Accomplishments
Professional Summary
C D A
*** **** ***, *******, ** 39212 • Cell: 601-***-**** • *********@*****.*** Communication and Lesson plans Job Related Training: completed the White Belt Lesson for Six Sigma, VHA Active Threat Training, Introduction to ICD 10 and CPAC Revenue, VA Privacy and Information Security Awareness Rules and Behavior, Veterans Choice Program 1010 and Privacy and HIPAA Focused Training completed date 03/23/2016. HR SMART- Benefits Personnel Actions, USA Staffing Virtual Conference, USA Staffing Announcement, Application, Assessment, New Hire, Referral, Vacancy, and Request training completion date 05/18/2017.DFAS DCPS Security Awareness Online Course completion date 12/22/2016.
Pathways Professional Development Series such as Background and Regulations, Descriptions of Programs, Program Requirement, Workforce Planning, Classification, Qualifications, and Assessments, Hiring Official/Human Resources Collaboration, Public Notification, Recruitment and Outreach, Staffing and Onboarding completion date 04/2017. T5 Area of Consideration (AOC) Review training completion date 05/24/2017. VBA Human Resource Center Human Resource Specialist 601-***-**** ******.******@**.*** (. Indicates professional reference Additional Information: Academic Honors, Perfect Attendance, Praise Dance Youth Counselor, process faxes, Microsoft Word, Vital works system, USA Staffing, HR SMART, Remedy, DFAS, eOPF, Electronic Medical Records,VISTA,ICB,ROI PLUS,HURON,QUADRA MED, FBCS and MYACCESSBLUE.
POC spoke person for VISN 17 and the Insurance Verification Department. Availability: Monday-Friday Job Type: Permanent
Expert in: Administration ~ Staff Support ~ Policy InterpretationVersatile, high-energy professional who supports and enhances Human Resources initiatives by driving results and contributing to team efforts by accomplishing established goals. Keen ability to partner with various departments to understand business objectives and identify corresponding Human Resource needs. Proven capability to identify training needs and provide information concerning training approaches and content. Hands-on leader who expertly leads teams and keeps them focused and productive beyond organization's expectations. Provides policy interpretation and ensures accurate and consistent application of all organization Skills
Work History
policies and procedures in accordance with federal and state laws. Customer Service ~ Recruitment ~ Sales/
Marketing ~ Report
Production ~ Organization &
Communication Data Analysis ~
Client Retention ~ Staff
Management & Leadership ~
Budget Planning ~
Administration New Employee
Orientation ~ Growth Strategies
Logistics ~ Strategic Planning
Process implementation
Client assessment and analysis
Risk management processes and analysis
Staff development
Strong verbal communication
Self-motivated
Conflict resolution
Budgeting and finance
Human Resources Assistant, 12/2016 to Current
VBA, Human Resource Center – Jackson, United States, MS The HRC provides human resource support and management services to 13 Regional Offices. prepare vacancy announcements, make eligibility/qualification determinations, prepares and sends selection, non-selection, or eligibility letters to applicants with oversight of HR Specialist Work with HR Specialists to close recruitment folder and maintain up-to-date references including HR Smart manuals, internal operating procedures and policy statements. Process a wide range of human resources transactions and provides technical assistant in executing related to employee relations, employee benefits, recruitment and placement, classification, and/or compensation program.
Determines creditable service (service computation dates (SCD)) for leave category, retirement, Thrift Savings Plan, etc.
Assists new employees with completion of employment forms; establishes and maintains electronic Official Personnel Folders (e-OPF's) by requesting from the National Personnel Records Center or Federal Agency for employee hired with federal service. The incumbent of this position provides substantive support services in the staffing and placement function, maintains Official Personnel Folders (OPFs), processes the full range of personnel actions, manages the use of the HR Smart data processing system for serviced Regional Office(s), and provides support to the Human Resources Specialist in other personnel management functions, i.e., training, employee relations, and labor relations. Personnel actions (SF-52s) are accurately completed without errors in NOA, Legal Authority, cost center codes, position description number, title code, and employee information. Demonstrate organizational support by providing assistance to others as needed, or through assignments to participate on work teams or special projects or to assist in training or mentoring personnel
Program Support Assistant, 08/2014 to 12/2016
VA CPAC MIDSOUTH – Flowood, United States, MS
responsible for answering patients calls, QUIC messages, including outpatient ROI, TORT/Workers' Comp cases, handling of mail, Held Charges Report, Scans in Waiver/RP Plans -emails to Mid-South Consolidated Patient Accounts Center (MSCPAC), Code Me, FEE PreCert Report, Mental Health Ontrac, NON-VA-Care 1st Party (Fee), New Ins Late Check Out (NILCO), Ambulance Billing, Non-VA Care 3rd party (FEE), New Insurance Bulletins, Accounting of Disclosure. ensure that all billable cases are identified and bills are generated on a daily basis; coordinates completion of forms with patients, administrative staff, and providers; obtained required information for tort cases, Workman's Compensation, and personal injury cases; and validated claims on a daily basis for billing purposes, ensured eligibility, referred questionable coding review, and monitored reports.
track, review, and correct denials and responded to veterans' questions and explained eligibility requirements, insurance provisions, billing, and payment procedures. validate and audit potential third party reimbursable insurance, collect, compile, and track revenue data and program information, manage payments, perform bill reviews, and use electronic bill payment methods.
