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Program Specialist/Budget Tech Resume Example

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PROGRAM SPECIALIST/BUDGET TECH
Summary

Soon to be gymnastics coach possessing excellent leadership skills, dynamic interpersonal communication skills and strong mentoring ability. Equipped to support the mission of any athletic program.

Highlights
  • Former gymnast
  • Energetic personality
  • Self-motivated
  • Dedicated
  • Human anatomy knowledge
  • Fitness equipment expertise
  • Computer proficient
  • Personable and friendly
Experience
Program Specialist/Budget Tech
July 2012 to CurrentVA Medical Center, NAVAHCS － Prescott, AZ
  • As the Program Specialist/Budget Tech for Community and Managed Care (CMC), I perform many duties. This includes managing the Non-VA Purchased Care budget of over 35 million dollars, overseen by the service line manager of CMC; developing, establishing and maintaining procedures to ensure efficient management of personnel and equipment; preparing in-depth analysis of services, coordinating and developing reports, and perform various audits as deemed necessary by the service line manager
  • Supervisor: Heidi Griswold (928-776-5470)
Medical Records Technician/Coder
January 2011 to July 2011VA Medical Center VHSO － Fayetteville, AR
  • Salary: 45,376.00 USD Per Year Hours per week: 40 Series: 0675 Pay Plan: GS Grade: 06 As a medical records coder, my primary responsibilities entailed reviewing documented patient care encounters and assigning correct diagnostic and procedure codes to these encounters.
  • This required a comprehensive review of the patient record in order to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture.
  • Codes were selected and assigned from the current versions of the ICD-9-CM, CPT, HCPCS, and DSM; in determining justification for code assignment, the patient record was proficiently searched to ensure proper documentation.
  • The knowledge required included advanced medical terminology, anatomy and physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures, and the principles and practices of health services in addition to the organizational structure to ensure proper code selection.
  • When necessary, I assisted facility staff with documentation requirements in order to accurately reflect the patient care provided and provided technical support in the areas of policy and regulation, and reported incorrect documentation or codes notated in the patient record.
  • Accepted coding practices and guidelines were strictly adhered to, to ensure accurate, ethical, and complete coding.
  • Regulatory and policy requirements which affect coded information, in addition to compliance with coding changes, were constantly researched and reviewed in order to maintain accuracy.
  • In addition, I corrected any identified data errors or inconsistencies in a timely manner to ensure acceptance in the national VA database within established timelines, and researched references to resolve any questionable code errors.
  • The facility computer system was utilized, which included Quadramed software, CPRS, Vista, and remote desktop, in addition to Windows based software, which included Outlook, Excel, and Word.
  • I worked within a team environment, supporting peers and inquiring when more information was needed, met goals and deadlines, and flexibly handled multiple tasks.
  • I independently planned and executed assigned tasks related to medical coding and documentation, and independently communicated with and resolved issues involving the clinical treatment that concerned medical coding and medical record documentation deficiencies.
  • I prioritized, planned, and organized my work to meet established deadlines, and kept my supervisor apprised of progress and problems on a regular basis.
  • As a collateral duty, I billed ChampVA inpatient, outpatient and Rx encounters for submission to ChampVA for reimbursement, as well as billing for outpatient worker's compensation claims.
  • I also continued as a backup timekeeper for the fiscal service.
  • In addition, I served as a trainer for coding, billing and basic computer assistance.
  • Supervisor: Sara McCoy (479-684-2900) Okay to contact this Supervisor: Yes.
September 2003 to July 2011VA Medical Center, VHSO － Fayetteville, AR
  • Business and financial operations program manager.
  • 479-444-5023.
  • Sara McCoy (*).
June 2010 to January 2011VA Medical Center VHSO － Fayetteville, AR
  • Salary: 47,254.00 USD Per Year Hours per week: 40 Series: 0561 Pay Plan: GS Grade: 08 Budget Assistant/Tech (This is a federal job As a budget assistant, I assisted the CFO and the budget analyst with tasks related to the facility's budget, which included budgetary activity for a level II Medical Center, six Community Based Outpatient Clinics, two Vet Centers, three National Cemeteries, various NRM projects, and a major construction project.
  • These tasks included transferring, increasing, and decreasing money within fund control points, monitoring the status of allowance, reviewing and analyzing target allowances, computing annual budgetary needs and making recommendations to the CFO for monthly funding adjustments, and responding to emails and action items relating to budget and fiscal.
  • I also tracked a large variety of data via Excel spreadsheets (to include information for routine budget briefs and salary and FTE data) and assisted in the budgetary needs of other services within the facility.
  • I helped compile and organize documents for the annual budget hearings from all of the services, and attended the meetings for these hearings; I also helped assemble all of the information produced during these hearings into one package to be presented to the director for a final decision and approval for the budget for the next fiscal year.
  • I recently configured and loaded the budget allotments into each fund control point for FY11.
  • As part of my duties, I regularly communicated with co-workers in fiscal and other employees and service chiefs within the facility regarding various aspects of the budget and information as requested.
