Human Resources Manager
Resume:
Linda S. Kaye
*** ********* **** ***********, ** 43085 ********@***.***
Objective
To join a dynamic successful company that will enable me to utilize my
talents and experience. Extensive experience in human resource, payroll,
accounts payable, physician credentialing and administrative fields.
Skilled in employee communication and problem solving. Excellent
background in employee relations.
Experience
October 1997 - 12/31/2009 Insight Communications
Columbus, OH
Human Resources/Payroll Administrator
. Maintain knowledge of general compensation and employee issues
. Provide counseling to employees to help problem solve issues at
hand.
. Manually calculate all payroll functions, input of hours and
commissions for workforce of over 300 employees.
. Maintain two excel spreadsheets on employees paid time off to
ascertain hours remaining.
. Submit all information for payroll/time off information to our
New York office for final processing
. Verified checks bi-weekly and distributed to supervisors once
received from New York office
. Assisted Human Resources Manager on various projects throughout
the year
. Transition new hire process by conducting new hire orientations
to include all necessary paperwork, input information into HRIS
ePAF software, follow up to facilitate prompt return of
insurance forms
. Create and maintain requisition logs
. Participate in area Job Fairs
. Input information for background checks and drug screening for
all new hires and any employee involved in a workers
compensation accident
. Conduct exit interviews with those employees leaving the company
. Process all paperwork for address changes, insurance changes or
life status changes for employees
. Maintained OSHA Logs and completed OSHA 300 report annually
. Complete and return Unemployment Claim Forms.
. Process all invoices for Human Resources department through
coding and tracking, both manual and electronic
. Conducted open enrollment meetings with all employees annually
to ensure that all changes to medical, dental, vision or FSA
were performed in a timely manner
. Daily scan and email any payroll changes to New York
. Work with employees on daily basis to assist with issues they
may have.
. Backup Banker-Count monies from installers, subcontractors and
Pay Window. Confirm amounts with ICOMS system. Prepare and log
deposits for Garda pickup.
February 1996 - January 1997 Central Benefits Mutual Insurance Company
Columbus, OH PROVIDER MAINTENANCE/CREDENTIALLING COORDINATOR
. Create and maintain provider information necessary for
precertification, credentialing, claims adjudication and
directories.
. Receive provider applications, review for current documentation
and appropriate signatures on applications/contracts. Request
additional information if necessary. Input information into
database; merge appropriate fields into main documents for
verification of information supplied on application. If no
response after 30 days follow up with a letter. Prepare
provider files for Credentialing Committee review. Request
expired licensure on a monthly basis. Recredential every two
years.
. Assist supervisor in developing programs and procedures that can
be implemented in order to maintain the integrity of the
provider file.
August 1989 - January 1996
Blue Cross Blue Shield of Ohio - HMO Health Ohio
Columbus, OH
PROVIDER RELATIONS COORDINATOR
. Opened Columbus office for managed care division along with Manager
for Alternate Delivery Systems.
. Support for Provider Relations Representatives.
. Prepared and mailed contracts and application packets to physicians
regarding the HMO and Medicaid products.
. Review completed packets requesting additional information if
needed.
. Answer questions from providers regarding contract issues and
credentialing.
. All aspects of credentialing process for the Columbus region from
beginning to end following NCQA guidelines.
. Created fee analysis for providers in Lotus.
. Input data into dBase, WordPerfect and mainframe systems and update
as needed.
. Prepared welcome packets to new physicians.
. Notify members to select a new PCP when theirs leaves their
practice.
. Assist in the development and updates of physician manuals and
directories.
. General office work, order supplies, postage and distribution of
mail.
Prior to 1989 held various administrative support positions including 8
years Accounts Payable at Dispatch Printing Company and 5 years as
Secretary/Receptionist at WBNS-TV in the newsroom.
EDUCATION: Eastmoor Senior High School - High School Diploma
References available upon request.
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