Customer Service Insurance

Tyesha Womack

Operations Assistant - Capitol Care South

Atlanta, GA

*************@*****.*** - 404-***-****

WORK EXPERIENCE

Operations Assistant

Capitol Care South - Irondale, AL - January 2014 to Present

… Learned and performed all administration and facility functions for Outpatient, Day Treatment, Front Office

and Rehab Departments

… Covered Receptionist/Front Office Clerk when needed

… Audited client charts prior to client 3 month reviews for compliance with Medicaid and Capitol Care

Standards

… Schedule all Staff Meetings, IDT Meetings, Supervisions and 3 month client reviews in Dashboard

… Kept meeting minutes and served as the time keeper in all meeting using Dashboard

… Using my company credit card I am responsible for ordering all supplies for the Front Office, Outpatient

Department and Staff, Day treatment department and Staff, Rehab Department and Staff, Maintenance

Supplies needed for maintenance staff, Kitchen supplies needed to serve our Day Treatment clients and

supplies for the Nurses Station.

… Reconciled my credit card statement each month so that the corporate office could make my monthly credit

card payment.

… Monitored all employee time via ADP

… Ensured that all time card exceptions were cleared each week so that payroll could be processed

… Kept Inventory of all department supplies and kept all supplies in stock for facility and departmental use

… Collected money, set arrangements and monitor payments for any client who's Medicaid had recently denied

and needed to be put on private pay.

… Verified Medicaid via the Medicaid Website for all clients prior to therapist appointment, psychiatry

appointments and doctors appointments

… Billed Medicaid for services rendered by posting Therapy charges and Day Treatment charges via the

Medicaid website

… Billed and submitted charges to Medicaid for Van services that the facility contracted to transport clients

… Posted money to the ledger to clear any charges billed by therapist, psychiatrist and doctors once the

Medicaid check posted and cleared

… Worked Medicaid denials and cleared/corrected any errors so that charges can be rebatched and

resubmitted to Medicaid for payment

… Assisted with Employee of the Month Incentives and voting

… Compiled and submitted stories, photos and office news for the Capitol Care Newsletter

… Responsible for updating the office phone list directory; after hours contact information for all staff

… Performed Records Management by scanning all client documents to PsychAdvantage using ScanPro

… Scheduled doctor, therapy and psychiatrist appointments via PsychAdvantage

… Sign in clients and helped therapist and psychiatrist keep scheduled appointement

… Handled skip tracing for all returned mail

… Ran errands using the company vehicle for company business

… Handle all HR Duties for job candidates and new hires

… Ensure that all doctors, therapist and psychiatrist malpractice medical insurance, TB Test and Drivers

License for all employees are current and in their HR File

… Screen applications via ZipRecruiter and set up interviews for job candidates

… Ensure that facility, front office, doctors office and all exits are secure and locked each day before closing.

… Learned office policy and procedures in order to be able to identify staff and clients who are not complying

and work with staff supervisors as part of the executive team to discuss disciplinary measures and corrective

action needed to address any infractions

… Run Medicaid Batches daily and upload batches to the Medicaid website

… Run Production Report and Process Payroll for the Therapist that are contracted through Capitol Care

South.

… Oversaw the facility needs of 26 employees

Administrative Assistant

Swett and Crawford - Atlanta, GA - 2013 to 2014

Supported the Sr. Vice Present Greg Godde

• Supported 3 Insurance Brokers Wendy Olsson, Matt Baxter and Caitlan Bavely

• Supported 3 Account Managers Rachel Scharfnorth, Kelli Manis and Shane Smith

• Worked up Insurance Quotes that were through Swett and Crawford between the insurance market and

insurance agent to be presented to the insured

• Worked up Binders when Insurance Quotes were selected by the client to bind the agreement between the

selected insurance Company and the Insured

• Generated Commission invoices that allows Swett and Crawfords to bill the agent and insured

• Followed up with the insurance agent for subjectivities that are needed from the insured, in order to have the

insurance policy issued. Most of these subjectivities are time sensitive.

