Customer Service Medical
Resume:
Shelby R. Buttry
Mascot, TN ***06
Phone 865-***-****
E-Mail: *************@*****.***
SKILLS
Small Business Owner responsible for 10-15 employees.
Advanced knowledge in WordPerfect Programs, Microsoft Word, Excel, Microsoft Office, Publisher, PowerPoint, QuickBooks, Peachtree, Access, and MeasureLink, CCAIC, Claims Central(OCPS)
Advanced knowledge in Payroll and Accounting Practices.
Above average transcribing skills.
Medical Terminology, Anatomy & Physiology, Over 100 hours of Medical Transcription, Insurance Billing & Coding, Medical Office Procedures.
Highly dependable and very detailed oriented.
Qualified Notary Public for the State of Tennessee.
Type 60 WPM.
EDUCATION
Farragut High School – Knoxville, TN 1992
South College – Knoxville, TN Medical Transcription Certificate, GPA 3.74, Dean’s List 2006
TN Technology Center – Knoxville, TN Advanced Computer Training 1992
EXPERIENCE
VDart, Inc. 05//15-07/15
Billing Specialist – I was placed at Accenture as a Claims Adjudicator.
Processed insurance policy holder claims for Kaiser Permanente in the Southern California Region.
Evaluating the incoming Paper and EDI Commercial Non-Medicare HCFA Claims.
Review and ascertain if the proper required documentation was submitted by the Provider to determine if the claim was to be Paid, Denied, or Suspended for Additional Requested Information from the Providers to complete processing the Claim.
Once the claim was to paid procedure then required it to be sent to an outside Accumulation Organization which would then review the member policy(s) and determined the financial responsibility as well as keep a running total required by law for each member. Accumulation Documentation is returned regarding the Member Deductible, CoPay, and Coinsurance it is manually applied to the claim and released for payment.
When Denying or Requesting Information special detail is required to ensure the Provider or the Medical Center will receive the proper request for information or the reason for denial. It is imperative the correct explanation code be applied.
Underwent extensive training regarding Federal Regulations concerning the ACA, HIPPA, and Timely Filing Laws.
Specialized Training was required for the Client specific System that was still be utilizing, complete DOS based system with very few Windows elements.
Aerotek/Randstad Staffing 03/14-03/15
Data Support - I was placed at Exedy Corp. to provide Data Support to the Quality Assurance Dept.
Responsible for the daily, weekly, and monthly entry of many required Quality Checks on Prototypes and Mass Production Parts.
Tasked with preparing prototype parts for shipment as well as assemble the required accompanying paperwork.
Preparing parts for shipment included inspecting for defects, rust, wrong assemblies, and final cleaning, tagging, boxing and labeling.
Prepared all dimensional testing check sheets and bubbled print drawings that were submitted and used by the CMM Lab to conduct testing on all prototype parts.
Assisted Project Management by compiling a major inventory count on products that were returned by company’s outsourced to complete a step in the manufacturing process.
Prepared all the master dimensional check sheets and bubbled the print drawing for a brand new GM Model Prototype.
Initial creation and data entry for the new MeasureLink program to be implemented that is designed to remove paper inspection, adds SPC control to the process. I was tasked with creating all the program routines and work instructions for the MeasureLink System.
Adecco Employment Agency 04/13-03/14
Staffing Coordinator –
Sole recruiter for the Knoxville Branch.
I processed all incoming Applicants, filled orders, and communicated with the clients to determine their needs.
Filled all incoming orders within 24 hours of the client submitting the request.
Answered all incoming lines and greeted incoming potential applicants as well as clients.
Responsible for processing E-Applications that were submitted through the Custom Match Program.
Maintained the Database that contained all of the Associates pertinent notes, confidential and any and all assignments information.
Responsible for verifying employment documents to confirm eligibility to work in the United States through DHS.
Maintained specific clients required specific documents which had to be maintained for future audit procedures.
Responsible for finding the right fit for the Client that I was placing for.
Responsible for weekly auditing payroll to confirm that all employees’ hours that are placed with client on working assignment are entered by Payroll Services to ensure that the pay is correct and on time.
Interacted with Clients to determine the needs of the Client and the details of the specific needs.
Personal Time Off 04/12-04/13
Laid off
Multiple deaths of immediate family members.
Knox-County Community Action Committee/Housing & Energy Department 04/10-04/12
Program Assistant/Client Services Specialist –
Management all incoming phone lines; Distributed mail daily; Greeted and provided customer services to every client or potential client who walked in to our facility.
Creation of many forms now used in the operation of daily tasks throughout the Housing & Energy Department.
I was promoted to a Client Services Specialist.
Tasked with reporting all City and County jobs that were completed through the Emergency Home Repair Program.