  • I received timekeeper training and served as a backup timekeeper, was selected as an inspecting official for the unannounced audits of the agent cashier for fiscal years 2011 and 2012, and completed purchase card training in order to serve as an alternate for the facility purchase card program.
  • I attended the Financial Management Training Conference in San Francisco (August 9-13, 2010), where I completed courses in Federal Financial Management Overview and the Budget Analyst's Essential Guide to Formulation, Justification and Execution.
  • Supervisor: Birch Wright (479-443-4301) Okay to contact this Supervisor: Yes.
November 2008 to June 2010VA Medical Center VHSO － Fayetteville, AR
  • 45,823.00 USD Per Year Hours per week: 40 Series: 0503 Pay Plan: GS Grade: 08 Fiscal Accounts Assistant/OPECC (This is a federal job My OPECC duties included resolving rejection issues and transmission errors with electronically processed pharmacy claims, obtaining prior authorizations for medications that required one, closing out claims that could not be resolved based on the rejection and resolution guide, and ensuring that the facility was submitting claims electronically to all insurance companies for which we have a national contract by monitoring and updating the insurance information in Vista.
  • The process of resolving rejects required working with other departments, including the pharmacy ADPAC and first party insurance verification, in order to resolve issues involving how the prescription was filled and problems with the patient's insurance file, respectively.
  • Some rejects also required correspondence with the national e-pharmacy team in order to be corrected.
  • The rejection list was worked daily.
  • I routinely attended national e-pharmacy conference calls and training sessions to ensure I was up-to-date on the most current information regarding processing electronic pharmacy claims.
  • I also educated and trained members of first and third party regarding e-pharmacy so they could handle any problems that arose on their end.
  • I also had the responsibility of billing all outpatient Rx paper claims to insurance companies that could not have claims submitted electronically and all ChampVA Rx billing.
  • I cleared the backlog of ChampVA Rx billing, and worked daily to keep both ChampVA and outpatient Rx billing up-to-date.
  • I was in charge of all outpatient Fee billing as well, which included claims processed by the Consolidated Fee Unit and those processed via Humana/Project Hero; I furthered my knowledge of CPT, HCPCS, and ICD-9 codes and coding during this time, as well as improved my ability to research and solve issues relating to documentation and coding.
  • I regularly utilized Microsoft Word, Excel, Live Meeting, Outlook and PowerPoint in addition to CPRS, Vista, Quadramed, remote desktop, and the FBCS (Fee Basis Claim System) Distribution and Processing software in order to fulfill my job duties.
  • Supervisor: Duane Scoggin (479-443-4301) Okay to contact this Supervisor: Yes.
Claims Assistant
August 2007 to November 2008VA Medical Center VHSO － Fayetteville, AR
  • Salary: 36,448.00 USD Per Year Hours per week: 40 Series: 0998 Pay Plan: GS Grade: 06 During my time in the Fee department, I worked as a member of the fee team processing all claims received in the fee office, including specialized fee claims.
  • I proved proficient at multitasking by handling a variety of phone calls from vendors, veterans, and their families, in addition to assisting veterans and their families when they walked into the office.
  • I provided training to new fee employees, accurately maintained and monitored Docuware software, and participated as a team member on a fee based goal sharing project in 2008.
  • I resolved the authorization and rejection issue with home health, along with cleaning up the backlog of these claims.
  • I was responsible for training and updating other fee clerks on the correct process for entering home health authorizations while also organizing and creating a spreadsheet for this information as well as writing an SOP; I also organized and created a spreadsheet for home health contracts.
  • I was tasked with the responsibility of processing the State Veteran's Home; this included examining and accepting new applications, updating status changes, making monthly payments, and organizing this process.
  • I audited the State Veteran's Home with the fee supervisor, Ronnie Byrd, and the chief of fiscal, Mr.
  • James Hurst, fall 2007.
  • I audited all payments to the State Veteran's Home dating from 06/2007 through 6/2008, and created a spreadsheet consisting of all monthly payments to the State Home in order to track and review past payments and patient rosters, 06/2008.
  • As part of processing payments to the State Veteran's Home, I updated monthly payments into the Citrix software system which transmits the data to Washington D.C.
  • I was also assigned the responsibility of processing contract nursing home claims, which included the resolution of payment issues.
  • I composed an SOP for paying contract nursing homes and trained other fee employees on the processing of these claims.
  • I was involved in numerous special projects for the fee department, utilization review, and the business office, and assigned to numerous specialized tasks over and beyond other fee clerk tasks.
  • I was also appointed with the collateral duty of outpatient and inpatient fee billing, including the use of Quadramed software, remote desktop, and the FBCS Distribution and Processing software package, 07/2008, and appointed with the duty of Rx billing for third party.
  • While working in this collateral duty, I learned the policies for numerous insurance companies and further expanded upon my knowledge of ICD-9, CPT, and HCPCS codes.
  • I consulted with other billers, coders and the coding supervisor in our facility in order to resolve discrepancies and to clarify information as I learned the duties of this aspect of my position.
  • I regularly used Vista, CPRS, Docuware, FBCS package, Citrix, and Microsoft Word, Outlook and Excel as a fee clerk.
  • Supervisor: Ronnie Byrd (479-443-4301) Okay to contact this Supervisor: Yes.
Patient Services Assistant
May 2004 to August 2007VA Medical Center VHSO － Fayetteville, AR
  • 34,317.00 USD Per Year Hours per week: 40 Series: 0303 Pay Plan: GS Grade: 06 As a patient services assistant (PSA), I worked as a member of a primary care team managing a clinic and assisting veterans with their healthcare needs.
