Project Management

EXPERIENCE SUMMARY

Microsoft Office (Word, Excel, PowerPoint) MS Access, MS Project, MS Front

Page, MS Publisher, Lotus Suites, Corel Draw, Hot Metal Pro, Internet

Explorer, HTML 40, Visual Basic, SQL, Windows 95/98,00,XP &Vista, Windows

NT 4.0, Fox Pro, Approach, Novell 4.1, C++, CPT Codes, ICD 9, Visio,

AS400, SDLC, Methodology, Project Coordinator, DBA, Data Analyst, QA

Tester.

PROFESSIONAL EXPERIENCE

November 2008 to Present

DallasSight.com

OPERATIONS ADMINISTRATOR

. Act as decision maker in the absence of the CEO.

. Handle administrative details on all projects.

. Prepares business contracts for our production team, clients and models.

. Assist in creating/developing all marketing materials for potential

sponsors and advertisers.

. Manage all billing and invoicing for the company.

. Assist with TV and radio production, scheduling and timelines.

. Assist in developing the TV and radio show segments and make sure they

are followed to specifications.

. Create event flyers for facebook and twitter as well as send out

advertisements on a daily basis

. Schedule appointments, meetings and conference calls

. Keep all assigned projects on schedule.

April 2005 to December 2006

Allstate Insurance

TEAM LEAD REMIT MANAGEMENT SPECIALISTS

. Manage claim processors.

. Train claim processors on all first party, third party and subrogation

medical bill exception types and MBRQ processes.

. Clear all unresolved exception types that could not be cleared by claims

processors using Allstate systems, CPT codes and ICD-9 codes.

. Complete quality and production on team members.

. Monitor claims processor queues.

. Communicate with field representatives/file handlers in writing/verbal

when needed to clear medical bill exceptions.

. Communicate daily workflow issues, system issues, etc. to management.

. Track problem exception types using an Access database.

March 2004 to February 2005

MHN

RESEARCH AND REVIEW CLAIMS REPRESENTATIVE

. Assist with the training of new employees.

. Complete claims adjustment to correct claims errors.

. Analyzed imaging system errors to reduce claims rejections.

. Request stop payment/reissue on checks.

. Communicate with providers and claimants to resolve medical bill payment

issues.

November 2000 to July 2002

MBNA Technology Sector

PROJECT OFFICE MANAGEMENT COORDINATOR

. Managed the System Development Methodology deliverables for large major

technology projects.

. Development new guidelines that enhanced the company application

methodology.

. Set-up and maintained project Intranet websites using MS Front Page,

HTML, VBA and Adobe Acrobat software.

. Granted security website access to the project team.

. Maintained a project tracking system to report issues that needed to be

addressed on the project using MS Project and MS Access.

. Developed a responsibility matrix using MS Word to track the roles of

individuals on the project.

January 2000 to July 2000

PacifiCare Health Systems

BUSINESS ANALYST/QA TESTER

. Solely responsible for testing all new inclusions or system enhancements,

as well as maintain database.

. Maintained Access database by making updates to tables, queries, reports,

forms and development enhancements.

. Imported and exported data from Excel spreadsheets to Access database.

. Investigated Medicare by laws to make sure company database was compliant

with guidelines.

. Created Business Requirements, product Specs and designed upgrades for

the database system.

. Exclusively responsible for setting up all user logins and passwords to

systems accessed outside the organization.

. Provided technical applications support and software training for 17 end

users.

. Developed adhoc reports and charts for upper management using Access,

SQL, Excel and Power Point.

July 1997 to July 1998

AmeriServe Food Distribution

PROJECT COORDINATOR

. Maintained project management planning and assignments for Accounting

Services department using MS Project.

. Prepared document procurement requests.

. Test system upgrades for the accounts payable department.

. Implemented databases, tables and quires to analyze data to check for

duplicate records and incomplete records for management reports.

. Organized workstations, developed Access databases, forms, etc. for

teammates, which reduced assignment completion time by 40%.

. Provided software/hardware support and training for 50 end users, which

resulted in receiving several incentive awards from team members.

. Prepared complex presentation layouts and models that illustrated the

implementation of the company wide system conversion.

April 1993 to April 1995

ProAmerica Managed Care

PROVIDER RELATIONS COORDINATOR

. Credential all providers for our network, which included checking

malpractice insurance, reviewing malpractice cases, checking hospital

status, as well as practicing license, etc.

. Process all provider application to participate in our Managed Care

Network.

. Maintain files of all provider's licensures and credentials.

. Member of the Plan and Design Team that developed application

specifications and enhancements for the system conversion.

. Designed and maintained an Access relational database; which automated

the credentialing process.

. Reduced claim payment errors by 30% by developing tables to help process

claims.

. Prepared fee schedules for potential providers using CPT codes and ICD-9

codes.

EDUCATION

Tarrant County College-Computer Science/Information Systems Degree, Hurst,

Texas

VTI Business Computer School, Arlington, Texas

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