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Administrative Assistant Human Resource

Location:
Kings County, NY, 11204
Posted:
August 16, 2017

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Resume:

Johanna Oropel **** Bay Parkway Apt. *I Brooklyn, NY 11204 646-***-**** ******.*******@*****.***

SUMMARY

Proficient in Microsoft Office; Word, PowerPoint, Access, Excel (Pivot Tables, V-lookup etc.,) and other Data Systems such as ADP, COOL, CRM and Vitech.

Participated in QA assurance and system testing.

Processed payments by working directly with JPMorgan Chase.

Fluent in both English and Spanish.

EXPERIENCE

Humara at Home/Senior Bridge, New York, NY 01/17-Present

Billing Analyst II

Verify that transactions comply with financial policies and procedures.

Perform Billing function for clients and insurance carriers and third party payers.

Responsible for effectively researching, tracking, and resolving documentation problems and discrepancies, specifically the missing notes report.

Assist in maintenance of client folders on shared network files, including insurance documentation and other miscellaneous filings.

Heavy duty data entry for claim submission via web portal.

Perform manual invoice correction on demand.

Perform ad hoc analyses as required.

Building Services 32 BJ Benefit Funds (Union). New York, NY 10/05-10/16

Payment Analyst 7/12- 10/16

Reviewed election forms for completeness and accuracy.

Administered input of Payment applications into the system and prepared initial charts for Benefits Processing Group.

Processed initial and subsequent payments (using JPMorgan Chase data system) and data, and perform performance maintenance.

Updated COOL System as necessary.

Understood workflows and procedures and interfaced with related departments as necessary.

Tested system changes when needed.

Generated Federally compliant correspondence to members to obtain additional information as needed.

Interfaced with other departments via CRM regarding status of Member cases.

Attended weekly meetings with team and Director.

Administrative Assistant 09/09-07/12

Maintained Health Service Department attendance records up to date, submitted department Timesheets for approval and resolved pay/accrual issues with employees and Human Resource Department, as required and distributed weekly payroll checks to Health Service Department.

Managed and approved all time off requests within the new ADP Portal.

Prepared outgoing packages (including USPS, Fedex, DHL, etc), sorted and distributed mail.

Performed maintenance of equipment by contacting proper department (IT department or Facilities) for equipment service.

Updated department training manuals.

Received and distributed RightFax.

Created and mailed Out of Network letters, Denial letters and Negotiation letters.

Updated and reviewed Denial Reports, Census Reports, Hospital Admission Reports, Call Stats (Monthly and Roll-up), Appeals tracking and Triage Quality Assurance Audit Reports and submitted directly to Data Maintenance Administrator and Director for further review.

Received and reviewed expense report for accuracy. Resolved any issues with employee before submitting to HS Manager for approval.

EDUCATION: Borough of Manhattan Community College New York, NY

Striving to Achieve Associates Degree Courses-Business Management

SKILLS: PBX Phone System, Typing 65 WPM, Multi-Task, Windows 2000 +, MS Word, Word Perfect, Power Point, Excel, Access, And Bilingual English & Spanish

REFERENCES: Available Upon Request



Contact this candidate