Training Customer Service
Resume:
CASSANDRA LISETTE RAYNOR-SIMPSON
abnatz@r.postjobfree.com
POB 160
Turkey NC 28393
910-***-**** (mobile)
EXPERIENCE
October 1, 2009 - Present:
Patient Financial Counselor @ Johnston Health-Clayton
HFMI (Healthcare Fiscal Management, Inc.), Williamston NC
o Interview patients after their treatment in the Emergency Department
to determine payment method for their account - Self-Pay, Insurance,
Workman's Comp, 3rd Party Liability, etc;
o Assist patients in finding a means of paying their bill (through
charity, Medicaid, Cobra, etc.);
o Process and post payments received on account using the company
computer system (FE Client) and the hospital system (Meditech);
o Enter comments on accounts documenting contact with a patient
concerning their account and payment options/arrangements;
o Contact patients via telephone or written communication in reference
to their account(s);
o Determine if patient is eligible for any government-assisted programs
(Medicaid);
o Assist patient in applying for programs;
o Communicate with insurance companies and Department of Social Services
to verify eligibility or application submission by patients for
Medicaid;
o Obtain any insurance information that may be missed at the time of
admission to the Emergency Department;
o Comply with Hospital and HIPAA Regulations;
o Use resources provided by company (HFMI) - Star, support personnel,
and Regional Directors as needed;
o Use Blue-E to look up Blue Cross insurance health eligibility info on
patients;
o Use Medifax (MAX) system to look up all other insurance types for
eligibility purposes;
o Maintain open communication with coworkers and managers.
March 17 - June 11, 2009: (short-term assignment)
Healthcare Claims Analyst (Medicaid)
Frasier Healthcare Consulting, Inc at Johnston Memorial Hospital,
Smithfield, NC
o Learning methods to "clean-up" and collect on (year-) old Medicaid
claims through Meditech and Medifax (MAX) technology systems;
o Learning methods for re-submission of denied and rejected claims using
the EPremis billing system;
o Reviewing claims for timely filing and completeness;
o Following-up on unpaid claims;
o Attended the April 2009 Basic Medicaid Seminar in New Bern, NC.
April 2008 -December 31, 2008:
County Social Services Program Administrator II (Deputy Director), Wayne
County Department of Social Services, Goldsboro NC
o Acted as a resource for staff in administrative matters such as
customer complaints, staff safety;
o Provided supervision over the economic services, Work First employment
and Child Support programs;
o Attended meetings representing the Department.
September 2003 - March 31, 2008:
Workforce Development Program Manager, Mid-Carolina Council of Governments,
Fayetteville NC
o Served as Equal Opportunity Officer;
o Ensured consistent and fair resolution of client complaints;
o Ensured that all programs and training activities were administered
fairly and consistently;
o Coordinated rapid response sessions for employees impacted by plant
closure/layoff;
o Established relationships with business and industry personnel;
o Interpreted State and Federal rules and regulations;
o Revised administrative policies;
o Modified program designs to maximize services;
o Negotiated contracts for the provision of training programs;
o Promoted job training and educational programs via speaking
engagements and presentations to various groups;
o Provided program audit and evaluation services;
o Monitored service providers to ensure compliance with contractual
requirements;
o Trained program staff in the preparation and submission of all
reports, documents, and other correspondence as required;
o Assisted with the development and implementation of WIA Strategic
Plans and the design of employment and training services;
o Provided oversight to 4 JobLink Career Centers, 5 WIA service provider
agencies and the Incumbent Workforce Development grant program.
September 2002 - May 2003: (Fill-in)
Math Teacher, Lakewood High School, Salemburg NC
o Provided instruction to approximately 62 high school students in Pre-
Algebra and Algebra I classes;
o Student advisement on upcoming classes.
July 2000 - August 2002
Program & Evaluation Director, Smart Start, Clinton NC
o Provided audit and evaluation services to County agencies operating
Smart Start-funded programs for children birth to age 5 and their
families;
o Liaison for program committee and Board of Directors;
o Maintained documentation for all volunteer hours and/or in-kind
services/donations provided to Smart Start programs/projects;
o Ensured compliance with ADA requirements and safety practices.
