From:                              route@monster.com

Sent:                               Monday, April 18, 2016 4:41 PM

To:                                   hg@apeironinc.com

Subject:                          Please review this candidate for: Program Analyst

 

This resume has been forwarded to you at the request of Monster User xapeix03

Confidential Resume

Last updated:  09/30/14

Job Title:  no specified

Company:  no specified

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Status:  Resume Received

Confidential Resume

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Summary Section

 

 

RESUME

  

Resume Headline: Insurance Collections Specialist/Report Specialist

Resume Value: 3t4tiqb3sy532c9m   

  

 


·  Well organized

·  Quick Learner


·              Versatile

·              Exceptional communication skills


·               Creative problem solving

·               Dedicated team player


·               Enthusiastic, drive, and determination

·               Dependable

 


 

Work Experience

 

University of Pennsylvania, School of Dental Medicine07/06 – Present             

Philadelphia, PA

Insurance Collections Specialist/Report Specialist

·              Responsible for reviewing, researching and reprocessing of aged Medicaid and Commercial insurance claims for payment

·              Resolved patient billing issues/conflicts and managed all insurance related calls to and from patients and insurance companies

·              Prepared ad-hoc reports using Crystal Reports and Qlikview as requested

·              Worked with the Central Registration and Scheduling Center when needed.  Performed the check in/check out process, collected appropriate payments, and made appointments.  Verified patient eligibility and benefits.  Setup appointment book views in Dentrix

·              Submitted and followed up on Medical claims for the Oral Surgery providers. Coordinated efforts with the Office of Medical Affairs for credentialing of our dental providers for Medical billing

·              Supported the Director of Patient Revenue in the pursuit of recouping wayward checks sent to the Hospital of the University of Pennsylvania in error with reports and documentation

·              Reviewed Hill Burton grant applications for approval/denial based on patient income and family size.  Sent correspondences to patients informing them of their approval/denial.  Applied Hill Burton adjustments when approved, sent denial letters when denied.  Triaged all Hill Burton questions from patients, staff, and students

·              Approved/Denied requisitions and purchase orders for payment

 

LONG-TERM TEMPORARY ASSIGNMENTS  2001 to 2006

 

Administrative Assistant in Orthodontic Clinic at University of Pennsylvania, School of Dental Medicine

·              Registered/checked-in patients in a pleasant, professional and timely manner, being sensitive to patient services

·              Explained University policies, responsibilities and patient bill of rights

·              Organized patient flow, answer phones and solve patient billing issues

·              Insured all necessary demographic and financial data is obtained an updated

·              Answered telephones, responded or routed calls and greeted office visitors/patients, processed incoming and outgoing mail

 

Administrative Assistant to the Chairman of Orthodontics at University of Pennsylvania, School of Dental Medicine

·              Administrative assistant to the chair and department faculty and staff in all aspects of teaching and administration, including: preparation of manuscripts and course material; typing correspondence, maintained schedules

·              Organized departmental seminars, luncheons and hotel arrangements for visitors, including room reservations, facilities set up for audio/visual and related room arrangements; prepared necessary materials, presentations for meetings

·              Interacted with faculty, students and other administrators with a pleasant and professional demeanor

·              Answered phones, responded to routine questions

·              Served as informational resource to contacts both within and outside the SDM; worked with confidential information; reviewed mails for Chairman, and prepared and responded to routine correspondence

·              Oversaw the processing of all bills, reimbursements; ensured any necessary corrections were made


Administrative Assistant to the Director of Pigmented Legion Group at HUP

·              Proofread and edited medical reports transcribed by an outsourced company

·              Entered medical reports into a proprietary database and prepared them for signing

·              Prepared acceptance/rejection letters for the Editor of the Dermatology Journal

·              Updated article information on Excel spreadsheets and tables in Word

 

Administrative Assistant to Director of Physical Medicine and Rehabilitation at HUP

·              Organized office procedures without any training due to an unexpected turnover

·              Implemented spreadsheets to log appropriate payments for clients

·              Prepared and submitted articles for Director and his 3 Fellows in training