  • I educated veterans and their families on VA eligibility, in addition to ensuring accuracy and completing/updating patient data and demographics, which included entering means tests and copay tests into Vista and CPRS.
  • Some of my other duties included scheduling multiple appointment types (labs, various radiological tests, and follow-up appointments), coordinating appointments with other clinics in the facility, triaging phone calls and determining who required a telecare to the nurse, maintaining the patient panel, discharging patients from the clinic, admitting patients to the hospital, managing the daily clinic schedule, tracking consults, tracking performance measures, orienting new physicians and training new patient services assistants.
  • Part of my daily duties included printing patient encounters for the provider to close out.
  • I also provided clinic reports to supervisors as needed and was detailed to the compensation and pension office as needed.
  • During this time I became familiar with JCAHO (Joint Commission on Accreditation of Healthcare Organizations) and SOARS and the mandates and requirements imposed by these bodies in regards to the patient record and documentation, patient privacy, and safety.
  • A few of the special projects I was involved in included proofreading a national-level mandatory scheduling training for Luanna Oxford, and participating in the pilot, conference call, and evaluation for said scheduling training, 10/2006.
  • I supervised and assisted employees on this scheduling training, and collected the employee certificates for several days for Luanna at the LRC, 04/2007.
  • I assisted on a special project to update influenza vaccination status in patient's charts, 2006/2007.
  • I also participated in goalsharing in 2005 and 2006.
  • During my time as a PSA, I utilized Vista and CPRS on a daily basis, and Microsoft Word, Excel, Outlook and PowerPoint as needed.
  • Supervisor: Luanna Oxford (479-443-4301) Okay to contact this Supervisor: Yes.
Medical Support Assistant
September 2003 to May 2004VA Medical Center VHSO － Fayetteville, AR
  • Salary: 26,699.00 USD Per Year Hours per week: 40 Series: 0679 Pay Plan: GS Grade: 05 My duties as a medical support assistant (MSA) included assisting the medical staff in scheduling and coordinating appointments, labs and tests, admitting patients to the hospital, handling phone calls, and ensuring accuracy and completing/updating patient data and demographics, including means tests and copay tests into Vista and CPRS.
  • I was also responsible for enrolling veterans into the VA system and determining eligibility and educating veterans and their families regarding VA benefits.
  • I worked urgent care and all of the outpatient specialty clinics, including compensation and pension, and travel.
  • During my time as a MSA, I utilized Vista and CPRS on a daily basis, and Microsoft Word, Excel, Outlook and PowerPoint as needed.
  • Supervisor: Melanie Wood (479-443-4301) Okay to contact this Supervisor: Yes.
Research Assistant
November 2002 to July 2003Arkansas Children's Hospital Research Institute － Little Rock, AR
  • Salary: 25,000.00 USD Per Year Hours per week: 40 As a research assistant, I collected samples and performed biochemical tests and assays to obtain raw data to be analyzed for scientific publications; I was also responsible for analyzing and organizing this data and proofreading drafts prior to submission for publication.
  • I worked directly under a head scientist who received funding through the NIH and USDA, and collaborated with postdoctoral fellows during this research which included detecting antioxidant levels in blood plasma,urine and feces from pigs that were fed various diets.
  • We also tested antioxidant levels in human subjects who volunteered to intake certain products and provide their blood and urine.
  • I assisted in surgical procedures on the pigs and was solely responsible for obtaining samples from the pigs, processing these samples and testing them via lab equipment.
  • The processing (performed aseptically) included the use of various baths, diluting, centrifuging, using various chemicals for specific reactions, and running the processed samples through lab equipment for data analysis (approximately 85% of my duty time was spent processing specimens).
  • I gained knowledge of various sterilization techniques to include how to properly use sterilization chemicals and how to autoclave.
  • I used Microsoft Word and Excel, and a database on a daily basis to monitor and track data that was obtained, and performed statistical analyses on this data.
  • The two year lapse of employment between Superior Federal Bank and this position at the Research Institute was due to my acceptance and attendance in the M.D.
  • program at UAMS Medical School in Little Rock, AR.
  • Supervisor: Dr.
  • Ron Pryor (501-364-7373) Okay to contact this Supervisor: Yes.
teller and customer service consultant
August 1996 to July 2000Superior Federal Bank － Russellville, AR
  • Hours per week: 20 While employed at Superior Federal Bank, my responsibilities included opening checking and savings accounts and Certificates of Deposits for customers.
  • I aided in the completion of consumer loans and assisted customers in account and loan decisions.
  • I also assisted customers with account problems, bounced checks, and forgery/theft in addition to making deposits, withdrawals, and transfers from their accounts.
  • I worked part time at this place of employment while finishing my bachelor's degree.
  • Supervisor: Cheryle Alexander (479-968-4192) Okay to contact this Supervisor: Yes Western Sizzlin' Russellville, AR United States.
NAVAHCS
July 1995 to March 1996Heidi Griswold
  • Hours per week: 20 food and salad bar worker While working for Western Sizzlin', my duties entailed cleaning, prepping and preparing food, maintaining that the salad and food bars were always stocked and clean, and cleaning the work area.
  • Supervisor: John Hubbard (479-968-1757) Okay to contact this Supervisor: Yes.
Education
Bachelor of Arts : Art, Social Science, Biology, Chemistry, 05/2000University of the Ozarks － Little Rock, AR, United States

