepares and finalizes appropriate correspondence regarding delinquent billings
using word processing software such as MS Word. Provides assistance or training
to new employees on use of the various computer applications/systems as needed.
Attends all necessary training for
guidance on billing and collection procedures for TPCP, MSA, OTCNET, FEDDEBT (Treasury),
PAY.GOV, GFEBS and teach and train Local nationals to successfully perform these
duties as assigned.
Extensive knowledge of many accounting procedures, techniques, and terminology
in order to administer the ARMS-Pro accounting system for the hospital.
Knowledge and ability of a variety of accounts (e.g., cost accounts, delinquent
accounts, outpatient appropriation accounts, and appeal accounts) in order to
review, monitor, reconcile, bill and collect for the hospital.
Knowledge of automated billing systems, the mechanical fiscal account code
structure, and procedures in maintaining the system in order to bill, monitor,
and collect monies.
Knowledge of the variations of
accounting procedures and techniques used in interpreting and applying
guidelines to unusual situations (such as Health Maintenance Organizations
(HMOs), Federal Plans, and other private insurance policies).
Knowledge and ability to communicate in writing in order to appropriately
document accounts, and to initiate memorandums and reports.
ability to communicate orally with clinical and administrative staff, patients,
SJA personnel and insurance company representatives in order to follow-up on
Provide guidance to other TPCP personnel and coordinate billing and
Guidelines include Title 10 United States Code (USC), Uniform Business Office
Policy, fiscal codes, Finance Regulation AR 37-1 and other finance policies, 32
CFR Section 220, ICD9-CN, CPT international medical codes, medical
dictionaries, and MEDCOM TPCP/MSAO.
Employee uses judgment in order to
recognize differences in similar situations and to locate and apply the most
appropriate procedure to facilitate collection process.
Reviews, reconcile, bills, and collects monies in excess of $300,000 dollars
per year for the hospital.
Reports prepared or analyses used by higher
headquarters are used to project, plan and control costs involved in providing
health care services to USA MEDDAC-Japan.
Mail Technician09/2007 to 03/2009 US Army Postal ServicesCamp Zama , Japan
Postal Operation Section, processes
incoming and outgoing mail from departing or arriving postal vehicles. Knowledge of Automated Information Systems (AIS) in relation to Post Office.
Accurately prepares PS Form 3883 for delivery of accountable mail, and PS Form
3877 for receipt of accountable mail valued up to $25,000 on a daily basis.
Performs a wide
variety of duties related to establishment maintenance, control, and
disposition of records.
Serves as point of contact for the customer service and
provides the public with assistance in mailing; purchasing money orders,
exchange of money orders for cash, filing postal claims and checking postal
rates and restrictions.
Applies a thorough knowledge of postal procedures and
regulations when calculating postal charges of various classes of mail,
affixing the appropriate notations on the mail and assuring postal restrictions
have been met.
Determine total amount due the Post Office for the sale of
stamps, money orders, postage, and collects that amount from the customer by
either cash or check and credit/debit cards.
Manages the postal funds, stamp
account and money order forms. Prepares daily postal finance reports.
direct accountability for the funds and ensures amounts are within tolerance
In the performance of these duties, operating office machines including
calculator, typewriter, money order imprinter, postal meter machine, and UNISYS
2000 Computer Integrated retail terminal.
Teller Supervisor09/2006 to 05/2007 Community BankCamp Zama, Japan
the Bank Manager in establishing, revising or implementing administrative policies
Worked included correspondence management, reports control records,
control, transportation support to other bank branches and ATM , office
correspondence distribution , supplies and equipment control. Scheduled
subordinates monthly work hours and assignment.
Knowledge of Automated
Information Systems (AIS) in relation to bank operations.
Assists bank manager
in the hiring process: selection criteria, interview including the clerical
duties in support of personnel administration. At the end of each business day,
maintains transaction records, performs audits of subordinate tellers.
of subordinate tellers. Prepares/updates necessary documents in turn for
bi-annual headquarters audit. Prepares orders, memo and appropriate
correspondence for assignment of employees at the Zama bank.
Green Belt Certification: Lean Six Sigma2016Department of Veterans Affairs Las Vegas, Nevada, USA3 days class Training
Yellow Belt Class: Lean Six Sigma2015Department of Veterans AffairsLas vegas , Nevada, USA2 days Training Class
Certificate of Training: Use of New System2011Tripler Medical FacilityHonolulu, HI, USA4 days Training in using Accounts Receivable Management System Professional. (ARMS-PRO)
Certification: Leadership2008Army Management Staff SchoolFort Leavenworth, Kansas, USA3 Days in Advanced Leadership Class Training
Certification: Leadership2008Army Management Staff SchoolCamp Zama, Japan2 days Website Basic Leadership Training
Bachelor of Arts: Marketing1989Philippine School of Business AdministrationManila, Philippines
Educational Credential Evaluators, Inc. dated September 25, 2002.
Green Belt Certification : Lean Six Sigma 2016 Yellow Belt Class : Lean Six Sigma 2015 Certificate of Training : Use of New System 2011 Certification : Leadership 2008 Certification : Leadership 2008 Bachelor of Arts : Marketing 1989
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