**** * ** ** ***. * WASHINGTON DC ***** (CELL) 703-***-**** acui4p@r.postjobfree.com

James E. Cash

Objective

Seeking a challenging, growth oriented position in Customer Service Management,that also implement and administer Project-wide document management systems and related procedures that allow the organization to capture, store, retrieve, share, and destroy electronic records and documents.

Experience

02/2015-11/2015 SRA INTL.

SENIOR DOCUMENT CONTROL SPECIALIST

Specific responsibilities for managing and completing a wide range of Document systems functions to include, but not limited to:

Write, review, or execute plans for testing new or established document management systems.

Search electronic sources, such as databases or repositories, or manual sources for information.

Operate data capture technology to import digitized documents into document management system.

Propose recommendations for improving content management system capabilities.

Document technical functions and specifications for new or proposed content management systems.

Develop, document, or maintain standards, best practices, or system usage procedures.

Monitor regulatory activity to maintain compliance with records and document management laws.

Exercise security surveillance over document processing, reproduction, distribution, storage, or archiving.

Implement scanning or other automated data entry procedures, using imaging devices and document imaging software.

Conduct needs assessments to identify document management requirements of departments or end users.

Administer document and system access rights and revision control to ensure security of system and integrity of master documents.

Implement electronic document processing, retrieval, and distribution systems in collaboration with other information technology specialists.

Design operate and maintain hard-copy archive or library.

Assist the planning and Scheduling Engineer when required.

FAIRFAX, VA

10/2013-02/2015 AEROTEK ROCKVILLE, MD

REIMBURSEMENT COUNSELOR

Reimbursement Supervisor, is responsible for various reimbursement functions, including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved.

PRIMARY DUTIES AND RESPONSIBILITIES:

Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program.

Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications.

Completes and submits all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payers. Researches and resolves any electronic claim denials.

Researches and resolves any claim denials or underpayment of claims.

Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods.

Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.

Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers.

Reports any reimbursement trends/delays to supervisor (e.g. billing denials, claim denials, pricing errors, payments, etc.).

Processes any necessary insurance/patient correspondence.

Provides all necessary documentation required to expedite payments. This includes demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians.

Coordinates with inter-departmental associates to obtain appropriate medical records as they relate to the reimbursement process.

Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation.

Communicates effectively to payers and/or claims clearinghouse to ensure accurate and timely electronically filed claims.

Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.

Typically receives little instruction on day-to-day work, general instructions on new assignments.

Performs related duties as assigned.

09/2006-10/2014 WORLDCELL, INC SILVER SPRING, MD

CUSTOMER SERVICE MANAGER

Preformed day to day operations, in a computing manufacturing company, in receiving and shipping.

Supervised a staff of six subordinates.

Maintained a high volume customer contacts and customers, with assistance of senior managers

11/1985-05/2007

US ARMY MILITARY POLICE

FT. MEADE, MD

SERGEANT FIRST CLASS

Duties included providing security and maintaining stability in a war-torn country.

Conducting patrols, operations checking points and conducting investigations in order to keep peace on military camps.

Transport and provide security for foreign detainees, with in accordance with military law.

Supervised several military police officers, ensuring training and directives were met in compliance with military directives and orders.

Duties also included: Criminal Law, Family Advocacy, Crime Scene Processing;

Testimonial Evidence, Investigations of crimes against person and/or property.

Physical Evidence, Drug Investigations and Investigative Reports.

Special Investigative Techniques, Protective Service Dignitary Protection.

05/199*-**-****

DENTAL BENEFITS, PROVIDERS

BETHESDA, MD

CUSTOMER SERVICE MANAGER

Preformed day to day operations in a busy incoming and outbound call center.

Calls consisted of 80-90 calls a day.

Maintained contact with patients and doctors (Dentist(s) with professionalism.

Punctuality processing claims and referrals in a timely manner.

Created and developed new programs to better serve emergency for dental patients in rural areas.

Maintained contact with all major dental insurances, Medicare, Medicaid, Private, whether it being HMO (Home Maintenance) or PPO (Preferred Plan).

04/1993-05/1998

HECHT’S DEPARTMENT STORE

ROCKVILLE, MD

LOSS PREVENTION MANAGER

Conducted surveillance for store shrinkage, inventory control for a major department store.

Preformed internal and external theft, and apprehension of shoplifters, and employees relating to crimes against store property and merchandising.

Supervised a staff of 5 store detectives and 4 loss prevention agents.

Monitored CCTV systems as well responded to store alarms.

Conducted training for store associates for controlling of shortage for company merchandise and company assets, through awareness and audits.

Participated in criminal investigations, and prosecuting of alleged offenders pertaining internal and external theft.

Education

09/198*-**-****

BALLOU SENIOR HIGH

WASHINGTON DC

GRADUATE OF MILITARY POLICE CORPS

US ARMY HUMANITARIAN AWARD

EXCELLENT CUSTOMER SERVICE AWARD (21) YEARS

References

Sharon Rush 202-***-****

Amber Price 240-***-****

Alfred Adams 301-***-****

Elton Jewell 301-***-**** 301-***-****

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