Wilma Matthews

PO Box ***

Branford, Florida ****8

abil9t@r.postjobfree.com

OBJECTIVE: An administrative or administrative support position.

EDUCATION

Saint Leo University BA Degree Business Management

Major

Lake City Community College. AA Degree Business Management Major. .

Other Training and Education

ALMC. Fort Lee, VA. Systems Administration and Stock Control Supervisor

Certificate.

Central Texas College. Completed 60 semester hours.

US Army Quartermaster School. Fort Lee, VA. Advanced Automated Logistics

Management Course. Materials Control and Accounting Specialist Course.

Inventory Management course.

Army Logistics' Management College. Fort Lee, VA. Depot Physical Inventory

Course.

Equal Opportunity Course

Human Resource Specialist Course

Professional Medical Coding

Certified Professional Coder

Stepping with Pride Graduate

Summary of Qualifications

Over thirty years supervisory and management experience in personnel,

logistics, materials and transportation management. Experience included

extensive work in retail supply systems, including stock control, shipping

and receiving, warehouse procedures and documentations. Committed to

reliable management; creating efficient, cost effective methods while

maintaining quality service and strict accountability and attention to

detail in a fast paced, multi-faceted environment. Supervised personnel

qualifications for special assignment and reclassification.

EMPLOYMENT HISTORY

OCTOBER 2005-APRIL 2006 PROGRAM SUPPORT ASST GS-6

Performs clerical and technical program support work for a variety of

programs in the Fee Basis Section and uses judgment in interpreting and

adapting guidelines in agency policies, regulations, precedents, and work

directions for applications to specific cases or problems. Performs work

related processing claims by authorizing and re-prices all UB92's and HFCA

1500 for theses programs by verifying codes with ICD-9 and CPT-4, medical

and procedural terminology Manual. Prepares and codes payments of certified

documents for all payments, verifies amounts shown on the bills and claims

with the original authorizations for treatment, noting discrepancies,

clarifying changes, and correcting these discrepancies before certifying

the document for payment. Uses software applications and Vista to draw

information in order to prepare and assist in preparation of reports. Uses

windows based software for preparing correspondence and charts. Establishes

and maintains files for clients in all key program areas, prepares factual

information such as a response to veterans request for Fee extension,

budget modification. Prepares written and oral correspondence to veterans,

vendors, and Chief Medical Officer. Reviews available medical records,

refers appropriate applications for professional determination and abides

by current U.S.C. title 38 regulations. Receives request for contracted

services, e.g. needed

Diagnostic testing, Radiation Therapy, Surgery Procedures, Dialysis

Treatment. From the clinical staff of the Medical Center or other Medical

Centers and facilities, for coordinating needed treatment plans.

Responsible for counseling veterans, family members, staff, staff service

organizations and community representatives regarding legal entitlement to

fee medical and dental services, medications and medical supplies. Manages

difficult situations involving disgruntled veterans and significant others

regarding eligibility for fee medical and dental benefits. Protects

electronic files under the provisions of the Privacy Act of 1974, other

applicable laws, federal regulations, VA statutes policy, VHA policies and

HIPPA. Safeguards privacy data/sensitive policy making data against

unauthorized disclosure; safeguards user access codes from unauthorized

disclosure and use; and notifies ADP Security Officer or designated

alternate upon disclosure or suspected disclosure of sensitive data.

(Contact Supervisor: Yes, Supervisor's Name: Sharon Rappel, Supervisor's

Phone: 352-***-****)

APRIL 2006-OCTOBER 2007 MEDICAL ADMIN ASSISTANT GS-7

Prepares and codes payments of certified documents for all payments,

verifies amounts shown on the bills and claims with the original

authorizations for treatment, noting discrepancies, clarifying changes, and

correcting these discrepancies before certifying the document for payment.

Uses program related information maintained through computerized, double

entry accrual accounting program in the Decentralized Hospital Computer

Program(DHCP) with IFCAP and the Fee package and uses claim check to verify

if a code is payable. Researches veterans' eligibility status through the

use of information obtained from HINQ, VA Claims Files, requests for rating

action, communication with personnel of other stations for pertinent

information from veteran's records.

