TAWANNA T. WASHINGTON

**** ********** ***** **** *** 108 Raleigh, NC 27613 ac6txs@r.postjobfree.com 919-***-****

OBJECTIVE

A dedicated and focused Accounts Payable professional seeking a new challenge in a results-driven financial environment. With over 23 years’ experience in defining and analyzing claims to resolve issues accurately and quickly. Strong computer skills in a QuickBooks and Windows-based environments with a proven ability to learn unique software.

SKILLS & ABILITIES

Ability to manage up 10 people. AP/AR. Over 23 years in Account Payable positions involving the auditing and processing of claims for completeness and compliance with reporting guidelines and laws or rules, training of staff, assisting with the development of process documents, detail oriented, quick learner, team player, independent worker when needed, effective communicator, prioritization and great follow up skills.

EXPERIENCE

Brookstone - Part-time Manager - Oct 2017- present

Supervising Staff and Sales

Payroll

Customer Service

Opening and Closing Store including Bank Drops

Counting Draws and Ensuring Draws Balance

Filling Out Production and Statistics Sheets

Overriding and Voiding Cash Register

Answering Phones

Legacy Healthcare (Temp)–IV Specialist March/2018-Aug/2018

Research healthcare plans to verify information for insurance verification on Smart Software

Verify for Prior Authorization and Referrals for Deductibles, Co-Pays, Co-insurance and Out of Pocket

Verify if plans are active and not termed

Verify Occupational Therapy (OT), Physical Therapy (PT), Speech Therapy

Check Medicare on MVP –E- Solutions software

Verify if it’s a primary or secondary policy

Write off and timely filing of claims off excel spreadsheet on Medisoft Software

Upload Insurance Verification to Smart System Software

Raleigh Carpet and Flooring (Temp) - Receivables Specialist - Nov 2017- Jan 2018

Process Accounts Receivable Invoices.

Audit, Receive and Tagging inventory in RFMS

Audit and Edit Purchase Orders

Post Payables to AP

Check/Cash Handling

Open Mail and Distribute

Filing and Answering Phones

STATE OF OHIO DEPARTMENT OF MEDICAID - ACCOUNT EXAMINER II – August 2014-September 2016

Accounts Payable claims processing. Investigate, Research, Analyze and Interpret Sensitive Eligibility Data Through MITS System, OIES, CRISE and County Agencies, Insurance Providers, Medicaid Providers, Pharmacies, Recipients, Managed Care Plans and Other State agencies and Government Officials to Ensure Medicaid Billings, Federal, and Third Party Reimbursements are paid correctly.

Add, Terminate or Modify Third Party Information in MITS per written Verification obtained through Research and Analysis

Gather and Analyzes Information to Prepare Reports (e.g. Examiner Findings and Determinations Reflecting Evidence of Erroneous Payment or Noncompliance Problems Encountered during Examination Activities.

Recommendations for Correcting Problems Uncovered in Examinations. Respond to Verbal Inquiries from counties, Pharmacies, Medicaid providers, recipients, other state agencies.

LEAD WORKER Accounts Payable - APRIL 1995 – AUGUST 2014

Paid Accounts Payable Claims for Medicaid, Check for Accuracy, Calculation and Errors

Distribute daily work assignments to staff

Data entry of Claims and Financial Documents and Input of AP Claims and Invoices

Processing of 6653 (problem AP claims) and Maintenance of Claims Inventory with Excel spreadsheet

Coded, Screened and Keyed HAS (Hysterectomy/Abortion/Sterilization) from the Doctors.

Used of Control –D /Mainframe/Inter Change to look up Recipient I.D, Provider Number for Research

Ran Provider History Reports in BIAR then Forwarded to the Requestor for Court.

Resolved Edit Codes to Force or Deny Payments

Help Staff with Problem and Worked on Special Projects

Working in different units Prior Authorization and Adjustment Units for over time

Worked as a floater between two units

Made weekly schedules

Training of All Staff

COMPUTER SKILLS

CONTROL –D, EXCEL, WORD, RFMS, QuickBooks

MITS (Medicaid Information Technology System)

CRISE (Client Registry Information System Enhanced)

OIES (Ohio Integrated Eligibility System)

MMIS (Mainframe System)

EDMS (Electronic Document Management System)

EDUCATION

STATE UNIVERSITY OF NEW YORK (SUNY) - OLD WESTBURY, NEW YORK

Business Administration

August 1989-January 1991

References Furnished Upon Request

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