Sales Quality Control
Resume:
Diane Passwaters
Merrimack NH 03054
Computer software knowledge
Windows, Microsoft Word, Miscosoft Excel, Applix, AOL, MS Works
Experience:
Walgreens
*** *ain St
Nashua NH 03060
SIMS Coordinator
11/06-present
Maintaining the accuracy of on-hand balances and pricing on store inventory
Basic office work, including but not limited to answering phones, paper work, questions and data entry
Train all new SIMS coordinators for my area.
Order merchandise on a daily bases, as well as special orders for customers as requested.
Integrity and uniformity of prices in the store item file and on the sales floor. Ensures customers are able
to readily know selling prices of all items and that these prices are accurate in both the system and at the
register
Reviewing, supervising, and coordinating the proper uses of reports and system applications which have
an impact on the accuracy of on-hand balances and pricing.
Monitoring and encouraging the use of SIMS best practices in all departments
Within the guidelines of authorized Company policies, programs, procedures, budgets, laws, and good
business ethics, coordinates and controls the activities, plans and programs of designated areas of
responsibility.
Oxford Health Plans
(A United Health Care Company)
10 Tara Blvd
Nashua NH 03060
Provider Ops Analyst/Auditor II
6/94-8/05
Input all new Par and Non-Par provider IDs and to maintain accurate data of all providers in the PULSE
database.
Provide ongoing support and assistance in current and future development and maintenance of provider
systems.
Researches and verifies requests for the creation of non-par provider records from a variety of sources.
Assists in the clean up of the current provider databases, including verifying and correcting typographical
errors and adding missing information such as provider specialties.
Enters new providers into the system and maintains provider data in Pulse on an ongoing basis.
Liaison with providers and internal departments to update provider information.
Resolves provider database issues such as addresses, fee schedules, etc. and makes corrections
Assists in preparation and proofreading of regional provider rosters. Assists with documenting business
rules and assisting IS in developing requirements for system enhancements.
Communicates effectively with other departments within Oxford and externally with providers who require
precise database information in order to ensure claims are paid correctly.
Meets established productivity and quality standards with little or no supervision.
Takes responsibility and ownership for assignments and projects in a timely and accurate manner.
Audit a defined sample of pending claims to determine if they have been processed according to Oxfords
policies and procedures. Provided feedback to the Claims staff in a professional manner.
Updating manual as necessary.
Auditing claims in logged status, correcting data entry errors, auditing auditors, insuring compliance with
Oxfords payment policy and identify and correcting database discrepancies.
Responsible for special projects, claims reports, and working with outsource company.
Involved with numerous committees such as New manual update Committee, Living Oxford values
committee as well as being the chairman of energizer committee. Medical terminaology knownledge as
well as CPT, ICD 9 and HCPC codes. Knowledge of Excel 1 & Excel 2, Microsoft word, and Keynomics.
Classes including but not limited to: Managing your career, Dealing with difficult people, Myers Briggs,
Diversity Awareness, Appreciating Differences - Myers-Briggs, Problem Solving and Decision Making,
Time Management and Balancing Work & Life Dealing with Difficult People
Four Quarters
Rt 3
Merrimack NH 03054
Owner
06/2003 - 05/2004
Accounts payable and Accounts receivable
Analyze sales, labor and inventory
Principle trainer of all employee's
Assists customers and employee's in all aspects of day to day operations
Purchasing and maintaining of merchandise
Managing Labor
Assists in loss prevention, security procedures
Interviewing and hiring new employee's
BJ's Wholesale Club
Rt 3
Nashua NH 03060
Receiving Clerk
2/92-6/94
Receiving office, answering of the telephone, making delivery appointments, entry of all incoming
shipments, and outgoing shipments, upkeep of receiving office.
Find and fix any discrepancies with incoming and outgoing shipments.
Change prices of merchandise, count inventory, help cashiering, loss prevention and assist members in
all aspects of the club.
Run daily and weekly reports for each individual department within the club.
Work closely with quality control.
Education
Merrimack, HIgh School graduated 1986
Excellent references available upon request
Contact this candidate