An accounting and financial professional with 14 years of experience in auditing. An experienced self-starter, team player and problem solver with keen attention to customer needs and details. Committed to excellence in all endeavors with impressive work ethic.
Work History
Data Processor/OCR EDM
4 Years 2 Months
Blue Cross Blue Shield/Integrated Resources, Inc. | 09.2022 - Current
Completed data entry tasks with accuracy while meeting or exceeding expectations.
Entered numerical data into databases with speed and accuracy using 10-key pad.
Meeting production and quality goals of department.
Performing quality control of data by following related standards.
Billing Clerk
8 Months
Unum/Adecco | 04.2021 - 12.2021
Applying premium to group policies with goal to drive down current backlog,
Providing support for Billing Specialist team.
Using Excel skills, as some of backup provided by our customers requires some manipulation:
Providing self-accounting for all money that kicks out from bank, research to allocate premiums based on backup provided by Plan Administrator/employer to policy using multiple systems.
Researching to determine if right level of information has been received, and if not, when to reach out to either internal partner or customer.
Generated accounts payable reports to pay vendors for freight.
Assisted in paying freight to vendors for various locations by processing checks.
Assisted buyers with customers that were coming in person that needed to be be paid by check or paid by cash.
Handled mailing and filing.
Performed office duties as needed.
Assistant Senior Auditor
11 Months
CGS Administrators | 04.2017 - 03.2018
Completion of both in-house and on-site audits on Medicare cost reports of hospitals of various sizes including audits of large hospitals with bad debts, medical education, disproportionate share, and organ acquisition.
Completion of Medicare cost report audits on rehabs, ESRD's, RHC's, skilled nursing facilities and home offices.
Completion of hospital wage index and occupational mix reviews.
Completion of Medicare cost report reopenings.
Communication with intermediary provider community.
Ensuring provider adherence to Medicare policy & guidelines.
Preparation of audit working papers using Excel, Word, Adobe, etc.
Knowledge of provider payment and claims data Coordination of and/or participation in various group projects as assigned by management.
Performance of supervisory review of co-worker audits, ensuring working papers are prepared in accordance with Medicare guidelines and ensuring Medicare policy is properly applied.
Training of staff in relation to completion of working papers and various audit issues as assigned by management.
Preparation of provider tentative and final settlements
Various
6 Months
Personnel Staffing Inc. | 10.2016 - 04.2017
Collections
Invoices
Marketing Service Assistant
4 Months
State Farm | 03.2016 - 07.2016
Beginning of Day activities to ensure that accounts were up to date.
Provide customer service for clients and to ensure accounts are handled properly.
Bank Certified to handle car loans, checking and savings accounts and credit cards.
Cold calls and Auto calls to generate new business.
Handled daily payments and bank reconciliations.
Probation Officer
1 Year 8 Months
Georgia Probation Services Inc. | 08.2014 - 04.2016
Oversees 400+ probations to ensure that all conditions are met as set by the court.
Performs daily calls to probationers.
Generates report for the courts, warrants and enforcing conditions of the courts.
Daily bank entries and monthly bank reconciliations.
Daily phone calls and assist in answering questions of probation.
Handles any special projects.
Senior Claims Associate
10 Months
Dell Services | 08.2013 - 06.2014
Completed complex Medicaid claims for processing.
Handled and completed special projects.
Provider Audit - In-Charge Auditor
2 Years 11 Months
Cahaba GBA LLC | 08.2009 - 07.2012
Completion of both in-house and on-site audits on Medicare cost reports of hospitals of various sizes including audits of large hospitals with bad debts, medical education, disproportionate share, and organ acquisition.
Completion of Medicare cost report audits on rehabs, ESRD's, RHC's, skilled nursing facilities and home offices.
Completion of hospital wage index and occupational mix reviews.
Completion of Medicare cost report reopenings.
Completion of Hospice audits.
Communication with intermediary provider community.
Ensuring provider adherence to Medicare policy & guidelines.
Preparation of audit working papers using Excel, Word, Adobe, etc.
Knowledge of provider payment and claims data Coordination of and/or participation in various group projects as assigned by management.
Performance of supervisory review of co-worker audits, ensuring working papers are prepared in accordance with Medicare guidelines and ensuring Medicare policy is properly applied.
Training of staff in relation to completion of working papers and various audit issues as assigned by management.
Preparation of provider tentative and final settlements.
Senior Medicare Auditor
10 Years 11 Months
Riverbend Government Benefits Administrator, Inc | 09.1998 - 08.2009
Same job functions and responsibilities as In-Charge Auditor at Cahaba GBA.
Education
Bachelor of Science - Accounting/General Management
Tennessee Wesleyan College | Athens, TN | 05.1996
Accounting/General Management
Skills
Microsoft Excel
Word
Power Point
Outlook
CMS 2552-96 Software - KPMG Compu-max
CMS 2552-92 Software - KPMG Compu-max
Facets
Data Entry
Adobe Acrobat
Excellent interpersonal skills
10 Key
Training Skills
Organizational Skills
Ability to multitask and work independently
Excellent Communication Skills
Ability to work in fast-paced environment
Medical Terminology
Adapt well to change
Self-motivated
Team player
Customer Service
Accounting/Finance
Compliance
Timeline
Data Processor/OCR EDM
Blue Cross Blue Shield/Integrated Resources, Inc.
09.2022 - CurrentRead More
Billing Clerk
Unum/Adecco
04.2021 - 12.2021Read More
Billing Clerk
Commerical Metals Company/Qualified Staffing
11.2020 - 02.2021Read More
Rideshare Driver
Lyft
12.2018 - 03.2021Read More
Assistant Senior Auditor
CGS Administrators
04.2017 - 03.2018Read More
Various
Personnel Staffing Inc.
10.2016 - 04.2017Read More
Marketing Service Assistant
State Farm
03.2016 - 07.2016Read More
Probation Officer
Georgia Probation Services Inc.
08.2014 - 04.2016Read More
Senior Claims Associate
Dell Services
08.2013 - 06.2014Read More
Provider Audit - In-Charge Auditor
Cahaba GBA LLC
08.2009 - 07.2012Read More
Senior Medicare Auditor
Riverbend Government Benefits Administrator, Inc
09.1998 - 08.2009Read More
Tennessee Wesleyan College
Bachelor of Science from Accounting/General Management
Data Processor – National Employee Benefits Data Unit at HUB International LimitedData Processor – National Employee Benefits Data Unit at HUB International Limited