Customer Service Human Resources
Resume:
Brittany Gregorchik
Pittsburgh, PA 15222
***********@*****.***
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
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