• Followed up with the underwriters for the policy once all subjectivities have been completed. The policies

have to be submitted within 30 days of binding

• Checked and distributed virtual mail to the respective parties

• Renewed Expiring Insurance Account in the System (WinBroker and Imageright)

• Sent out Renewal Applications, Non-Renewal Notices, Conditional Renewal Notices and Renewal Terms for

all expiring accounts as the renewal dates come up • Policy checks and Policy Distribution for all insurance

policies that Swett and Crawford Brokers

• Submitted completed renewal application to the underwriters at various wholesale insurance markets to get

insurance quotes to be presented to the agent for the insured to decide which premium option works best

for their company

• Drafted Off Risk Letters and presented to the insurance agent for any account that was past the renewal date

and all renewal information is not submitted by the agent and insured to Swett and Crawford (this protects

Swett and Crawford and the wholesale market or insurance underwriter if in the event the insured had a claim

that was filed after the effective date has expired)

• Process Policy Extensions for accounts that are still in the Brokerage Process and the agent/ insured or

Market needs more time to complete their requirements

• Resolved accounting issues for previously billed insurance policies

• Acted as the Liaison between the insurance brokers and the insurance agents when issues arise

• Sent request for all administrative corrections that were requested from the insured or the agent to the

underwriter or wholesale market

• Monitored the administrative process for each account to ensure that everything was resolved, submitted,

completed and deadlines are being adhered to in order to insure that the insured's coverage started on the

policy date (or extension date)

• Ensured that all Surplus Lines Taxes, Out of State and In-State Fees are included in the final billing for

accounts that were not admitted which allows for those fees to be waived

• Routinely updated the working accounts spreadsheet which the Sr. VP used the see the team stats and uses

to monitor the progress of the processes that are being completed with each account and the Brokers and

Account Managers use to see where in the process their accounts are.

• Printed personal and business documents, flight arrangements, hotel arrangements for the Sr. VP when

requested and worked the administrative process for high dollar accounts that were only brokered and closed

by the Sr. VP due to importance, sensitivity, dollar amount or personal relationship

Administrative Assistant

Atlanta - 2013 to 2013

2013

• Supported 3 Insurance Brokers

• Worked up Insurance Quotes that were through Swett and Crawford between the insurance market and

insurance agent to be presented to the insured

• Worked up Binders when Insurance Quotes were selected by the client to bind the agreement between the

selected insurance Company and the Insured

• Generated Commission invoices that allows Swett and Crawfords to bill the agent and insured

• Followed up with the insurance agent for subjectivities that are needed from the insured, in order to have the

insurance policy issued. Most of these subjectivities are time sensitive.

• Followed up with the underwriters for the policy once all subjectivities have been completed. The policies

have to be submitted within 30 days of binding

• Checked and distributed virtual mail to the respective parties

Administrative Liaison

AFFILIATED CREDITORS INC - Nashville, TN - 2010 to 2013

Acting onsite single point of contact between ACI and St. Vincent's Health Services

• Managed workflow/process improvements that made it possible to accommodate increasing responsibilities

necessitated by reductions.

• Managed transfer of sensitive patient information, billing information for ACI in compliance with hospital

procedures and HIPAA.

• Attributed to well over 700K in customer payments resolving complaints and disputes.

Collections Representative

HALCOMB & WEIRTHIEM P.C - Birmingham, AL - 2007 to 2010

Fulfilled collection duties of medical, bank, consumer, credit card, and commercial debt in accordance with

FDCPA practices. Results: Top collector for 3 months straight

• Collected over 45K over quota

Sales & Office Coordinator

SHRED-IT - Bessemer, AL - 2005 to 2007

Processed billing, invoicing and account receivables, and will-call dispatching for mobile shredding company.

• Results: Performed customer service, accounts receivables and collections

• Coordinated will-call dispatching

• Coordinated sales dispatching and processed work orders

EDUCATION

Associates in Administrative Office Management

VIRGINIA COLLEGE

January 2009

ADDITIONAL INFORMATION

Skills

office management, time management, customer service, administration, a/r and a/p, typing, administrative

assistant, billing

Key Skills

Office Management

Teambuilding & Supervision

Staff Development & Training

Policies & Procedures Manuals

Report & Document Preparation

Spreadsheet & Database Creation

Accounts Payable/Receivable

Bookkeeping

Records Management

Meeting & Event Planning

Inventory Management

Expense Reduction

Wholesale Insurance Knowledge

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