DAWN GLADU

**** * ***** *** 480-***-****

Mesa, AZ 85208 aceupd@r.postjobfree.com

SUMMARY

Approaches every position held with a positive attitude and energy. Enjoy being pushed and challenged as well as

handling multiple tasks. Have yet to find a task unable to learn quickly and perform accurately. Received many awards

and certificates throughout career for excellent team work and going above and beyond. Always ready to learn new things.

OBJECTIVE

Determined to obtain an Administrative position that will be challenging and rewarding. Experienced in

research as well as analyzing data. Motivated and willing to learn what it takes to perform any task given.

QUALIFICATIONS

• Thirteen years of experience within the health insurance industry

• Sixteen years of experience within an office environment

• Proficient with all Microsoft office products

• Quick learner with amazing multi-tasking skills

• Well organized and detail oriented

• Prioritization

• Workload Management

• Ability to work independently

• Excellent under pressure

• Problem Solver

• Team player / works well with others

• Analysis

• Strong oral and written communication skills

• Knowledgeable in Medicare and Medicaid

• CMS / DRG processing

• Hospital and Medical Claims processing

• Medicaid and Medicare experience

• Experience with Bills of Lading and Manifests

• Data Entry

• 2 years supervisory experience

TECHNICAL SKILLS

• Microsoft Word / Excel / PowerPoint / Outlook / Sharepoint

• SQL Server / Sybase

• Facets and Diamond Claim Platforms

• Company based programs

• Answering Phones and other general office tasks

Dawn Gladu

EDUCATION

Associate of Science in Healthcare Administration 03/2014

Colorado Technical University – Online

• GPA: 3.91

WORK EXPERIENCE

Employer Install Administrator 07/2011 - Present

United Healthcare

Phoenix, AZ

• Works with Medicare and Medicaid

• Uses SQL server and Sybase on a daily basis to analyze data

• Meets deadlines within time frames allotted

• Test claims to verify the provider contracts and benefits are applied accurately

• Learn new tasks within a short period of time to help team

• Use grids in Microsoft Excel to track, analyze data, and show work completed

• Research, review, and resolve tasks on a daily basis

• Worked several large scale projects

• Take on high priority tasks when needed

• Received several recognition certificates and awards

• Go to person for special, expedited, or complex tasks

Senior Claim Associate 12/2001 - 07/2011

Cigna Healthcare

Phoenix, AZ and Bourbonnais, IL

• Received several Cigna Champion awards for going above and beyond

• Audited claims to validate if they were paid accurately and correct if not

• Tracked trends through claims projects received on excel grids

• Complex high dollar claim processor / CMS-DRG

• Worked with Medicare

• Reported trends and errors to manager, so they can be handled properly

• Investigated why claims were not paying correctly, if system error or processor error

• Provided feedback to claim processors if processor error was found

• Trained processors in the 30/60/90 day pend process

Dispatch Assistant/Billing Supervisor 03/1995 – 01/2002

Rudolf Express Trucking

Bourbonnais, IL

• Assisted dispatchers in dispatch office by answering phones and handling paperwork

• Placed incoming and outgoing driver paperwork together and into the data system to be tracked

• Supervised 6 to 8 employees in the billing department to ensure the bills of lading were entered

into system and sent out to the dock in a timely manner.

• Entered bills of lading into the data system

• Trained new employees in the billing department and dispatch office

• Created checklists to ensure the drivers were turning in all necessary documentation

• Made the dispatch office more efficient

• Created driver manifests

Dawn Gladu

• Company closed its doors January of 2002

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