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Customer Service Human Resources

Location:
Pittsburgh, PA
Posted:
March 11, 2014

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Resume:

Brittany Gregorchik

**** ******* ***. ***. ****

Pittsburgh, PA 15222

412-***-****

acc2yk@r.postjobfree.com

Education Pennsylvania Highlands, Johnstown, PA

Paralegal Prep Certificate in Law Office Administration and Advocacy

Date of Completion: March 2008

University of Pittsburgh at Johnstown, Johnstown, PA

Degree: Bachelor of Arts, Date of Graduation: May 2007

Major: Communications, Minor: Political Science

Work Experience Provider Data Specialist-United Healthcare, Pittsburgh, PA

October 2011-Present

• Review Medicare and Medicaid claims for accuracy

• Open tickets for claims that are not processing correctly

• Communicate with colleagues on the status of those tickets via email

• Attend weekly meetings with provider administration team to discuss claim issues with providers

• Make phone calls to provider offices to verify correct NPI number and remit address

• Research provider information using software

• Utilize provider database to update provider information and add new provider information

• Route claims to appropriate departments and release claims for payment

• Transfer billing information from one system to another via claim software

• Maintain daily spreadsheet with assigned work information and progress

• Meet claim turnaround deadlines

• Track daily production in the database

• Meet quality and production standards

Receptionist-JWF Industries, Johnstown, PA

February 2011-August 2011

• Greet all visitors

• Answer multiple phone lines and transfer calls to appropriate manager

• Process incoming and outgoing mail and packages

• Date invoices

• Create and publish newsletter

• Order office supplies and maintain inventory of supplies

• Prepare Excel weekly reports and send to managers

• Order and set up lunches for executive meetings

• Schedule conference rooms and update calendar for executives

• Maintain appearance of conference rooms

• Assist managers with projects

Part Time Human Resources Specialist-MetLife, Johnstown, PA

October 2010-February 2011

• Process electronic and paper ballots for employee benefits

• Send confirmations to employees

• Open websites for enrollment

• Process daily vista and confirmation reports

• Meet quality and production standards

Customer Service Rep- Healthnet Federal Services, Johnstown, PA

August 2009-September 2010

• Contracted through Kelly Services to take incoming calls and assist beneficiaries and providers

with health insurance questions

• Research claim information

• Use CPT codes to verify authorizations/referrals

• Type notes regarding the call into database

Paralegal-Pribanic & Pribanic L.L.C., White Oak, PA

March 2009-May 2009-Left practice due to moving back to Johnstown for a family emergency

• Support two attorneys in medical malpractice and personal injury cases

• Answer discovery

• Draft pleadings and motions

• Schedule depositions

• Read and organize deposition transcripts

• Request medical records from hospitals and organize those records

• File case documents at the courthouse

• Prepare authorizations

• Organize and maintain files

• Maintain and update calendars

Paralegal-Attorney John D. Gibson, Johnstown, PA

July 2008-January 2009

• Support one attorney in his social security disability law office

• Summarize and organize medical records

• Interview clients and gather case facts

• File documents with the Social Security Administration for hearing preparation

• Draft various legal documents from dictation

• Answer phone calls and take messages for attorney

• Maintain files and questionnaires

Legal Secretary-Stofko Law Offices, Johnstown, PA

February 2008-June 2008

• Support one personal injury attorney with finishing case work before he retired in June

• Prepare various legal documents and contracts

• Prepare deposition notices

• Draft certificates of service

• Draft pretrial statements

• Draft and file motions and summary judgments

• Mail various legal documents

• Maintain billing files and office records

• Bill clients through legal billing software

• Various administrative duties

Skills Excellent computer and typing skills, Microsoft Word, Excel, Outlook, Access,

Publisher, Adobe, Lotus Notes, Internet Explorer, PowerPoint, Lexis-Nexis, Advanced Web Mail, Time

Slips billing system, Crocodile, electronic court filing, scheduling, dictation and transcribing, proofreading,

leadership skills, strong analytical and problem solving skills, works well on a team as well as

independently, able to meet deadlines, great organizational skills, excellent multi-tasking skills, detail

oriented



Contact this candidate