Temporary Vendor Matching & Controls Analyst Resume Example

• Enter information on to freight bill entry screen gathered from imaged bill of lading to create bill/invoice.
• Gather demographic and financial responsibility information from bill of lading to determine which party will pay for freight charges.
• Provide contact information and delivery information for driver purposes.

• Reviewed imaged Medicare applications for accuracy, and completeness.
• Responded to credentialing specialists regarding application status.
• Researched, analyzed, processed provider enrollment applications.
• Ensured that providers and suppliers are in compliance with Medicare and CMS standards and measures.
• Reactivated Medicare PINs within 120 days of deactivation with required documentation.
• Performed record checks on OIG, SAM, MCS and NPI registry.
• Attached correspondence to application for further review and processing.

•Opened new disability, accident, cancer or hospital confinement policies based on information received.

•Reviewed information to define limitations of policy coverage.

•Updated current rates for policy prices, using South Carolina database.

•Reviewed outgoing policies for quality.  

• Contacted providers regarding Medicare overpayments and payments made in error.
• Updated weekly spreadsheet to confirm contact made with providers.
• Kept record of problem calls, and repeat entries to database.
• Made cold calls to provider accounting personnel in attempt to collect debts owed to Medicare J1 and J11 jurisdiction.
• Assisted with referral of severely delinquent providers to Treasury Department for collection.
• Responded to provider inquiries regarding the origin of overpayments.
• Conducted month-end balance sheet reviews and reconciled any variances.
• Reduced time and costs and increased efficiency by introducing and implementing new calling procedures.

•Opened new disability, accident, cancer or hospital confinement policies based on information received.

•Reviewed information to define limitations of policy coverage.

•Updated current rates for policy prices, using South Carolina database.

•Reviewed outgoing policies for quality.

• Opened new disability, accident, cancer or hospital confinement claims based on information received.
• Contacted customers, via incoming and outgoing telephone calls, to request additional information needed.
• Met and exceeded daily, monthly and weekly goals on a consistent basis.
• Researched incoming mail to ensure association to the correct claims.
• Kept record of claims opened and batches completed on a daily and weekly basis.
• Coded correct ICD-9 diagnosis codes to claims for processing.
• Reviewed, sorted, appended and associated incoming scanned mail to correct claims if opened.

• •Prepared, scanned, verified, sorted, prepped, and processed incoming checks and batched for deposit on a daily basis, in a timely manner.
• •Entered freight bill payments into Reflections system for payment on open A/R invoices.
• •Contacted customers, via incoming and outgoing telephone calls, to resolve unapplied credits for freight invoice payments.
• •Researched customers' account, address and open A/R invoices to ensure timely payment and updates.
• •Worked as a supportive team member to reach production goals on a daily, weekly, monthly and quarterly basis.
• •Posted unapplied funds to daily spreadsheet and updated queue for record-keeping purposes.
• •Provided refunds to customers due to cash application error or as requested.
• •Located and resolved invoices which were missing information for correct payment.
• •Completed miscellaneous journal entries to move unapplied credits to respective accounts.
• •Created, completed and distributed month end reports to verify unapplied spreadsheet and unapplied queue.
• •Submitted multiple actions to improve efficiency for daily processes.
• Verified details of transactions, including funds received and total refund amount due.
• Conducted month-end balance sheet reviews and reconciled any variances.
• Researched and resolved billing and invoice problems.

• Responded to customer account inquiries via email using Kana system.
• Used Einstein system to view and perform maintenance on customer accounts.
• Researched customers' account, card and transaction history.
• Refunded accounts due to bank error or customer relationship as requested.
• Called customers to clarify information received on emails.
• Selected to train and review for pilot address change queue.