Demonstrated success in building long-lasting relationships with employers. Highly knowledgeable about different benefit service plans, cost-sharing strategies and market trends.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Health Benefits Coordinator/Decedent Affairs/Timekeeper
Department Of Veterans Affairs
10.2023 - Current
Primary duty is to interview Veterans, or their designated representative, in order to collect demographic information relative to their finances, insurance, address, work history, etc
This information serves as a basis for determining entitlement to medical care as well as bill preparation and collections on billable episodes of inpatient and outpatient care
Accurate and complete data collection is essential to proper processing of third party collection requirements as mandated by law
Contacts may be in person, by telephone, or by mail, and require timely and accurate input into the VA data base system
Advise Veterans of their entitlement to various medical benefits and discuss copayment requirements of Veterans in discretionary categories
Answered questions about eligibility determinations and plan options.
Maintained confidentiality of all employee information.
Processed enrollment paperwork and benefits forms.
Handled leave of absence requests accurately while maintaining compliance with applicable laws and regulations related to employee time off work due to medical reasons or other personal circumstances requiring extended leave periods from their job duties within an organization setting such as FMLA leaves under federal law guidelines among others.
Extensive knowledge of the Medical Center and Unit policies is required in order to respond to inquiries from Veterans, and to provide orientation and training to new staff members
Responsible for researching and handling complex questions relative to their area of expertise referred by the supervisor
Extensive knowledge of the hospital admitting procedures and policies, entering in patients information into VISTA for hospital admissions, and gathering information for said admission into the facility
Provides exceptional customer service by exceeding the customer's expectations with respect and concern; focusing on the details of the customer's needs and helps the customer arrive at a satisfactory solution to the problem
Facilitates all aspects of a deceased Veteran including assisting hospital staff through legal reporting requirements and providing support to families.
Responsible for time and attendance record keeping of all assigned employees.
Responsible for maintaining documentation regarding leave and pay as appropriate.
Ensures time is correctly keyed into the system, verifies overtime has been approved before keying and confirms staff are entitled to additional pay such as overtime, night differential and Sunday/Holiday pay.
Credit Analyst
Veteran Owned Credit Repair
12.2016 - Current
Analyzed credit data and financial statements
Generated financial ratios to evaluate customers financial status
Resolved complaints and verified financial and credit transactions
Prepared reports that included the degree of risk involved in extending credit or lending money
Completed loan applications and submitted for approval
Analyzed financial data and determined expected profitability of loans
Evaluated customer records and recommended payment plans.
Assessed credit risk and analyzed financial statements.
Analyzed customer data such as financial statements to determine level of risk involved for extending credit.
Public Contact
VBA Regional Office
07.2023 - 10.2023
Coordinates counseling sessions with Veterans, their dependents, and their beneficiaries face to face regarding all benefits available through the VA, as well as non-VA benefits available through other agencies
In person or telephone interviews, and correspondence
Explains in detail, VBA rating decisions and provides explanations for the decisions using extensive knowledge of VA benefits and services, claim and appeal processing procedures and benefit determination information and all pertinent information
Assists with programs including, but are not limited to compensation and pension benefits, home loan eligibility, education, health care, life insurance, burial benefits, vocational rehabilitation services, general SSA benefit programs
Initiates inquires to resolve errors, delays or other problems in obtaining benefits
Completes claim and appeal related work
Providing customer service, benefit counseling, or claim processing services to persons from a wide variety of backgrounds
Referring people to other agencies when potential eligibility is indicated; advocating for an applicant when they are obtaining benefits for federal, military, state, or private sector programs.
Adapted communication style based on individual preferences or cultural backgrounds of clients, ensuring clear understanding from both parties.
Auditor
Department of Defense
02.2023 - 07.2023
Collected and analyzed data to detect deficient controls, duplicated effort, extravagance, fraud, or non-compliance with laws, regulations, and management policies
Supervised auditing of establishments and determined scope of investigation required
Inspected account books and accounting systems for efficiency, effectiveness, and use of accepted accounting procedures to record transactions
Examined and evaluated financial and information systems recommending controls.
Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.
Maintained confidentiality, handling sensitive information discreetly throughout all stages of the audit process.
Reimbursable Billing Technician
Department of Veteran Affairs
02.2022 - 02.2023
Perform average accounting, budget, or other financial management procedures methods, and techniques associated with clerical types of duties to perform routine and repetitive tasks
Assigns disposition instructions and implements the most responsive and cost-effective means for managing them
Independently researches, analyzes, generates, and connects Veteran's First Party copayments for care as it pertains to a variety of complex VA programs
Accesses various menu options to identify, review, analyze, process and complete First Party and Third- Party encounters and billing-related activities
Resolves operational problems as it applies to Veterans accounts in other units within CPAC
Responds to inquires from Congressional Offices, Regional Counsel and Office of Inspector General
Prepare accurate and timely reports and disseminate findings and disclosures developed during excise tax audits and related matters, while ensuring work is performed in accordance with professional standards.
