Microsoft Office Information
Resume:
AVIS C. JACKSON
St. Albans, NY 11412
Home:718-***-**** Cell:917-***-****
Email: ***********@*****.***
SKILLS:
Type-65 wpm
A “self-starter” and tireless worker who produces results
Adaptable and dependable with an extensive knowledge of organization and planning
Adept at identifying, evaluating and developing solutions to problems
Proficient in applications such as MS Word, MS Excel, Visual Cactus, Mainframe System, Consolidate Provider File, ESAWS, Citrix
Ability to work with minimal supervision
Strong communication skills and excellent attention to details
Experienced at multi-tasking in a variety setting
EXPERIENCE:
Cognizant, New York NY 06/01/16 to present
(Re-Badged) –duties performed are the same as previous position
Group Health Incorporated, New York, NY
Senior Clerk 06/02 to 05/16
Accurately loading and maintenance of participating provider’s information for network participation.
Accurately loading of non-participating provider information for the timely processing of claims.
Process provider applications and enrollments for appropriate network participation.
Utilizing Microsoft Office for the generation and mailing of welcome letters to participating providers.
Executing and mailing of contracts to participating providers upon enrollment.
Process terminations and reinstatements of network providers in a timely manner.
Process service inquiries and provider inquiries for the timely update of the provider file.
Verify provider information utilizing the Licensing Bureau guides pertaining to the provider files.
Resolve claim kick outs submitted for participating and non-participating providers from claims department.
Communicate with other internal departments.
Support procedures for daily tracking of applications and batching and mailing applications to Credentialing Verification Organization (CVO).
Open and disseminate mail;sort applications and mail applications and/or contracts to providers.
Boxing, filing, moving provider applications and contracts for storage.
Utilizing electronic scanning system to file all provider contracts, enrollments and file maintenance.
Type correspondence, memorandum and reports as needed.
Perform related clerical duties as assigned.
Clerk Typist 06/91 to 06/02
Respond to inquiries from perspective providers regarding application status, contracts, and any general information pertaining to their individual files.
Create non-participating provider numbers for doctors who are not under contract.
Verified provider demographic information and meeting standards for hospital affiliation and tax id numbers.
Date entered new provider numbers and deletions of providers who are terminating.
Prepared, scanned and retrieved documents for terminations, welcoming letters and signed contracts on an Alchemy System.
Perform other related clerical duties as assigned.
EDUCATION:
Blake Business School New York, NY
Course of Study: Information Processing
Certificate received as an Information Processing Specialist, 04/91
Queens Borough Community College Queens, NY
Major: Business Word Processing
Certificate received in Work Processing, 08/89
REFERENES FURNISHED UPON REQUEST
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