Manager Data Entry

CYNTHIA NIELSON

Madison, WI *****

Home: 608-***-****, Cell Phone 801-***-****

email: *******@*****.***

OFFICE SKILLS:

. Word processing (incl. letters, memos, merge letters and forms).

Proofreading and formatting.

. Purchasing, invoicing, 10-key data entry, office equipment (scanner,

printer, copier, fax).

. Office management.

. Generation of electronic reports, letters, multiple page permits

and/or documents.

. Maintain electronic and hard copy filing system.

. Internet and email. Internet Explorer, Mozilla Firefox

COMPUTER SKILLS:

Operating Systems:

. Windows (NT, 2000, XP, Vista, 7).

Office/Productivity Applications:

. MS Office (all versions incl. Word, Excel, Access, Outlook), Instant

Messenger.

. Corel WordPerfect, GroupWise, Lotus Notes, Share Point, Citrix,

Internet research and mail.

5/29/07 to 6/5/2008

United Health Group, Uniprise Division

Claims Associate

Completed a 10 week training class for claims processing the AZ Medicaid

claims in Diamond application format.

. Insurance Claims Processing. Medicaid, Coordination of Benefits (COB)

with Medicare or commercial insurance claims. Using queue setting with

knowledge of codes on how to process and CarePlanner.

. Knowledge of HCPCS codes (Medicaid) including HCPCS Level II codes,

Ambulance and DME.

. Make decisions to pay or deny claims based on codes provided using

operating instructions and timely filing policy. Knowledge of reading

Explanation of Benefits (EOB) insurance claims and coding.

. Accomplished processing claims at 100% of goal every month and

exceeded the goal expected. Supervisor recommended me to move to

another team for a new line of business and learn two new application

formats (mainframe screens) used to process the new claims.

. Managed processing claims for three application formats, load

balancing other plans (providing help to other processors, using other

queues) by learning other states claim processing operating

instructions by reading them.

. Achieved the knowledge and ability for using the computer keyboarding

skills necessary to become a stable claims processor. Using web site

information for codes, time card, Crystal Reports, Knowledge Base.

Using secured web based applications and database for data entry.

. Began at UHG as a temporary contracted employee with Vedior Group from

3/12/07 to 5/24/07 processing claims adjustments and a variety of

tasks.

. Used MS Excel, Outlook, MACROS daily. Lotus Notes, and Instant

Messenger.

8/5/2000 to 5/6/2005

State of Utah, Department of Environmental Quality, Division of Air

Quality, Permitting Branch

Secretary

Provide secretarial support for the Permitting Branch Manager, including:

. Provide support to the administrative secretary and act as backup for

Air Quality Board Meetings.

. Maintain calendar for Branch Manager (schedule meetings, conference

calls, etc.).

. Coordinate travel arrangements and reimbursements, calculating the

estimates as well as an accurate reimbursement for the finance

department. (making all reservations and registrations using the

information provided or internet sites). Entering the estimate into

the database system for approval, also the reimbursement.

. Word processing (letters, memos and reports), using Word, including

proofreading, spelling, and grammar. Keeping confidentiality when

necessary.

. Provide technical oversight, training and assistance to other clerical

staff, and provide knowledge area expertise in interviewing office

technical staff.

. Provide knowledge as a member of the division's file reorganization

team.

. Proofread materials, documents, letters, and clerical support for the

division attorney.

. Create and keep a well-organized directory structure on network drives

to maintain electronic documents.

. Maintain access rights and perform data entry for EPA database,

updating status on permits.

. Provide full clerical support for the Operating Permits Program staff

using Access, Word and Excel spreadsheets.

. Prepare purchase orders using the state's database and in contact with

the Finance Department.

. Provide backup for receptionist only as needed.

. Volunteered for group activities, meetings, etc. for the branch and

division.

4/1/2000 to 8/4/2000

State of Utah, Department of Health, Division of Community/Family Health

Services, Bureau of Chronic Disease Control and Cancer Control Program

Office Technician III

Provide clerical support for the Program Director and managers.

. Act as backup for data manager to run reports as necessary, using

Access.

. Prepare correspondence, print monthly data reports, meeting minutes,

and other agency reports using WordPerfect, Microsoft Excel and

Access.

. Coordinate and prepare the purchase of office and other supplies using

an online source and provide paperwork for the finance department.

. Arrange and coordinate conference calls.

. Transcribe, proofread and distribute conference call and meeting

minutes.

. Monitor and print local health department's monthly reimbursements

reports and compare them to the hand written ones that came in.

Calculate reimbursements due after subtracting any duplicate claims.

. Coordinate travel arrangements and reimbursements for program

director, managers and other staff members.

11/29/97 to 3/31/2000

State of Utah, Department of Environmental Quality, Division of Air

Quality, Operating Permits Program

Office Technician II

. Prepare permits, correspondence, reports and other documents

(statistical data, merge letters and forms), using Access and

WordPerfect. Using Macros for letter information, newspaper notices,

etc.

. Coordinate Operating Permit document workflow through the entire

permitting process, from when the application is received through the

finalization of the permit. (2 months)

. Determine the daily status/location of active projects and do

necessary follow-up to ensure project priorities are adhered to.

. Coordinate public notices, generating notice, initiating contact with

newspaper, faxing.

. Create and maintain a filing system, both hard copy and electronic.

. Prepare travel arrangements and reimbursement requests.

12/2/96 to 11/28/97

State of Utah, Department of Environmental Quality, Division of Air

Quality, New Source Review

Office Technician II

. Prepare permits, correspondence, reports and other documents

(statistical data, merge letters and forms), using Access and

WordPerfect. Using Macros for letter information and newspaper

notices, etc.

. Direct document workflow, from the initial application process (Notice

of Intent), through the finalization of the Approval Order (permit).

. Determine the daily status/location of active projects and do

necessary follow-up to ensure project priorities are adhered to.

. Obtain engineer approval prior to submitting final document for

manager/director signature.

. Coordinate public notices, by initiating contact with the newspaper.

. Distribute incoming mail.

. Began as a temporary employee as an Office Technician II for Radiation

Control doing data entry and then to create a mailing list for the

Small Business Ombudsman and provide clerical support for the

Operating Permits Program. 10/18/1996 to 12/1/1996

EDUCATION:

. G.E.D., Salt Lake City Community College, Salt Lake City, UT. 10/94.

SPECIALIZED TRAINING:

. May 29, 2007: Claims processing and operating instructions. United

Health Group

. August 2004: Suspicious Package Training, State of Utah.

. January 9, 1997 and October 9, 2002: Sexual Harassment Prevention.

. March 20, 2002: Excel - Beginning, Intermediate and Advanced, at the

Utah Department of Corrections Training Academy.

. November 8, 2001 - Word, Level 2 and 3, New Horizons.

. January 20, 2000 - Microsoft Office, (Word, Power Point, Excel,

Access, Outlook) Fred Pryor, Career Tracks.

. February 10, 1998 - Basic Records Management Workshop, State Archives

and Records Service.

References Available upon Request.

Contact this candidate