Angialique Allen

anga4942@yahoo.com

1127 N 380 E

Tooele, UT 84074

Cell (801) 230-8826

        

Personal Objective

 

Looking to join a team with a strong standing, stable company where organization and efficiency skills are a must in a structured environment. Where advancement and personal growth are available for a self-starter and long-term stability is available.

 

Job Experience

Dental SelectAugust, 2007 to Current

Eligibility SupervisorDirector: Suzette Musgrove

A/R Specialist / Finance(801) 495-3000

 

·                                                                Have been fulfilling the Operations Manager duties for the last 3 years  

·                                                                Supervise seven full time employees within the Benefits Eligibility department.

·                                                                Audit work performance to identify training needs, trends and to ensure accuracy for standards.

·                                                                Assist in creating Marketing Material and training documents for new products, services and guidelines to ensure accurate enforcement of state, federal and local legislative requirements and regulations per benefit.

·               Extensive leadership skills including Employee training, presentation, policy communication and evaluations in multiple departments.

·               Escalations for internal and external issues performing root cause analysis of incoming issues including billing, membership, claims and benefits.

·               Strategic thinking skills, Process Improvement analyst for money and time savings in within daily procedures. 

·                                                                Weekly and monthly reporting, including audit and correction reports to maintain accurate information within reporting and General Ledger.

·                                                                TPA payment allocation and reconciliation.

·                                                                Ensure benefit execution in guidance on plan building for regulations on claim payments

·               Maintain and service client’s needs on many levels.

·               Assist Sales and Underwriting on plan development and servicing  

·                                                                Finance reporting and analyses, budgeting and compensation evaluations. Payment allocation to location and disbursement.

·                                                                Basic understanding of each role within operations to ensure proper billing and claims payment

·                                                                Understanding of Health Care Reform, ACA and AvenueH guidelines and plan structure (on going)

·                                                                General understanding of benefits and requirements including HIPAA, COBRA, ARRA and FMLA

 

 

 

 

 

 

 

Cardon Healthcare Network, IncOctober 2004 to July 2007

Medicaid Eligibility Specialist / V.P: Kerry Keough

Project Operations Manager(801) 918-1931

SLC, UT 84124

 

•                                                                    Create training documentation and perform training for multiple locations within the project.
•                                                                    Manage eighteen full time employees and five different hospitals for financial and operation needs located throughout the Intermountain Region.

·   Extensive leadership skills including Employee training and evaluations in multiple departments.

•                                                                    Maintain account inventory for all five facilities on a weekly basis.

·   Extensive leadership skills including Employee training and evaluations in multiple departments.

•                                                                    Process Improvement analyst for money and time savings.
•                                                                    Address and Resolve Hospital, PAS and Employee issues.
•                                                                    Weekly and monthly reporting, including audit and correction reports to maintain accurate information within reporting and General Ledger.
•                                                                    Medicaid, SSI, and Crime Victims eligibility and follow up.
•                                                                    Understanding of benefit coverage and payment
•                                                                    Enter Field Visit notes into HCA accounts and track accounts.
•                                                                    Track Data entry issues with in the project.
•                                                                    Monthly or Bi-Monthly meeting and presentation with contract holders. (PAS)

·   Escalations for internal and external issues performing root cause analysis of incoming issues including billing, membership, claims and benefits.

•                                                                    Work closely with Hospital staff i.e.; registration, financial counselors, insurance verifiers, and management.
•                                                                    Work closely with state workers including DOH and DWS
•                                                                    Have been covering Management and Supervisor duties for 6 months. Including all financial reporting and clean up.

 

 

Pioneer Valley HospitalNovember 2002 to October 2004

ER Finance MangerDirector: Arthur Dale

PI Analyst / Quality Assurance(801) 964-3600

West Valley City, UT

•                                                                    Responsible for day to day financial operations for Emergency room
•                                                                    Finance reporting and analyses, budgeting and compensation evaluations.
•                                                                    Verified all patients’ accounts for admitting department.
•                                                                    Adjustments on room charges
•                                                                    Audit of insurance adjustments and balancing
•                                                                    Ensure statements can be created.
•                                                                    Basic understanding of each role within the operations to ensure proper billing.
•                                                                    Resolve any issues that prevent a bill from being submitted and paid.
•                                                                    Patient and Insurance collections.
•                                                                    Register patients for treatment
•                                                                    Collect money
•                                                                    Verify insurance eligibility
•                                                                    Payment Plan Processing
•                                                                    Submit claims and review for billing

 

 

 

Additional Job Experience

 

Customer Service/Collections: Dean Witter Discover Card call center

Business Owner: International Distributors, AAA Affordable Housekeeping

Accountant: Kwik Vending

Accounting, A/P, A/R and Payroll: State Line and Silver Smith Hotel

            And Casino.

Management: Flight and Booking Manager Stateline Hotel and Casino, Fairbanks Capital Special Loans Supervisor, USANA Inventory Control Specialist, Shipping Manager

 

 

Education

 

2011 – 2011

SLCC Online

Bachelors Business Operations / Corporate Finance / Non-Grad

1995 – 1996

SLCC Redwood Campus

Business Management / Corporate Finance

1992 – 1994

Wendover High School, Jr. Graduate GPA 3.8

 

 

 

Skills

I have knowledge of and have preformed the following job duties as well as software associated

 

* Payroll / Scheduling

Outlook, Time Tracker,  ADP, Paychex, Timeforce Qqest, KRONOS

* EDI (834 transfer) / Data Entry / QA

Access, Aldera

* Data Entry / Reconciliation

DataNet, SIRE

* Private issue / Custom database

Phoenix, CRM, HCA Host, New Wave

* Program management

MSP

* Accounting/ A/P / A/R / Billing/ Collections/ General Ledger:

10 key, HBOC, Artiva, HCA

* Training/ Sales / Forecasting

LTS

* Business Operations / Reporting

AcceleHealth, PACMIS, Meditech, Verte, Excel, Word Perfect, Power Point