Medical Management

Donna Payan

Email: *********@********.***

Address: *** * * **** ** Prince Ln

City: Glendale

State: AZ

Zip: 85306

Country: USA

Phone: 602-***-****

Skill Level: Management

Salary Range: $44,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

DONNA C. PAYAN

6127 Port Au Prince Lane Contact Phone: 602-***-****

Glendale, AZ 85306

PROFESSIONAL OBJECTIVE:

A challenging position in the areas of medical billing/medical plans management, bookkeeping, customer relations and

cosmetology where my experience, initiative and interpersonal skills can be utilized.

SUMMARY OF QUALIFICATIONS:

. Formal training and extensive experience in Cosmetology and Hair Care - State Certified Instructor.

. In-depth training and experience in the field of group medical plans management, medical coding and billing.

. Extensive experience and training in personal banking and customer care relations.

. Strong management and leadership skills gained and refined through experience in demanding positions of increasing

scope and responsibility.

. Comprehensive experience in office automation, information and telephone systems.

PROFESSIONAL EXPERIENCE:

Banking:

2006 to Present: United States Army Association Bank (USAA) Phoenix, Arizona

Financial Foundations Specialist

. Provide assistance and resolve issues for members in reference to any concerns on bank statements

. Assisted members with any disputes associated with any unauthorized debit card or ACH transactions

. Recommended products or services that would accommodate and benefit the member

. Transferred funds to personal or other bank establishments via the computer or Official Check

. Educated members on USAA.com website

Bookkeeping:

1986 to 1989: ABCO Stores, Inc. Glendale, Arizona

General Merchandise Manager Bookkeeper

. Controlled buying and general merchandise / non-food department inventories

. Assisted with store operations at a department level

. Maintained inventory counts and controls

. Controlled product choice, buying, sales, and cross-marketing strategies

. Responsible for department profit to meet individual store plan for growth and development

. Maintained daily department operations

. Participated in setting marketing objectives for department

. Reconciled daily cash receipts with register totals for each cashier and checkstand in operation

. Tracked percentages of overages and shortages monthly

. Posted department sales and percent of increase / decrease in numbers

. Prepared daily bank deposits for corporate office

Medical Billing/Medical Plans Management:

2005 Laloma Internal Medicine Pediatrics Litchfield, Arizona

Billing Specialist

. Increased revenue from 11% to 72%

. Analyzed and processed medical records in compliance with AMA standards

. Prepared EOM reports identifying proper coding, finalized reports, and handled rejections

. Resolved issues with denials explaining benefits for patient satisfaction

. Processed electronic billing through MD Online

1989 to 1995: United Health Care of Arizona / TPA Phoenix, Arizona

Claims Auditor / Claims Analyst

. Audited analysis according to contract specification for various self-funded medical groups

. Trained new hires in the techniques of analytical concepts and department operations

. Monitored consistency to ensure overall office performance and production standards

. Prepared month-end reports according to insurance and system mandates

. Coordinated benefits and carve-out policies for Medicare and active group participants

. Analyzed self-funded groups according to plan documentation

. Verified benefit limits and restrictions on group policy claims

. Utilized extensive knowledge of multiple PPO plan formats

Cosmetology/Hair Care Instructor/Manager

2005 TO 2006: Vim n Vigor Hair Salon Scottsdale, Arizona

Senior Hair Designer

. Accommodate a vast clientele with varied needs and provided individual consultation

. Reconcile and report daily expenditures and maintain industry standards and mandates

. Provide front desk help in phone management and scheduling operations

. Order supplies and assist with accounting measures

. Provide client cuts utilizing updated styling techniques

2003 to 2004: Toni Guy Academy Scottsdale, Arizona

Cosmetology Instructor

. Involved in the curriculum development and advancement of the organizational goals and strategies for effective

student learning and client satisfaction

. Monitored student performance and knowledge retention of designed objectives

. Evaluated student performance on active application and client interaction

. Developed student confidence and celebrated student successes

. Responsible for student instruction in the areas of:

Design Techniques Advanced Color Application

Effective Cut Outcomes Salon Operation

Client Satisfaction Scheduling

Time Management Organizational Management

Personnel Management Timeliness and Attention to Detail

2001 to 2003: Earls Academy of Beauty Mesa, Arizona

Cosmetology Instructor

. Educated freshman students in theory, techniques, and operational strategies

. Structured programs in listing priorities, establishing timelines, and maintaining deadlines

. Recruited and trained students in cosmetology state standards and mandates regarding licensing and certification

requirements

. Examined profitable measures for successful academy operation

. Encouraged student participation in client consulting sessions

. Challenged education and the introduction of new technologies and techniques to professional staff during live

application and interaction on clinic floor

. Prepared students in skin care and how to diagnois simple skin problems

1998 to 2001: Carsten Institute Tempe, Arizona

Cosmetology Instructor

. Instructed trainees in the areas of basic cosmetic techniques and modern trends

. Followed a strict cirrculum to comply with the Cosmetology methods

. Examined and prepared students for their school and state boards

. Educated students with the compliance of sanatation regulations according to state regulations..

. Educaed students in the areas of Infection and Protection according to state regulations

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