SCO T T SA N D E RS

**** ******** * *** *, Ool tewah, Tennesse e 37363

423-***-**** scott sand ers200 4@gm ai l .com

QUALIFICATIONS SUMMARY

Hardworking, versatile, and people oriented professional, enthusiastic in pursuing a project management position within a

progressive organization to effectively utilize skills honed from years of work experience. Equipped with strong knowledge in

operations management, office administration, and process improvement and implementation; as well as in finance, audit

engagement, billing, and client service.

Armed with superior communication, presentation, and interpersonal skills; skilled at creating and developing successful

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projects and programs to achieve business goals, organizational objectives, and client requirements.

Known for uncompromising devotion to service; along with professionalism, exceptional work ethic, and work standards

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rooted in integrity.

Highly capable of multitasking within fast paced and constantly changing environments; quick and efficient learner, able

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to rapidly adapt to new responsibilities and situations.

AREAS OF EXPERTISE

Strategic Marketing Management Process Optimization

Medical Administration and Functions Performance Improvement

Superior Customer Service Financial Operations

Interpersonal Relations Staff Training and Development

Business Development Solutions Leadership and Team Building

PROFESSIONAL EXPERIENCE

CIGNA – CHATTANOOGA, TN

Senior Plan Analyst Sep 2013–Present

Oversee the interpretation and application for the overall legislation and facilitate benefit build process. Engage in coordinating

benefit build requirements and other necessary changes to internal matrix partners.

Key Highlights:

ú Take charge of developing new and renewal plans allowing the claims systems to appropriately adjudicate claims according

to member benefit selection.

ú Initiate the completion of all processes in an efficient manner while focusing in quality and proficient use of systems and

inventory management tools.

ERNST & YOUNG, CHATTANOOGA, TN

Audit Support Associate Sep 2012–May 2013

Facilitated risk management processes, such as engagement letters, client continuance, independence, family tree, pre approval,

and other regulatory requirements. Leveraged extensive knowledge regarding the services that the engagement offered; and applied

key insights in recommending ways for service optimization. Determined client needs by establishing harmonious partnerships

with external client personnel. Worked productively with financial management associates and aided the Engagement Team in

addressing engagement economics matters, such as hours, budgets, and estimates for complete fees and billings. Maintained

proactive involvement in the Engagement/Account Team meetings and conducted review on items discussed and planned

accordingly.

Key Highlights:

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SCO T T SA N D E RS

8621 Kennerly C our t, Ool tewah, Tennesse e 37363

423-***-**** scott sand ers200 4@gm ai l .com

Functioned as subject matter expert and primary point of contact for the assigned engagements; while overseeing multiple

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engagement related processes such as engagement planning.

Employed superior interpersonal and communication skills in coordinating multi location engagements

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Acquired substantial experience and understanding of the service line and engagement as well as the company’s structure,

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key personnel, and firm policies and procedures.

Ensured timely and accurate submission of press releases as well as Securities and Exchange Commission (SEC) filings and

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instructions.

Significantly improved organizational processes of the company through strategic identification of project risks and

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opportunities.

Consistently met stakeholder expectations, project plans, and communications; while managing updates when needed.

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BLUECROSS BLUESHIELD, CHATTANOOGA, TN

BlueCard Home T3 Associate Claims Processor Aug 2011–Sep 2012

Documented claims data into system; read and interpreted coding and medical terminology in relation to diagnoses and procedures.

Guaranteed and provided proper payment of claims in adherence to adjudication policies and procedures.

Key Highlights:

ú Exemplified organizational talent in administering claim forms, adjudicates for allocation of deductibles, co pays, co

insurance maximums, and provider reimbursements.

ú Conceptualized key decisions on claim processing by utilizing expertise in all benefit plans as well as by maintaining

updated with plan requirements changed.

MEDICAL SERVICES OF CHATTANOOGA, CHATTANOOGA, TN

Financial Assistance Manager Mar 2009–Jul 2011

Rendered hands on supervision to a team of five direct reports with specialization on state charity assistance for hospital

reimbursement. Facilitated proactive training to new employees on multiple medical billing programs and data entry software.

Managed accounts receivable and accounts payable duties; including invoicing, researching chargeback, discrepancies, issuing

credit memos, reconciliations, and response to customer requests. Guaranteed full understanding of patients on payment policies

and procedures by reviewing and discussing insurance plans.

Key Highlights:

ú Collaborated closely with departments, clients, and vendors, resulting in overall improvement of communication efficiency

in the Medical Services of Chattanooga.

ú Delivered efficient management to the overall medical billing of more than 30 hospitals located nationwide.

ú Created and implemented flexible payment plans for patients, thus improving timely payment of bills.

ú Presented accurate and timely project completion within deadline intensive environment.

ú Broadened in depth understanding of Medicaid, Medicare, and commercial insurance billing procedures.

ú Earned designation by the by the CEO to spearhead various project as a special project team leader

DOUBLETREE HOTEL, CHATTANOOGA, TN

Management Trainee Jul 2008–Mar 2009

Assumed responsibility in monitoring the entire check in process of a guest from start to finish. Optimized inventory management

and reporting accuracy through databases and spreadsheets design and maximized client bases and boosted customer loyalty of

through the CARE program

Key Highlights:

ú Played a key role for Doubletree Hotel to rank first in customer satisfaction worldwide.

ú Received various recognitions from the upper management of DoubleTree for quality and timely reports, keen attention to

detail, exceptional customer service delivery, and team player attitude.

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SCO T T SA N D E RS

8621 Kennerly C our t, Ool tewah, Tennesse e 37363

423-***-**** scott sand ers200 4@gm ai l .com

AMERICAN ACCEPTANCE MORTGAGE INC., CHATTANOOGA, TN

Loan Originator Intern Mar 2005–Jan 2006

Received deployment in all three major departments, including residential, commercial, and wholesale lending services. Assumed

full responsibility in finding a customer the mortgage which fit their financial needs.

Key Highlights:

ú Obtained and completed the Mortgage Originator Certification and served as key member of the Tennessee Department of

Financial Institution.

EDUCATION

Southern Adventist University, Collegedale, TN

BACHELOR OF SCIENCE IN BUSINESS ADMINISTRATION, WITH EMPHASIS ON MARKETING, 2008

ACTIVITIES

Adoption Coordinator, Adopt A Golden Knoxville

TECHNICAL SKILLS

Microsoft Office Suite: Excel, PowerPoint, Word, and Outlook

Medical Billing Software: AS400 and Other Oracle Programs, ICD 9

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