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Outgoing, motivated team player eager to contribute dynamic customer service, administrative support, and organizational skills towards supporting the objectives of and organization that rewards reliability, dedication, and solid work ethics with opportunities for professional growth.

Work experience

Aug 2011Present

Senior Operations Specialist

PNC Healthcare Division
  • Primary duties include data entry and processing clients medical claims.
  • Organizing clients claims according to provider form and type.
  • Properly train, create and add missing fields on medical claims as needed in order to properly process information.
  • Perform end of day balancing which includes ensuring all information has been entered correctly, all billing information is balanced and matches check amounts as well as ensuring 835 single is ready to be processed and sent back to clients for further review and processing.
  • Assist supervisor and department head on various projects as needed.
Nov 2010Mar 2011

Reconciliation/ Enrollment Specialist

Spherion/ Universal American
  • Reviewed current and new members' enrollment information for completeness and accuracy.
  • Evaluated various systems affiliated with members plan information to ensure completeness of insurance plans per departmental guidelines.
  • Modified any errors per management and system upload requirements in order for members insurance plans to be accurately processed.
  • Trained incoming temps on all systems to be worked per management. 
  • Assisted Team Lead as well as various Department managers on numerous projects as needed
  • Maintain daily production quota for all assignments worked.
Jan 2010Feb 2010

Data Entry Specialist

Starpoint Solutions
  • Successfully converted new and old patient accounts into newly implemented Sorian System.
  • Supported the billing and coding departments by completing registration fields and entering billing  data involving incident and occurrence codes.
  • Reviewed and verified all insurance and HIPPA information via company's HDX system in order to complete patient registration and charge postings.
Feb 2007Sep 2009

Clerical Assistant

Positive Education Program
  • Provided a complete range of clerical support services for 30 + employees, including answering a multi-line console, taking messages for staff, typing memos and letters, and ensuring client needs.
  • Demonstrated sensitivity to the needs of family members by acting as a liaison between the families and their assigned Care Managers.
  • Entered Care Manager notes for tracking of client billing in the company's PEP (Positive Education Program) Client Information System.
  • Developed a comprehensive spreadsheet of all current and past clients for the purpose of auditing.
  • Retrieved files for auditors of the The Board of Mental Health and supplied information to assist in resolving insurance and billing issues.
  • Gathered clients information and paperwork for medical records to various agencies such as Social Security Disability, Rehabilitation clinics, Courts and Lawyers.
Jan 2007Feb 2007

Credentaling Support Specialist

Area Temps/ Franklin & Seidelmann, Inc
  • Assisted both the Credentialing Manager and physicians by ensuring that all Medicaid and state licensing information was current in company's SyMed system.
  • Updated and processed physicians information in a timely and accurate manner to insure state licensing and provider enrollment.
  • Submitted Medicaid applications, correspondence, and other materials to physicians for completeness and signatures via fed-ex.
Feb 2006Apr 2006

Medical Records Representative

MetroHealth Medical Center
  • Prepared and processed medical records and shot records for patients and outside agencies such as Lawyers, Social Security Disability, and other medical facilities.
  • Generated payment invoices for all outgoing medical records as well as tracked all records received into and sent out of the department in the company's EPIC patient tracking system.
  • Performed a variety of clerical duties including record maintenance, faxing, scanning, photocopying and front desk support for physicians, nurses, and other health care providers.
Jul 2005Oct 2005

Medical Records Technician

Menorah Park Center for Senior Living
  • Managed daily patient census information of all incoming, outgoing and deceased patients and updated charts accordingly.
  • Assisted in collecting patient demographics and insurance information for all new and returning residents as well as assigned medical record numbers.
  • Ensured that residents ADLs (Activites of Daily Living) and care plans for the MDS (Minimum Data Sheet) form were correctly entered and updated weekly into the companies MDS system.
  • Prepared inactive patients charts for storage and auditing.
Mar 2002Jul 2005

Data Entry Operator

Medical Mutual of Ohio
  • Reviewed medical claims for accuracy as well as corrected errors, and entered missing data.
  • Maintained control of entered claims by properly following batch control procedures.
  • Informed team leader and operations manager of any unusual situations affecting productivity, and efficiency of data flow.
  • Worked with team members meeting and exceeding production deadlines.
  • Assisted in other duties as assigned.


Chancellor University


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