December 1998 - February 2000: (Part-time)
Instructor for Intro to GED, Sampson Community College, Clinton NC
o Provided instruction to (high) school dropouts of various ages
interested in receiving their high school diploma or GED;
o Student advisement on upcoming classes, as appropriate.
September 1999 - June 2000:
Child Support Enforcement Agent II, Child Support Office, Clinton NC
o Determined payment amount(s) for child support;
o Presented cases in court;
o Collaborated with Department of Social Services staff on establishing
current TANF and/or Food Stamp status in relation to child support
determination;
o Verified employment information for clients and/or non-custodial
parents;
o Liaison between Sheriff's Department, clients, and non-custodial
parents.
June 1998 - September 1999: (Part-time, Temporary)
Intermittent Employment Interviewer/HR Coordinator), Employment Security
Commission (Clinton and Dunn offices)
o Registered clients for work and assisted in usage of JobLink Career
Center;
o Assisted clients in filing for unemployment compensation;
o Scheduled interviews with various employers;
o Provided labor market information to workers, employers, and the
general public;
o Assisted clients in job search efforts, resume writing, and general
computer use;
o Monitored usage of JobLink Career Center's computer equipment;
o Assisted clients in making initial contact with potential employers
and in preparing for interviews.
February 1997 - December 1997: (Layoff)
Clinical Administrative Assistant / HR Rep, Home Health & Hospice, Clinton
NC
o Recruited new hires to fill open staffing positions;
o Responsible for screening and orientation process;
o Negotiated contracts for services;
o Member of the Billing Team to process paperwork for payment for
services from insurance companies, Medicaid, Medicare, and Private
Pay;
o Interviewed applicants to obtain information on work history,
training, education, job skills, and certifications;
o Reviewed and updated job descriptions as necessary;
o Conducted drug screenings and background checks.
October 1991 - January 1997: (positions held simultaneously)
Project Director for: Job Training and Emergency Medical Services
Mid-Carolina Council of Governments, Fayetteville NC
o Provided program audit and evaluation services to ensure compliance
with State and Federal mandates;
o Designed training programs for youth, adults, and dislocated workers;
o Purchased equipment for fire trucks, rescue vehicles, CPR and other
EMS training classes.
EDUCATION:
Mount Olive College, Mount Olive, NC
o Bachelor or Science: Human Resource Development.
o Bachelor of Science: Management and Organizational Development.
PROFESSIONAL MEMBERSHIPS:
Southeastern Employment & Training Association (SETA)
National Association of Workforce Development Professionals (NAWDP)
CERTIFICATIONS:
National Workforce Development Professional - Tier 3 (NWDP-3)
Certified Workforce Development Professional (CWDP)
BOARD MEMBER / COMMITTEE EXPERIENCE
Member: Sampson County Adult Home Care Advisory Committee (Present)
Member: Board of Directors, Community Outreach Center (Present)
Member: Partnership for Children's Executive Committee and Board (April -
Dec 08)
Member: Juvenile Crime Prevention Council (April - Dec 08)
Member: Workforce Development Business Services Steering Committee (2003-
2008)
Member: Program Advisory Committee, Continuing Education Department at
Sampson Community College (2006-2007)
RELATED TRAINING:
"Automotive Boot Camp" for Sales Professionals at Car Dealerships
Basic Medicaid Billing
Online Training through Centers for Medicaid & Medicare Services Learning
Network
Alzheimer's Disease & Related Dementias: Maintaining a Healthy Brain
Child Welfare Pre-Service
Intro to Lean Six Sigma (for manufacturing industry)
Training and Assessment in Workforce Development
Workforce Investment Act Procurement Technical Assistance Training
Notary Public, Sampson County
Career Compass Train-the-Trainer
Basic Mediation
Conflict Management
Management, Leadership, and Teambuilding Training
Effective Case Management Training
Leadership Training Specifically for Women
Employee Wage and Hour Labor Standards
Fundamentals of Supervision and Management
Train-the-Trainer Customer Service Skills
Clinton-Sampson Leadership Program Graduate
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