Performs work related processing claims by authorizing and re-prices all

UB92's and HFCA 1500 for theses programs by verifying codes with ICD-9 and

CPT-4, Hospital Codes, medical and procedural terminology Manual for

computation of allotted charges. Prepares and codes payments of certified

documents for all payments, verifies amounts shown on the bills and claims

with the original authorizations for treatment, noting discrepancies,

clarifying changes, and correcting these discrepancies before certifying

the document for payment. Uses software applications and Vista to draw

information in order to prepare and assist in preparation of reports.

(Contact Supervisor: Yes, Supervisor's Name: Patricia Sagers, Supervisor's

Phone: 352-***-****)

OCTOBER 2007-AUGUST 2009 LEAD MEDICAL ADMIN ASST GS-7

As one many Fee Service Leads I am responsible for claims processing and

follow-up of non-VA provider services my role becomes one of mediation. I

must deliver information, written or verbal, in a timely manner to all

appropriate parties ensuring our veterans receive the care they deserve and

can be proud of. Manages difficult situations involving disgruntled

veterans and significant others regarding eligibility for fee medical and

dental benefits. At times, I have to act quickly and prioritize daily

responsibilities when non-routine matters take priority. In addition, I

have to constantly explore new ways to improve efficiency within Fee Basis

operations. As a Fee Service Lead Clerks I am responsible for

authorizations processing and follow-up of non-VA provider services my role

becomes one of mediation. I must deliver information, written or verbal, in

a timely manner to all appropriate parties ensuring our veterans receive

the care they deserve and can be proud of. Uses program related information

maintained through computerized, double entry accrual accounting program

in the Decentralized Hospital Computer Program(DHCP) with IFCAP and the Fee

package and uses claim check to verify if a code is payable.

Performs work related processing claims by authorizing and re-prices all

UB92's and HFCA 1500 for theses programs by verifying codes with ICD-9 and

CPT-4, Hospital Codes, medical and procedural terminology Manual for

computation of allotted charges.

I have knowledge of the major issues, program goals and objectives, work

processes and administrative operations of the organization performs

clerical and technical program support work for a variety of programs in

the Fee Basis Section and uses judgment in interpreting and adapting

guidelines in agency policies, regulations, precedents, and work directions

for applications to specific cases or problems.

.

AUGUST 2009-PRESENT MEDICAL ADMIN ASST GS-7

DEPARTMENT OF VETERAN AFFAIRS, FEE SERVICES GAINESVILLE, FL MEDICAL

ADMINSTRATIVE ASSISTANT (GS-7) Performs clerical and technical program

support work for a variety of programs in the Fee Basis Section and uses

judgment in interpreting and adapting guidelines in agency policies,

regulations, precedents, and work directions for applications to specific

cases or problems. Performs work related processing claims by authorizing

and re-prices all UB92's and HFCA 1500 for theses programs by verifying

codes with proper ICD-9 and CPT-4 related to diagnoses and procedures,

medical and procedural terminology Manual. Prepares and codes payments of

certified documents for all payments, verifies amounts shown on the bills

and claims with the original authorizations for treatment, noting

discrepancies, clarifying changes, and correcting these discrepancies

before certifying the document for payment. Uses software applications and

Vista to draw information in order to prepare and assist in preparation of

reports. Uses windows based software for preparing correspondence and

charts. Establishes and maintains files for clients in all key program

areas, prepares factual information such as a response to veterans request

for fee extension, budget modification. Prepares written and oral

correspondence to veterans, vendors, and Chief Medical Officer. Reviews

available medical records, refers appropriate applications for professional

determination and abides by current U.S.C. title 38 regulations. Receives

request for contracted services, e.g. needed diagnostic testing, Radiation

Therapy, Surgery Procedures, Dialysis Treatment. From the clinical staff of

the Medical Center or other Medical Centers and facilities, for

coordinating needed treatment plans.

Responsible for counseling veterans, family members, staff, staff service

organizations and community representatives regarding legal entitlement to

fee medical and dental services, medications and medical supplies. Manages

difficult situations involving disgruntled veterans and significant others

regarding eligibility for fee medical and dental benefits. I am very

proficient in medical terminology. I review laboratory reports, radiology

reports and all charts for treatment for payment processing. I have

extensive knowledge of health information. I use the VA's admission

criteria standards for inpatient stays.

Based upon the eligibility of the veteran and type of payment, I must

determine which obligation number is appropriate for payment, but before

obligation numbers are assigned claims are rechecked for accuracy of

addition, percentages, payable codes and to ensure that all medical records

to the MRT/CMO being presented is complete and accurate and ready for

payment certification.

