SHAQUANA L. DILES

Baldwin, NY

516-***-****

acumhf@r.postjobfree.com

CAREER PROFILE

Dynamic, goal-oriented, and accomplished professional with significant experience in administrative support, human resources, collections, and client service. Demonstrates excellent communications and interpersonal skills. A self-starter who thrives in collaborative, team-oriented environments; works independently with equal success. Exercises keen independent judgment and sound reasoning skills. Learns new skills and concepts with ease. Detail-oriented with strong organization, multitasking, and planning skills. Displays mastery of Microsoft Office Suite. Professional, polished, and trustworthy.

PROFESSIONAL EXPERIENCE

TOTAL HEALTHCARE STAFFING, Bellmore, NY 2015-Current

“A. HOLLY PATTERSON NURSING HOME”

Administrative Assistant/Medicaid Service Coordinator

Provides office services by implementing administrative systems, procedures, and policies and monitoring administrative projects

Resolves administrative problems by coordinating preparation of reports, analyzing data, and identifying solutions

Maintains workflow by studying methods; implementing cost reductions; and developing reporting procedures

Provides information by answering questions and requests

General clerical duties including photocopying, fax and mailing

Prepare and modify documents including correspondence, reports, drafts, memos and emails

Administers and coordinators benefits and service plans for Medicaid recipients in a group home, assisted living or medical setting

Ensures essential information is made available to providers and others with the appropriate consent of the individual

Consult with patients and/or families to discuss possible Medicaid eligibility

Responsible for maintaining resident’s personal income accounts

Handle Medicaid recertifications, new applications and conversions

Gather all signatures and documents required to submit Medicaid application

Handle patient’s mail and matters related to their bank accounts, social security checks and pension checks as needed

Review daily census grid

Ensure that all supports and services being provided are consistent, to the extent reasonable, with the person’s needs and goals

CHEM RX PHARACEUTICALS, Long Beach, NY 2003 to 2014

Collections Supervisor, Pharmacy Tech, Billing

Led administrative support for new business accounts; assisted CEO with special projects including research

Processed medical bills, histories, and EOB’s insurance (HIPPA); followed up on unpaid claims

Contacted insurance companies regarding any discrepancy in payments if necessary

Communicated and followed up regarding outstanding overdue amounts including making calls, email and mailing written communications as necessary to facilitate collection of balances due in a timely manner

Answered customer’s inquiries in a courteous, efficient and prompt manner

Identified and billed secondary or tertiary insurances

Conducted daily tracking of receivables and posted receipts

Daily processed customer receipts including checks, ACH and credit card payments

Monitored outstanding balances to determine need to initiate collections

Used various databases and software programs to obtain and communicate data to customers, management, co-workers, and legal

entities

Analyzed patient bills for accuracy and completeness; obtained missing information as necessary

Coordinated collection work load according to degree/amount of delinquency; assigned accounts to workers for collection

Addressed all incoming communications; oversaw management of all accounts and payments

Reconciled due to customer cash receipts; accurately reconciled cash receipts to open invoices

Resolved discrepancies regarding billing and shipping issues in customer accounts

Assisted with investigation and resolution of chargebacks and disputes

Conveyed product and service descriptions by phone, email, and written proposal

Assessed progress of staff efforts to collect debts, provide customer service, and approve/allow settlement and payment options

Attended meetings with management to review the status of collection accounts

Collaborated with collection agencies and legal counsels to reconcile delinquent accounts

Prepared and distributed of the accounts receivable aging to department and sales leaders

Supervised and coordinated activities of workers collecting overdue payments from customers for medication charge accounts

Conducts all job responsibilities in accordance with standards, policies, and procedures set out in Company’s Code of Business

Conduct and Ethic, and the Corporate Compliance Agreement, applicable federal and state laws, and professional standards

References upon Request

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