Human Resources Manager
Resume:
Deborah E. Taylor
**** ***** ****** ***** *****: 615-***-**** or
Smyrna, TN 37167 Email:
***********@*****.***
pROFESSIONAL Experience
Community Health Systems-PPSI Department
01/2012-Present
Claims Resolution Specialist
. Identifies researches and rectifies any circumstances affecting
delayed submission of insurance accounts or payment of accounts;
Provides feedback / education to PPSI AR Analysts to prevent
reoccurrence of these issues.
. Identifies researches and rectifies claim mapping issues in Athena
Collector.
. Identifies researches and rectifies claim in MGRHOLDS that involve
provider numbers, or taxonomy issues.
. Coordinates with Provider Enrollment to keep appropriate staff up to
date on credentialing issues and status.
. Manages all enrollments with Rail Road Medicare.
. Ability to conduct "root cause" analysis as a result of trends within
the key performance indicators
. Maintains current knowledge base of all Federal and state billing
regulations and guidelines
. Demonstrates a positive and professional demeanor in all interactions
with clinic employees, corporate personnel, and other associates
. Identifies opportunities for improvement within the clinic operations
as well as CBO work flow processes
. Prepares and reviews reports/ documents with appropriate staff as
required
. Demonstrates ability to identify issues outside work flow process and
escalates them when necessary
Community Health Systems-PPSI Department
12/2009-12/2011
EDI Enrollment Specialist
. Communicate and coordinate EDI issues with implementation and client
services departments.
. Communicate resource needs and project status to the appropriate
department manager. Provide ongoing production and status information
as directed to Finance Director.
. Continuously ensure a positive EDI Partner Relationship including
activities such as: return phone calls / e-mails in a timely fashion,
provide status and resolution as quickly as possible. Participate in
proactive team efforts to achieve departmental and company goals.
Develop skills proactively and continuously improve relationship
between Athena and the information receivers, as well as between the
EDI department and other department/personnel within PPSI. Assist the
Finance Director in developing and promoting ongoing process
improvements and efficiency gains, production reporting, and managing
and improving audit and compliance controls.
. Proactively communicate with other departments to meet and exceed
client expectations. Use escalation procedures to communicate any
implementation project or EDI processing delays.
. Responsible for processing outbound eligibility data integration to
carriers or their representatives. Ensure the integrity of
information updated from the Athena systems in a timely manner to
fulfill service level agreements. Assist in implementation of new EDI
processes and files. Manage EDI carrier relationships to ensure proper
data integrity and ongoing successful integration processing through
conference calls, E-mails, and ongoing customer relationship
management.
. Responsible for the creation, dispersion and document control for all
W-9's.
. Other duties as assigned.
Community Health Systems-PPSI Department
09/2009-12/2009
Human Resources Assistant
. Completing and returning job verifications
. Copying, filing, and distributing resumes to hiring personnel via fax,
courier, and/or mail.
. Customer Services.
. Maintaining personnel, benefit, medical, and termination files.
. Opening, date stamping, and sorting incoming HR mail and faxes.
. Ordering Office supplies
. Preparing and sending facility mail-outs
. Providing phone coverage for the HR department
. Receptionist
Providence Park Hospital-Novi, Michigan
2/2008-12/2008
Work life Service Assistant (Human Resources)
. Assured accurate and timely processing of new associates; verified
completion of documents, scheduled pre-employment health assessments,
processed all background and reference checks, developed associate
file, and scheduled on boarding, etc. Facilitated and supported New
Associate On Boarding program, process and material assembly.
. Collaborated with assigned Work life Service Consultant(s) and
Management staff to provide cohesive, comprehensive, and timely
customer service to assigned departments. Developed a depth of
knowledge to provide services, as needed, when Work Life Services
Consultant/Managers were not available.
. Conducted best practice and other related research using the Internet
and other information sources. Summarized and interpreted
information, as needed.
. Coordinated job fairs.
. Maintained knowledge of Work life Services policies and procedures and
provided explanation/interpretation to leaders and associates.
. Maintains knowledge of Peoplesoft and processed all Peoplesoft data
entry including new hires, transfers, promotions, pay rate changes,
names and address changes, etc.
. Scheduled appointments and coordinated attendance of others at
meetings and programs, i.e., interviews, new Associate on Boarding,
Associate Appeals etc.
. Performed other related duties as required.
Credit Acceptance-Southfield, Michigan
01/2004-08/2007
Human Resource Administrator
. Accurately managed all aspects of benefit/payroll administration for
over 900 employees. Effectively assisted with administration and
provided technical support. Successfully managed all aspects of
administrative duties including payroll, Cobra administration, 401k
plan, medical, dental, and life insurance.
. Completed current and former employee job verifications.
. Facilitated and enhanced New Employee Orientation and ensured that new
hires paperwork is complete.
. Maintain Personnel files.
. Managed employee time cards and building security cards.
. Performed background and reference checks.
. Performed related duties as required.
. Provided Human Resources services to internal and external customers
including processing of employment applications, employee benefit
information and answering questions regarding policy and procedures.
. Provided support to the Benefit Manager and coordinated monthly
benefits meetings.
. Scheduled and coordinated blood drives and influenza shot programs for
the Company.
. Updated monthly stock options reports.
Blue Care Network-Southfield, Michigan
03/2000-12/2003
Human Resources Administrator
. Assisted managers with hiring procedures, screening of candidates, and
coordinating interviews.
. Conducted exit interviews.
. Entered all paperwork for new hires, employee's location transfers,
status changes and terminations into various systems.
. Facilitated bi-weekly New Employee Orientation and ensured that new
hires paperwork is complete accurately.
. Generated monthly queries for management review; administer HR
tracking system for new hires and terminations.
. Informed supervisors on coding employee's time and processing monthly
premiums and balancing quarterly statements.
. Provided counsel and assistance relating on compensation and benefit
programs to HR partners, manager, employees and leadership.
. Responsible for Human Resources Report (Salary and Benefits) including
supervision activity pertaining to vacation, sick and personal time.
. Scheduled and interviewed candidates for administrative positions.
. Short-term disability/Family Medical Leave processing.
. Staffing and recruiting.
EDUCATION
Bachelor of Arts, Organization Management - Bethel College, Mishawaka,
Indiana 1990
SKILLS
Excellent written, verbal communication and organizational skills.
Proficient in Microsoft computer applications such as Microsoft word,
Athena Software, Oracle/HRMS, ADP Payroll, PeopleSoft, Taleo Staffing Web
and Vistar.
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