Served as a key resource for team members seeking guidance on complex billing matters, fostering a supportive work environment.
Collaborated with colleagues to develop new billing procedures, resulting in improved workflow and productivity.
Advanced Medical Support Assistant
Department of Veterans Affairs
08.2019 - 02.2022
Specialized administrative judgment and the flexible use of a wide range of clinical flow processes relating to access to care across multiple clinics, specialties, and/or care in the community resources
Expertise in utilizing numerous advanced patient systems in support of multiple clinics involved in an interdisciplinary coordinated care delivery model
Coordinates with the patient care team to review clinic appointment availability (utilization) to ensure that clinic schedules are closely monitored to effectively support the needs of the clinics, and makes adjustments as necessary
Processes incoming patient secure messaging through MyHealthyVet and coordinates with care team as appropriate; participates in team huddles and team meetings to manage, plan, problem solve, and follow-up with patient care
Sets priorities and deadlines, adjusting the flow and sequencing of the work to meet team and patient needs; identifies incomplete encounters and communicates findings to providers; as needed.
Maintained strict compliance with HIPAA regulations, ensuring the protection of sensitive patient information.
Promoted effective communication among medical staff by serving as a reliable liaison between physicians, nurses, and administrative personnel.
Senior Specialist
JPMorgan Chase
02.2017 - 11.2017
Analyzed credit data and financial statements
Generated financial ratios to evaluate customers financial status
Resolved complaints and verified financial and credit transactions
Prepared reports that included the degree of risk involved in extending credit or lending money
Completed loan applications and submitted for approval
Analyzed financial data and determined expected profitability of loans
Evaluated customer records and recommended payment plans.
Drove change through quality-oriented strategies to help operations accomplish ambitious short- and long-term goals.
Identified areas in need of critical improvement and implemented strategies to achieve targets.
Accounts Payable/Receivable Specialist
Ricoh Inc.
10.2012 - 07.2016
Prepared, analyzed and verified financial reports and taxes utilizing various software packages
Kept detailed records of sales and prepared monthly reports
Prepared and monitored business expenses and budget
Created trend reporting of financial information
Handled all financial transactions of the company
Maintained Accounts Payable and Accounts Receivable
Developed and implemented monthly/quarterly reporting packages for an income portfolio.
Streamlined accounts payable processes by implementing efficient invoice management and payment tracking systems.
Consistently met deadlines while handling a large portfolio of diverse clients across multiple industries, demonstrating adaptability under pressure.
Credit Analyst
Bank of America
03.2008 - 02.2012
Analyzed credit data and financial statements
Generated financial ratios to evaluate customers financial status
Resolved complaints and verified financial and credit transactions
Prepared reports that included the degree of risk involved in extending credit or lending money
Completed loan applications and submitted for approval
Analyzed financial data and determined expected profitability of loans
Evaluated customer records and recommended payment plans.
Assessed credit risk and analyzed financial statements.
Analyzed customer data such as financial statements to determine level of risk involved for extending credit.
Education
Finance -
Cheyney University
Cheyney, PA
05.1990
Skills
HIPAA Compliance
Claims Processing
Customer Relations
Data Entry
Certification
Explainable AI, 11/01/23
Logistics and Transportation Security, 11/01/23
AI Apprentice, 11/01/23
Leadership Training, 10/01/23
Conversational AI, 09/01/23
Lean White Belt, 01/01/23
Office of Inspector General Training, 06/01/22
CompTIA Security SY0-401, 10/01/19
Application Security in .NET, 11/01/19
Certified Mentor for Department of Veteran Affairs, 10/01/19
Six Sigma Black Belt Certification, 07/01/09
Lending Authority, 02/01/10
Timeline
Health Benefits Coordinator/Decedent Affairs/Timekeeper
Department Of Veterans Affairs
10.2023 - Current
Public Contact
VBA Regional Office
07.2023 - 10.2023
Auditor
Department of Defense
02.2023 - 07.2023
Reimbursable Billing Technician
Department of Veteran Affairs
02.2022 - 02.2023
Advanced Medical Support Assistant
Department of Veterans Affairs
08.2019 - 02.2022
Senior Specialist
JPMorgan Chase
02.2017 - 11.2017
Credit Analyst
Veteran Owned Credit Repair
12.2016 - Current
Accounts Payable/Receivable Specialist
Ricoh Inc.
10.2012 - 07.2016
Credit Analyst
Bank of America
03.2008 - 02.2012
Finance -
Cheyney University
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