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Training Administrator Resume Example

Resume Score: 80%

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TRAINING ADMINISTRATOR
Summary

Personable, friendly and solution-oriented offering over a 28-year record in customer support and strong aptitude for working with little supervision in remote environments in the Medicare healthcare experience.

Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team. Highly empathetic and supportive team player.

Skills
  • Strong analytical skills
  • Integrity and objectivity
  • Self motivated
  • Multi tasking (the ability to manage time and prioritize tasks)
  • Positive attitude
  • Team oriented
  • Strong leadership, communication, decision making
  • Ability to make sound and rapid decisions
  • Strategic thinker
  • Microsoft , Excel, Word, Access, and Projects
  • Ability to work independently & involve management when needed
  • Ability to work effectively in a group/team environment
  • Strong oral and written communication skills
Experience
Training Administrator, Novitas Solutions Inc., November 2013-July 2020Dallas, TX

Supports provider customers' participation in and access to Medicare Provider Outreach and Education events and supports members of the POE team during their design, development, implementation and evaluation phases of each educational event. Managed specific components of the Learning Management System to achieve these goals. Manage the activities involved in successful Outreach and Education events including securing event venues, monitoring registration, trending educational needs, and supporting the unit in meeting the demands of our customer.

Learning Management System (LMS) Administration

  • Maintain and update all external education courses provided to Medicare providers. Coordinate between Provider Outreach and Education staff members and the external vendor to research and resolve technical issues.
  • Build, manage and track instructor-led and WebEx training in the LMS using developed course curricula, ensuring the delivery of required training initiatives to address identified performance and learning needs.
  • Manage the LMS resource center content, including documents and web links.
  • Administer external learning accounts in the LMS system by managing applicant eligibility and providing direction to participants on the capabilities and uses of the LMS. Verify, validate, and make determination of eligibility of account requests.
  • Manage external customer accounts by working directly with customers to resolve LMS account issues or registration problems. Work closely with participants to ensure events are accessible and accounts are accurate.
  • Manage account inventories by monitoring account activity and disabling non-active accounts in compliance with company license allocation limits.

Other Duties and Responsibilities

  • Provided requested ZPIC documents and education requests
  • Maintained/research the Education Mailbox
  • Maintained monthly Part A/B Newsletter
  • Maintained monthly Analytical PCID Report, EOMB
  • Manage LMS Registration and Survey Monkey, WebEx Training Session, Attendance completion
  • Maintained POE Procedures database. Reviewed procedures on an annual basis, or when necessary to ensure compliance to all related regulations. Ensure the intranet updates with the most relevant information.
  • PDF/508 compliance documents
Business Analyst, TrailBlazer Health Inc., August 2001-October 2012Dallas, TX
  • Research and identify potential weaknesses of system changes being implemented.
  • Enter test claims and transactions in the test environment (UAT), analyzing each phase of the system process using independent judgment and prior experience to determine problems and communicate any problems and possible resolutions to the appropriate systems personnel. Use existing procedures and facts to help solve routine problems or conduct routine analyses
  • Ensure all changes are functioning accurately and according to all CMS established regulations
  • Perform routine or structured work
  • Processed Section 1011 providers applications submitted for Electronic Remittance Advice (ERA) receiver ID
  • Claims adjudication with the 837, 835 utilizing the 4010 and 5010 version
  • Assisted other departments to resolve claims processing issues after the departments had exhausted their resources. Provided an explanation of the systems functionality, and initiated the proper actions for resolving the issues/problems
  • Maintained the Reason Code and IDE files
  • Provided training to new employees, guidance and instruction to team members as needed. Provided training sessions, meetings or systems modifications when appropriate for FISS systems testers to completely understand the nature of the system, file change or table change
  • Maintaining an in-depth knowledge of Medicare Part A and CMS regulations/guidelines and all related systems
  • Reviewed, commented and educated appropriated staff on CMS change Requests impacting Medicare Part A
  • Kept abreast of new policies for claims processing and correspondence, coverage and provider reimbursement
  • Monitor and test releases related to the applicable Part A departments
  • Maintain effective working relationships with outside departments, with an emphasis on Medicare Systems and Technical Services
Medicare Customer Service Representative, Blue Cross Blue Shield, June 1990-August 2001Dallas, TX
  • Respond to routine correspondence and telephone inquiries pertaining to claims or appeals.
  • Researched and identified incorrectly processed claims
  • Completed adjustments and reprocessing actions to correct claims previously filed
Education and Training
High School DiplomaAnguilla High School, Anguilla, MS
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Resume Overview

Companies Worked For:

  • Novitas Solutions Inc.
  • TrailBlazer Health Inc.
  • Blue Cross Blue Shield

School Attended

  • Anguilla High School

Job Titles Held:

  • Training Administrator
  • Business Analyst
  • Medicare Customer Service Representative

Degrees

  • High School Diploma

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