Quality Assurance Management
Resume:
Dorothy (Robin) Lateef
**** *. ****** ****** **, Denver, CO 80247 - Home 303-***-****, Cell
E-Mail: abhwen@r.postjobfree.com
PROFESSIONAL EXPERIENCE
American Medical Response Reimbursement Supervisor 1/09-
Present
> Foster training documentation and responsible for training all Claim
employees and peers.
> Reviews and replaces the ineffective practice management system,
regulatory timeliness and accuracy of billing and financial
information regarding claims. Contract verification with use of
GSA/OIG.
> Transition the commercial reimbursement check writing processes and
positive pays for clients regarding Medicare and Medicaid eligible
members to corporate headquarters, reconciliations and accruals on
AMEX accounts, as well as EFTs. In charge of Quality Assurance with
claims, adjustments and recoupment's.
> Generate processes and procedures for state, commercial and audit
implementations, conduct focus groups of new RFP's regarding
deliverables and creating contingency plans for state and commercial
Medicaid and Medicare bids. Reconciliation of escalated issues to
providers/members. Handled Accounts receivables.
> Supervises a staff of administrative employees and at least one
supervisor. Provides administrative and technical supervision on
AS400. Provides feedback and periodically evaluates employee
performance. Develops work improvement plans, recommending personnel
actions as necessary. Provides advice and counsel to employees related
to work and administrative matters.
State of Colorado Accountant 4/08-12/08
> Implemented automated system (Quickbooks/Oracle) for the Director and
Managers, budgeting, and fixed assets to increase efficiency of
financial operations and enhance quality of management information.
> Reviewed fiscal source documents for completeness, mathematical
accuracy, proper authorization, and sufficiency of information, proper
fund/account combinations, and the proper application of any
appropriate matching funds, fees, refunds, collections, taxes and
discounts, reconcile bank statements, coding and posting.
> Analyzed and interpreted financial transactions for the purpose of
ensuring completeness and accuracy of recorded transactions, including
scanned supporting documentation.
> Transitioned 5,000+ general ledger accounts to new GL application;
converted erroneous key fields in entire database, resulting in time
and cost savings. Handled all Accounts Payables and Accounts
Receivables.
Charter Communications Telecom Billing Analyst
2/07-11/07
> Created a revenue stream for newly acquired telecommunication partners
and Charter Communications $2.7 million Dollars. Vendor management,
coding and reconciliation of invoices and statements.
> Managed acquisition projects. Provided one on one customer
presentations to train end users on the Charter Communications
products. Identified $9 million in over charges by AT&T, and future
savings of $4 million annually. Responsible for receivables and
payables for vendors (overpayments and recoups)
> Responsible for resolution of contract disputes/tariffs. Provided
ongoing client management to subordinates.
Vercuity Solutions Telecom Supervisor 6/04-
2/07
> Created/trained processes for wireless companies. Implemented system
mergers for portfolio representing $250 million Dollars. Produced
formal presentations, monitor and track caseloads. Single point of
Contact for clients, Service Delivery Manger ensuring client is
satisfied and resolved escalated issue and payables.
> Controlled, lead, and participated in discussions with major vendors
to review contracts, up sale, RFP's.
> Identified errors arising from transmission errors for new EDI
vendors, alert the appropriate parties involved, and establish and
execute action to correct issue and offer solutions to avoid future
issues (Oracle 11i).
> Coordinated vendor management, facilitate account improvement
processes, coordinate feedback.
> Designed complicated Excel spreadsheets, to identify savings of $120k
a month for payables and receivables.
IPIU Private Investigator
2/04-2/07
> Organized and conducted detailed examinations of information generated
during complex investigations.
> Utilized information obtained as a result of the reporting analysis.
Collected and analyzed information and provided formal
presentation/meetings on findings. Controlled accounts payables and
receivables.
> Prepared documentation for clients of findings/personnel pursuing
civil and criminal matters.
Education
Columbia College BA
Open
Everest College AA-Criminal Justice
Grad 10/05
Peoria High School College Prep
Grad 5/91
Certifications
Notary State of Colorado
2007
Women in Cable Telecom Member
2007
Merrill Lynch Management Relationship Management
1995
Army Finance
10/91-7/97
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