·              Coordinated schedules for weekly meetings with Department heads and gathered materials for discussion

·              Setup travel arrangements (business and personal) using frequent flyer miles, limousine/car service, and dinner reservations and maintained calendar in Outlook and appointment book

 

Legal Secretary for 2 attorneys specializing in Healthcare

·              Transcribed multiple correspondences, agreements, and contracts using a dictaphone

·              Proofread and edited healthcare professional/business contracts, agreements, and correspondence

·              Answered phones and prepared informed, succinct messages and made travel arrangements via a travel agency

·              Maintained calendar in Outlook and in appointment book for scheduled speaking engagements, travel arrangements, and appointments

·              Created a database to organized and track file archiving and speech files from speaking engagements

 

Administrative Assistant/Bookkeeper for Court Reporting Agency

·              Scheduled court, office, and video depositions

·              Typed correspondences to attorneys

·              Copied, prepared, and delivered transcripts to attorneys

·              Performed light maintenance on Toshiba and Minolta copiers to remove paper jams, streaks and replace toner

·              Responsible for Accounts Payable, Accounts Receivable, and Billing using QuickBooks Pro 2002

·              Generated new invoices and performed collections for past due invoices

·              Set up office procedures to facilitate and improve production performance

·              Maintained calendar in Outlook and appointment book and made international travel arrangements

 

Legal Secretary for a Law Office Specializing in Personal Injury

·              Transcribed, edited daily dictations

·              Typed correspondences and File Summaries, Motions, and Pleadings

·              Prepared documents for Motions, Pleadings, and Depositions

·              Entered attorney’s time into Orion timekeeper software

 

Summer Project Coordinator (Paid Internship), Four Season’s Hotels & Resorts, Human Resources International

Washington, DC

·              Responsible for designing, developing, and implementing automation projects and databases for routine office functions and special projects by creating modules in Excel, Word, and Access to automate daily processes

·              Performed internet research for an employee relocation Lotus Notes database

·              Provided on site software support

 

TECHNICAL SUMMARY

 

SoftwareMicrosoft Office (all versions), SQL Server 2012, Crystal Reports, Qlikview, Dentrix, Business Objects, Orion, QuickBooks Pro

Languages: SQL, Transact SQL, VBA script

EDUCATION

 

Technical/Vocational Diploma, The Chubb Institute, Springfield, PA, Computer Programming, GPA 3.504/00

Technical/Vocational Diploma, The Chubb Institute, Springfield, PA, Computer Technical Support, GPA 3.576/97

Technical/Vocational Diploma, The Thompson Institute, Philadelphia, PA, Medical Assistance Program, GPA 3.9210/95

 

Sheronne Burkley

 

SummaryA versatile, action–oriented professional with over 20 years of administrative/office skills, 5 years of management, and 6 years of computer technical and software support.  Has demonstrated decisiveness, well developed planning, and communication skills as needed in a variety of progressively responsible and challenging assignments.   Able to take initiative, anticipate problems and be detail oriented.  I am now seeking employment in which my education, skills, and experience can be utilized. 

 

Key Strengths:

 



Experience

BACK TO TOP

 

Job Title

Company

Experience

Insurance Collections Specialist/Report Specialist

CONFIDENTIAL

- Present

 

Additional Info

BACK TO TOP

 

Desired Salary/Wage:

40,000.00 - 50,000.00 USD yr

Current Career Level:

Experienced (Non-Manager)

Date of Availability:

Negotiable

Work Status:

US - I am authorized to work in this country for any employer.

Active Security Clearance:

None

US Military Service:

Citizenship:

US citizen

 

 

Target Job:

Target Job Title:

Insurance Collections Specialist/Report Specialist

Desired Status:

Full-Time

 

Target Company:

Company Size:

Industry:

Healthcare Services
Computer/IT Services

Occupation:

Administrative/Clerical

·         Executive Support

·         Secretary/Executive Assistant

·         Claims Processing

 

Target Locations:

Selected Locations:

US-PA-Philadelphia

Relocate:

No

Willingness to travel:

Up to 25% travel

 

Languages:

Languages

Proficiency Level

English

Fluent