Carmen J. Fondren
Current Address: Contact Information:
**** ****** **. ***********@*****.***
Memphis, TN 38119
cell 314-***-****
* Objective : To obtain a challenging position within the
Accounting/Finance environment with the opportunity for advancement. Proven
performer with experience in all accounts receivable, payable, budgeting,
bookeeping and efficient workforce allocation planning. Able to develop
strategies to achieve organizational goals, adapt strategies to frequent
changing conditions in a tactful manner when under pressure.
* Education
Capella University, Minneapolis, MN: Jul. 2008-Present Sanford Brown
College, St Louis, MO
Course Study: Bachelors in Finance and Accounting Jan. 1999-Jul.
2000 G.P.A. 3.55
G.P.A. 3.00 Associates in Information
Technology
* Work Experience
UT Medical Group, Memphis TN.
Reimbursement Analyst/Insurance Claims Specialist
May 2011 to Present
. Responsible for analyzing assigned claims data to insure appropriate
reimbursement with provider relations. Defines and solves errors in
contract management system and recommend solutions.
. Works closely with internal contract manager and external provider
representatives.
. Reviews and researches unpaid and underpaid insurance claims as well
as corresponding with insurance companies, physicians, clinics and
hospitals.
. Train new employees on procedure and protocol to work insurance follow
up. Works with minimal guidance on large complexity, high volume with
provider groups or specialists.
Seabury & Smith/Mercer, St Louis, MO
Provider Network Contractor-Provider Relations/Accounts Payable April
2003 to March 2011
. Provide in depth analysis and modeling of new contracts. Coordinated
communications of contracts and rates with claims department. Work
with internal and external customers and others in providing requested
information and solving problems.
. Recruit and develop network for a region and set of providers.
Facilitate and oversee to the provider set-up and contract
configuration to ensure accurate claims adjudication.
. Conduct and complete month end Accounting close, prepare weekly wage
updates, maintain and track monthly budgets. Conduct monthly reviews
and prepare audit schedules for internal and external audits.
. Ensure that all audits reports are correct and complete.
. Assist supervisor with special projects to ensure all budgets are
accurate in regards to fixed costs and other expenses for the
departments.
. Research and resolve questions, complaints and grievances and ensures
that information in all databases is accurate and properly configured
to support operations.
. Responsible for training new hires in the finance department. Promoted
to Accounts Payable-February 2007.
*Computer Skills: : 10-Key 16,000, 60 wpm, knowledgeable with ICD-9, CPT
coding, Microsoft Word, Excel, Power Point, Publisher, Amisys, AS400
Caps System, IDX, SAP, Quickbooks and also other necessary office
equipment.
*References Available upon request