Insurance Human Resources
Resume:
DAVID R. MANLEY
ALBUQUERQUE, NM 87114
EXECUTIVE SUMMARY:
Main objective is to support the efforts of multiple departments by
offering effective leadership and motivation skills which support the
development of cohesive teams in the collaborative achievement of strategic
goals.
EDUCATION:
NAU (National American University)
Bachelor Degree - Applied Management (May 2007)
GPA 3.59, Cum Laude
TVI/CNM (Technical Vocational Institute)
Associates Degree - Business Administration (April 2001)
GPA 2.40
EMPLOYMENT EXPERIENCES:
Human Resource Generalist
Alliance Home Healthcare
Albuquerque, NM (07/2008 - 10/2008)
* Interviewed/Pre-screened new applicants.
* Data entry (QuickBooks/Compliance tracking/& GLMI for scheduling
purposes).
* Conducted orientations
(Presentations/PowerPoint/Fingerprinting/& required testing).
* Pulled compliance reports (For expiring Employee documents).
* Audited employee files & signed off on required documents.
* Completed employee verification forms.
Staffing Coordinator
HRN Services
Albuquerque, NM (07/2007 - 02/2008)
* Pre-booked Nurses and CNA's into different shifts at various hospitals
as needed.
* Record the shift on a Nurse Card and process the transaction into the
order-entry.
* Conducted internal audits on employee files.
* Made cold calls to the hospitals for present and future needs for
agency Nurse coverage.
* Submitted employee profiles to the requested facilities.
* Demonstrated conflict management for resolving issues.
Cash Application Specialist/Patient Account Rep.
Lovelace Healthcare
Albuquerque, NM (1/2004 - 12/2006)
* Posted insurance and patient payments promptly and accurately.
* Resolved overpayments regarding patient accounts, issued patient or
insurance
company refunds and made necessary adjustments as required.
* Corresponded with patients and insurance companies regarding payment
issues.
* Researched unidentified accounts and lost payments to resolve and post
quickly.
* Trained staff member regarding posting payer sources.
HR/Payroll Manager
Laurel Heights Healthcare
Albuquerque, NM (07/2003 - 10/2003)
* Ensured OSHA standards were implemented and followed within the
organization.
* Processed new hire documentation which included insurance enrollment
forms,
background checks, fingerprinting, and necessary immunizations.
* Tracked modifications of work schedules for those with Workman's Comp.
claims.
* Prepared and processed payroll on a bi-monthly basis utilizing ADP
Electronic
Service for about 40 employees.
* Prepared detailed budget reports for Registered Nurses and Certified
Nurses
Assistants.
* Recruited new hires for various positions.
HR/Billing/Payroll Coordinator
Intrepid USA Healthcare Service
Albuquerque, NM (06/2002 - 07/2003)
* Prepared and conducted interviews regarding new hire employees.
* Completed reference checks, criminal background checks and registry
verifications.
* Assured all pre-hired and post-hired tasks were completed.
* Conducted periodic audits on employee file for accuracy and
completeness.
* Provided staff direction regarding matters of personnel policy and
human resources
issues.
* Prepared and input time sheets for payroll processing for about 40
employees.
* Tracked weekly hours for clients with DD and DE waivers and processed
billing data
to Headquarters to substantiate appropriate and accurate billing.
* Maintained payroll and billing records.
* Helped manage staff and assisted with supplemental recruiting needs.
Accounts Receivable Technician
Lovelace Medical Center
Albuquerque, NM (06/2001 - 06/2002)
* Provided healthcare premium billing to Commercial and Medical
facilities for payment.
* Resolved all billing issues in a timely manner and conducted data
entry of all new
premium rates and rate changes due to renewal of contracts.
* Researched accounts receivable concerns, collection action on
delinquent accounts.
* Corrected payroll data entries errors due to scheduled leave time.
Patient Accounting Technician
Lovelace Medical Center
Albuquerque, NM (10/1990 - 06/2001)
* Researched and posted patient and insurance payments received using HPA
and BAR
software applications.
* Corresponded with insurance companies and patients telephonically and
in writing
regarding the resolving of billing discrepancies.
* Researched and refunded patients and insurance companies regarding
duplication of
payments and/or overpayments.
SKILLS:
* Microsoft Word, Excel, Access, IDX, McKesson Healthcare software,
ADP, and e-time.
* Quickbooks, PowerPoint, Outlook (e-mail), Hardware and Software
configuration
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