Coursework in Health, Anatomy, Physiology, and Psychology

High School Diploma : 05/1995Russellville High School － Russellville, AR, United States
MedicineUAMS College of Medicine － Little Rock, AR, United States
Work History
Program Specialist/Budget Tech
July 2012 to CurrentVA Medical Center (NAVAHCS) － Prescott, AZ
Medical Records Tech/Coder
January 2011 to July 2011VA Medical Center (VHSO) － Fayetteville, AR
Budget Assistant
June 2010 to January 2011VA Medical Center (VHSO) － Fayetteville, AR
Fiscal Accounts Assistant/OPECC
November 2008 to June 2010VA Medical Center (VHSO) － Fayetteville, AR
Claims Assistant
August 2007 to November 2008VA Medical Center (VHSO) － Fayetteville, AR
Patient Services Assistant
May 2004 to August 2007VA Medical Center (VHSO) － Fayetteville, AR
Medical Support Assistant
September 2003 to May 2004VA Medical Center (VHSO) － Fayetteville, AR
Research Assistant
November 2002 to July 2003Arkansas Children's Hospital Research Institute － Little Rock, AR
Additional Information
  • Participated on a competitive gymnastics team from junior high through high school
  • Participated on a competitive swim team through high school
  • Participated on a competitive cross-country team through high school
  • Trained in kickboxing during time as an undergrad
  • Trained in Shorin-Ryu Karate from 2004 - 2011; earned black belt in 2011
  • Trained in Tai'Chi from 2004 - 2011; assisted with World Tai'Chi day every year in April; regularly assisted with class instruction and occasionally led the class
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Resume Overview

Companies Worked For:

  • VA Medical Center, NAVAHCS
  • VA Medical Center VHSO
  • VA Medical Center, VHSO
  • Arkansas Children's Hospital Research Institute
  • Superior Federal Bank
  • Heidi Griswold
  • VA Medical Center (NAVAHCS)
  • VA Medical Center (VHSO)

School Attended

  • University of the Ozarks
  • Russellville High School
  • UAMS College of Medicine

Job Titles Held:

  • Program Specialist/Budget Tech
  • Medical Records Technician/Coder
  • Claims Assistant
  • Patient Services Assistant
  • Medical Support Assistant
  • Research Assistant
  • teller and customer service consultant
  • NAVAHCS
  • Medical Records Tech/Coder
  • Budget Assistant
  • Fiscal Accounts Assistant/OPECC

Degrees

  • Bachelor of Arts : Art, Social Science, Biology, Chemistry , 05/2000
    High School Diploma : 05/1995
    Medicine

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