Protects electronic files under the provisions of the Privacy Act of 1974,

other applicable laws, federal regulations, VA statutes policy, VHA

policies and HIPPA. Safeguards privacy data/sensitive policy making data

against unauthorized disclosure; safeguards user access codes from

unauthorized disclosure and use; and notifies ADP Security Officer or

designated alternate upon disclosure or suspected disclosure of sensitive

data. (Contact Supervisor: Yes, Supervisor's Name: Sharon Rappel,

Supervisor's Phone: 352-***-****)

January 2003-September 2005

Department Of Revenue, Child Support Enforcement, Gainesville, Fl

Interviewing Clerk

Maintains necessary files, records, and statistics. Assists in

handling mail, photocopying as needed. Complies with the mandatory

requirements in Section 215.422, F.S. and Chapter 3A-24 of the

Florida Administrative Code relating to the time limitations and

interest penalty for receipt of invoices and the inspection and

approval for goods and services. Interviews clients on the telephone

and at the front desk. Prepares and types letters, memorandums,

statistical reports and other related documents. Maintains necessary

files, records, and statistics. Assists in handling mail,

photocopying as needed. Complies with the mandatory requirements in

Section 215.422, F.S. and Chapter 3A-24 of the Florida Administrative

Code relating to the time limitations and interest penalty for

receipt of invoices and the inspection and approval for goods and

services. Interviews clients on the telephone and at the front desk.

Prepares and types letters, memorandums, statistical reports and

other related documents. (Contact Supervisor: Yes, Supervisor's Name:

Jeff Smith, Supervisor's Phone: 352-***-****)

June 1998 to August 2001

U.S. Army. Ft. Campbell, KY. Material Management Supervisor. /Personnel

Supervisor (SFC-E7) Supervised reconciling activity records for monthly and

quarterly reporting and status reviews. Administered financial management

functions and implemented corrections of location survey discrepancies.

Inspected and related inventory management activities and directed

correction of location survey discrepancies. Reconciled problems in

automated supply accounting system, resulting in detailed accounting

procedures that helped save the organization approximately $40 million in

related repairs.

Supervised reconciling activity records for monthly and quarterly reporting

and status reviews. Administered financial management functions and

implemented corrections of location survey discrepancies. Inspected and

related inventory management activities and directed correction of location

survey discrepancies. Reconciled problems in automated supply accounting

system, resulting in detailed accounting procedures that helped save the

organization approximately $40 million in related repairs. Supervised

preparation, updates and coordinated requests for evaluations to include

responding to evaluation inquires. Supervised and monitored requests for

identification cards and tags, leaves, passes, line of duty and travel,

personnel processing, personnel security clearances, training and

reassignment, retention, military and special pay programs, strength

management and transition processing. Supervised and maintained officer and

enlisted personnel records.

June 1995 to June 1998

US Army. Kaiserslautern, GE. Material Management Supervisor. (SSG -E6)

Supervised shipping and receiving activities including providing

instruction and supervision of employees on proper work techniques and

procedures. Planned and analyzed operation data and reports to ascertain a

degree of conformity with established policies, work standards and

procedural directives. Supervised preparation of material control and

accounting input for data processing and reviewed output documents.

May 1991 to June 1995

US Army. Hanau, West Germany. Material Management Supervisor. (SSG-E6)

Supervised cargo documentation, movement control office and unit movement

office. Supervised technical training programs planned and directed

training management and evaluated results. Conducted inspections and

provided technical assistance to storage activities. Developed and

prepared operations information including plans, sketches and other data

related to supply organizations. Analyzed operations statistical data and

reports to ascertain functional trends. I maintained and was responsible

for 1900 lines valued at 13 million dollars which always had an inventory

accuracy of 99.4%. I was able to maintain a standard increase of 300% in my

customer base while on active duty. I reviewed and tracked Total package

Fielding requisitions, supervised contract personnel to ensure that all

shortages were filled in a timely manner.

Awards and Decorations

Meritorious Service Medals (2)

Army Commendation Medals (2)

Skills

Office 2007/2010 Microsoft Word, Excel, Publisher, Power point

Medical Terminology

Compliance Coding

HIM Web Coder Training Advanced Coding 1 & 2

Vista

CPRS

40 wpm Typing

Mentor Certification (Fellow)

Contact this candidate