Human Resource Assistant, 03/2013 to 08/2014
VBA Human Resource Center – Jackson, MS
The HRC provides human resource support and management services to 13 Regional Offices. responsible for providing limited technical assistance to Human Resources Specialists within the office and to managers, supervisors, and technicians of the serviced organization for a wide range of human resources matters.
maintain up-to-date references including coding manuals, internal operating procedures and policy statements; Processes a wide range of human resources transactions and provides technical assistant in executing related to employee relations, employee benefits, recruitment and placement, classification, and/or compensation program.
provide guidance and assistance to supervisors, managers, and employees on a variety of HR matters, to include resolving minor employee problems. Evaluates and resolves a variety of complex pay and human resources issues. provide assistance in executing the employee benefits program. Determines creditable service (service computation dates (SCD)) for leave category, retirement, Thrift Savings Plan, etc.
process administrative and clerical support for incentive awards and performance appraisal programs.
Reviews all requested incentive awards actions for completeness. Assists new employees with completion of employment forms; Establishes and maintains electronic Official Personnel Folders (e-OPF's); Performing other related duties as assigned. The incumbent of this position provides substantive support services in the staffing and placement function, maintains Official Personnel Folders (OPFs), processes the full range of personnel actions, manages the use of the PAID/OLDE data processing system for serviced Regional Office(s), and provides support to the Human Resources Specialist in other personnel management functions, i.e., training, employee relations, and labor relations. responsible for assisting Human Resource Specialist when bringing new employee on board making sure their investigation is done in a timely manner. responsible for coding Certification of Investigation into PAID and scan the document into the employee's EOPF (Electronic Official Personnel Folder) and send emails to employee HR Liaison to let he or she know when the investigation is schedule and if any issue. responsible for keeping up with 49 employees leave and doing their time cards. Program Support Clerk, 09/2011 to 03/2013
VBA Human Resources Center – Jackson, United States, MS arranging records for storage, general filing including the use of alphabetical, numerical, or chronological filing systems to file records and similar material. Performs mail handling and distribution including sorting, opening, date stamping, classifying, processing, and routing mail.
Records, processes, and control registered, insured, and also screens outgoing materials scan day forward documents into EOPF files and also scan EOPF folders into the employee personnel file verifies the images with the index to ensure accuracy. work in e-QIP and Suitability gaining the knowledge in fingerprint and security clearance. reviewing all credential documents and screening all applicants for employment and current employees on a quarterly basis making sure the investigation is done in a timely manner. reviewed and track NACI checks and track higher level security clearances for sensitive position. When investigation is completed I file them in alphabetical order. Time-Keeper for 43 VBA HRC employees.
Medical Reimbursement Technician, 07/2010 to 07/2011 Department Of Veterans Affairs, Midsouth CPAC – Smyrna, United States, TN verified benefits, insurance policies, pre-certification requirements, insurance contact information, effective dates of coverage, documents pre-admission requirements, and identified patients requiring second opinions.
responsible for all reimbursable billing activities including consideration of professional services, facility services, and pharmacy bill
coordinated completion of forms with patients, administrative staff, and providers. validated claims on a daily basis for billing purposes, ensured eligibility, referred questionable coding review, and monitored reports.
tracked, reviewed, and correct denials.
responded to veterans' questions and explained eligibility requirements, insurance provisions, billing, and payment procedures
responsible for third-party collection from insurance companies and for accounts receivable including humanitarian, Department of Defense (DoD), Tricare Tort Feasor, Workman's Compensation, and no-fault auto accident.