Creation of a new report design to include all pertinent information that was required by each funding source.
Managed all tasks related to the intake, verification, and approval of all applications regarding the $2,000,000.00 PACE 10 Sewer Lateral Rehabilitation Grant Program funded by KUB.
Responsible for tracking all the PACE 10 lateral jobs through the completion of work.
Attended all executive meetings with KUB regarding this grant program.
Managed all tasks related to the intake, verification, and approval of all applications regarding the Weatherization Program funded by the State of Tennessee.
Worked closely with the database program designer/writer to create and design a database program that would encompass all required information needed to ease reporting tasks, monthly as well as annually.
Rusty Wallace Honda – Knoxville, TN 01/10-04/10
Customer/Cashier Services –
Customer, Facility Accounting Transaction, and Cashier Services.
Reynolds Accounting Program, tracking system each customer transaction, accounting tracking for the entire facility..
Responsible for closing out all customer transaction tickets with use of the Reynolds Accounting Program.
Tasked with closing out of the cash draw and credit card machines transactions daily.
Issued temporary tags for automobiles sold.
Operated switch board for entire facility when needed.
Act Fast Service Company – Blaine, TN 08/07-01/10
Owned, Operated, and Managed a Small HVAC Company –
Responsibilities included all aspect of running a small business from it’s creation to operation. Researched, applied, and obtained the proper licenses, certifications, and insurances required in order to perform work in the state of Tennessee and the local municipalities.
Processed mail, payroll, accounts payables & receivables, prepared financial documents, prepared business tax returns.
Created and maintained the entire filling system, EPA required documentation, processed and closed out all job related paperwork,
Procured performance contracts with Sears Home Improvement and other management services.
Estimated jobs and worked closely with clients to ensure that all of their needs were met.
Ordered and delivered job related equipment and performed installation services in Knox and surrounding counties.
Became EPA Certified to distribute refrigerant and received onsite training and performed new installation, change outs, and service of HVAC units to include thermostats and duct systems.
Concord Personnel Services - Knoxville, TN 07/06-06/07
Contract Program Assistant –
Led a team of four employees to coordinate, assemble, pack, and ship critical data files for the U.S. Department of Housing and Urban Development.
Identified and clarified and provided guidance on empirical data, both legal and logistical issues regarding timelines.
Provided assistance to the Field Office Director by compiling and assembling all the necessary documentation for the Southeast Regional Energy Workshop Conference and Southeast Regional Small and Disadvantage Businesses Workshop Conference.
Performed all general duties within an office environment: ordered supplies, dept. mail (incoming, outgoing, and mass mailings), maintained correspondence logs, and assisted with computer and programming issues.
Received and logged of the Housing Authority and Section 8 Development applications and documents
Reviewed Public Housing and Section 8 proposals for completeness and procedural requirements, administrative technical support for the Hub Office.
Processing of Capital Fund Program (CFP) Amendments, their revised budgets, and the distribution of additional funds for the CFP Amendments to the Consolidated Annual Contributions Contracts (ACC) for the current fiscal year.
I routinely researched program specific State & Federal annotated codes, Officials, and their published opinions. Maintained all aspects of the Housing Authorities required files (general & critical)
Provided outstanding, excellent customer service to the staff, Housing Authorities, and the citizens of Tennessee.
Created, proofread, and assembled a uniform training package in regards to procurement which has been adopted by many of the State Housing Authority Agencies throughout the United States. Employment ended on excellent terms.
ACCOMPLISHMENTS
In December of 1996, I received an Award of Accomplishment from the U.S. Army Corps of Engineers, Huntsville Division for efforts performed in a $50 Million Contract which was awarded to EOD Technology, Inc.
TRAINING
Training received from and accredited by the U.S. Department of Housing & Urban Development.
Critical Competencies:
No Fear Act
Customer Service Simulation
Advancing Your Service Expertise
Customers, Conflict, and Confrontation
Fundamentals of Exceptional Customer Service
The Voice of the Customer
Competitive Intelligence: Analysis & Dissemination
Competitive Intelligence: Information Gathering
Competitive Intelligence: Planning and Direction
Foundation of Effective Thinking
Critical Thinking Strategies Simulation
Creative Problem Solving and Effective Thinking
Framing the Problem
Generating Alternatives in Problem Solving
Problem Solving and Decision Making in Groups
Resolving Customer Service Impediments
Leadership & Management Competencies
A Manager’s Primer for Ensuring Accountability
Building Relationships to Get Results
Connect and Communicate
Dynamic Decision Making
Effective Team-Building Strategies
Crafting A Deal
Ethics in Business Simulation
Etiquette and the Business Meeting
REFERENCES AVAILABLE UPON REQUEST
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