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Service Medical

Location:
Austin, Texas, United States
Posted:
May 16, 2018

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Resume:

Taniqua Evans

ac5hfq@r.postjobfree.com

Ph. 512-***-****

Libby King & Associates CPA Firm 03/12/18-05/01/18

Process Payroll for 4 major clients (Modus, Decident, Phoenix Data Security and Qmulos).

Balance Payroll Summary

Transfer payroll excel files to QuickBooks

Make calls to ADP, Safe Harbor, 401k benefits, and Workers Comp Benefits

Adding employees and employees state to Workers Comp Insurance

Processing Quarterly Tax reports for multiple states

Posting the JE for Payroll clients

Verify time in click time app as well as spring ahead

Process payroll reports in ADP Run

Update Payroll Database Spreadsheet

Attend American Payroll Association Meetings

Prepare and transmit payroll data (new hires, terminations, bonus, commissions, hours worked, Health and Welfare (H&W) for Service Contract Act (SCA) employees, vacation used) into the payroll network

Set up and modify employee records for items like W-4 modifications, salary increases, department changes, terminations

Set up and maintain state and local regulatory agency accounts for tax withholding and unemployment insurance, wage garnishments

Superior Health Plan- Privacy Compliance Specialist 08/04/2013 -9/14/2017

Provides education and serves as a resource to management, medical staff, patient care services, ancillary departments and the physician network on CMS, OCR and other regulatory bodies' regulations pertaining to privacy and compliance.

Maintains knowledge of regulatory agencies' to ensure compliance of procedures and policies

Coordinate corrective action plans when any departments fail to meet compliance guidelines.

Provide administrative support and customer service to stakeholders and clients.

Pose as an underwriter working with attorneys/lawyers validating legal documents and procedures.

Maintain all reporting within superior to insure all reporting’s to the state are within compliance.

Process appeals/fair hearing request by phone when insurance does not approve a service.

Maintain record retention files by keeping a database of all inquires for legal processes.

Screen Members eligibility on services.

Community service and out reach

Manage a number of projects providing reporting, data analysis, matrix and overall completion of each project.

Provide supervisory leadership to a team of 7, tracking all work performance, time and attendance and overall accuracy and efficiency.

Bedroc Roadside Assistance –Human Resource Manager April/2010-August/2013

Manage Incoming/Outgoing workloads

Work with various HRIS databases

Process time/time off request records via ADP

Experienced with PeopleSoft, ERS online, Microsoft Word and Excel

Handle all task with priority to ensure daily expectations are met

Provide organizational and communication skills

Making sure all drivers are in compliance with Texas Licensing Regulations guidelines.

Provide education on employee onboarding, benefits packages, safety on the job, performance goals, and insuring that all staff are aware of job duties and descriptions.

Seton Medical Center Williamson-EMPI Tech II- Feb/2010-Dec/2011

Audit a massive chart production from all hospital areas daily.

Manage project-reporting, deadlines, from creation to completion.

Answer incoming calls to the department and send to the appropriate contact.

Manage Fraud Prevention Report searching the LexisNexis Legal software tracking drug seekers and fraudulent use of patient HIPAA.

Review all Radiology Addendum Reports provided by physician staff and correct and add information to reports as needed.

Concurrent Analysis Review

HIPAA Law & Regulation Reporting

Community Care-HIM Tech I 2008-2010

Provide patient Release Of Information to patients and or business partners by giving copies of medical criteria and health information.

Process abnormal labs efficiently insuring the physician gets the report in order to service patient in a timely manner.

Provide chart audits insuring physicians have signed all necessary documents for patients needing various medical treatments.

Train incoming staff on all policy/procedures and work processes for the department.

Mange staffs by serving as back up team-lead when the teams lead were out.

TMHP/ACS-Call Center Provider Rep 06/2006-04/2007

Screen providers for eligibly of Medicaid’s Good/services

Knowledge on using ICD9 and physician red codebook for billing Medicaid products, goods and services.

Provide provider claim appeals to correct any incorrect billing of codes/procedures.

Provide provider awareness of all state compliance guidelines for Medicaid.

Texas Health-steps dental screening/eligibility

Girling Home Healthcare 05/30/2005-5/30/2010

Provide in-home care to patients who are unable to provide care for themselves.

Serve as a transport service to patient for doctor appointments and daily errands.

Maintain patients home by cleaning laundry, and home for a better quality of living.

Gather necessary reporting from the patient regarding compliance with home health care and relay findings to agency.

Education

BA Healthcare Administration- Concordia University of Texas



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