Accounts Receivable Technician, 06/2009 to 07/2010 SOUTHEAST LOUISIANA VETERANS HEALTH CARE SYSTEM – New Orleans, LA My responsibility was to be extremely practical of the General Accounting Procedure (GAAP) and applied the GAAP standards daily on collections, records accuracy, reporting, auditing, and other elements of the entire accounting system.
reviewed and analyzed Medical Care Collections Fund (MCCF) cases information and determined the best course of action to effectively recover, accept or reject monthly payment plans based on the analysis of the debtor's financial status, information from credit reports, and other sources available for investigation.
prepared repayment plan as necessary, based on the Veterans Affairs (VA) standards and analyzed and reviewed all information and appropriate documentation in computerized accounts receivable program.
audited claims and entered the appropriate information into the computer or returned bills to the billing clerk for correction.
primary source of information and specialist for the Treasury Offset Program (TOP) system, and Lock box technology.
reviewed and analyzed the reimbursement for Explanation of Benefits (EOBs) statements daily from insurance companies to determine if proper payment received. resolved problems encounter with debt collection; gathered pertinent information, seek guidance from Regional Counsel, Debt Management Center (DMC), Health Eligibility Center (HEC), Veterans Integrated Service Network (VISN) and/or the Revenue Office, and Washington DC prior to making a decision.
posted all payments to receivables; referred debts to Regional Counsel for enforce collection, or referred the account to supervisor with a complete explanation, and recommendation for reconciliation or compromise action.
prepared refund vouchers and payments for debts that have been overpaid; prepared all recurring and one-time reports, which detailed the status of all active cases, amounts collected, and cases closed or contractually adjusted.
Purchase Agent II, 03/2008 to 05/2009
Fisheries and Parks – Jackson, United States, MS
consult with agency product users to determine specifications, order quantities, alternative materials, samples, lead times, and cost trends of desired equipment. conduct analysis on lease options versus purchase options. Locates, evaluates, and selects sources of supply. write specifications for product and solicit bids from potential vendors. evaluate bid responses for compliance to specifications and awards contract/purchase to lowest and most suitable bidder.
review purchase a requisition submitted by the departments for accuracy and processes these requisitions according to agency and Department of General Services rules and regulations. negotiate commodities for purchase agreements and, establish product standardization, and work with the Departments to establish the purchase agreements; negotiates and writes bid specifications and contracts which are sent to General Services for bidding from Salem and to accompany quotations written and mailed from the agency.
Medical Biller, 02/2006 to 03/2007
Cbiz medical – jackson, ms
Process insurance claims, responsible for answering multi-line phone, posting payments, working rejections, collections, age accounts, insurance verification, electronic claims submission, MS Medicaid, Encoder, ICD-9, and CPT coding.
responsible for compiling and maintaining records of charges for goods and services rendered at any health care facility.
Contact insurance companies to determine what goods and services will be reimbursed and for how much.
calculated charges and verify the info that is entered, correct any errors before the bill is printed and sent to the patient.
Education
handle follow-up questions from patients, resolving discrepancies or errors, and ensuring that all billing and accounting records are kept in a safe place. Insurance and Collections Ass. Manager, 05/2003 to 02/2006 Rankin Children Group – Brandon, United States, MS ensured best customer service experience to all customers; successfully implementing or executing the plans of management.
Promoting quality customer service experience in the team and performing other tasks assigned by the insurance director
audited claims and entered appropriate information into the computer or return bills to the billing clerk for corrections.
Electronic Medical Records (EMR), hospital charges, collections, insurance verification, MYACCESSBLUE, and Oncall scheduling.
Classroom Manager, 11/1997 to 05/2003
Willowood Development Center – Jackson, United States, MS made lesson plans to assist children in their development stage. Willowood is a facility that has typical and disable children. set up each learning center so that the disable child can learn from the typical child. Allowing the child to meet their requirement in each learning center complying to all rules in regulations.
Sales Associate, 03/1996 to 11/1997
Mc Rae's Deaprtment Store – Jackson, United States, MS responsible for resolving customer service dilemmas to ensure customer satisfaction. cashier, stock and reprice merchandise.
Dietary Cashier, 11/1995 to 04/1996
University Medical Center – Jackson, United States, MS responsible for stocking, cashier, and cleaning staff dining area. fix patient trays by their menu; also I worked on the line as a server. counted the money at the end of shift and take it to the Business Office. cater when needed by getting the glasses, silverware, and a plate in whatever else that was needed together to prepare for the gathering.
References
Affiliations
Bachelor's Degree: 10/2014
Columbia Southern University - Orange Beach, AL
B. S: Health Care Administration, 06/1998
GPA: 3.5, GPA: 4.0
Associate's Degree: Health Info. Tech, NA, 12/2002 Antonelli College - Jackson, MS
GPA: 3.22, Credits Earned: 106 Semester hours, Medical Terminology, Data Entry, Anatomy and Physiology, Medical Law, Medical Office Procedure, and Communication. PCDI Jackson, MS United States Some College Coursework Completed
Child Care, NA, 86
References available upon request.
Greater New Jerusalem Youth Ministry - Youth Counselor I am a member of American Academy of Professional Coders.