Quovadus L. Blake

**** ***** **

Atlanta, GA ****4

678-***-****

acwhzv@r.postjobfree.com

Objective: To obtain a strategic level position in an energetic environment, where I can utilize my professional and analytical skills to contribute towards the organization’s growth.

Professional History:

COAM Account Analyst

Georgia Lottery Corporation Atlanta, GA March 2016-Present

Prepares daily and monthly account reconciliations, including account adjustments and accounts receivable subsidiary and general ledger posting.

Integrate and post Daily Accounts Receivable and the Weekly Location Sweep for Centralized System Revenue.

Prepares Location Weekly Centralized System activity balancing, and participates in month-end and year-end closings.

Provide internal and external customer service regarding but not limited to questions concerning Location License Holders (LLH) sweeps, adjustments, 1099s, and assist with obtaining updated EFT information.

Maintains accuracy of assigned departmental financial and accounting reports.

Researches and corresponds with MLHs regarding revenue shares inquiries, accounting issues, and other problems.

Prepare, research, and input various financial adjustments and nonstandard journal entries.

Responds to questions, complaints and requests for information by telephone, in person or by mail from licensees, employees, etc.

Prepares, maintains, and updates files and logs following prescribed methods.

Regulatory Analyst I

Kaiser Permanente Atlanta, GA Aug 2014-Feb 2016

Assist with the Evidence of Coverage (EOC) processes which includes updating 2016 EOCs with new Language from attorneys and peering, audits to identify Group Benefits to ensure accuracy of EOC

Responsible for timely and accurate entry of all benefit plan design data for SBC in order to deliver to account managers on a timely manner.

Analyze benefits summary documents to create SBC’s and identify errors and work with team and management to make any changes or modifications as required.

Evaluates organizational change initiatives & product development implementations that could impact regulatory compliance regarding KPGA products & its deliverables. Strategizes recommendations to support such changes. Collaborates w/ others, both internal & external to the department, to implement solutions.

Coordinates & facilitates the content & style of EOCs & Group Agreements & similar contracting documents. Monitors quality & compliance of these documents, & identifies & facilitates continuous quality improvement efforts to the process.

Evaluates group customer requests for special contract riders or letters of agreement. Recommends appropriate response. Develops group-specific provisions or documents as needed. Negotiates w/ customer to gain acceptance / resolution.

Collaborates w/ Contract Analyst Vendor Lead to develop, format & produce templates for the EOCs / other documents to assure efficiency & logic integrity between benefits engine system & issue version of document.

Collaborates w/ department Analysts to ensure EOCs / other documents accurately reflect systems benefit build intent. Resolves discrepancies

Evaluates group customer requests for special contract riders or letters of agreement. Recommends appropriate response. Develops group-specific provisions or documents as needed. Negotiates w/ customer to gain acceptance / resolution.

Update and corrected 51 Riders information in preparation for 2016 Production by ensuring accuracy in order to drive quality results

Created a new EOC Template with new guidelines for departmental use.

Updating and processing Change forms in Sales Connect; assisting with sending out Group Agreements

Assisted EPIC team during Quarterly Import, updating copay values for 12-14 spread sheets over 60,000 lines each using V-lookup in order for claims to adjudicate properly

Assist the liaison between KPGA and the Department of insurance and its regulators pertaining to all matters of the benefits offered in the various products of KPGA.

Perform other contracts and benefits related duties as assigned by managers and /or team to support the team environment.

Responsible for weekly completion of EOC Production Proofing Process

Processing Change Forms in Sales Connect on a weekly basis

Use National Validation Systems (NVS) to update the Benefit Component tables (BCT) with cost share information as it relates to the Benefit Code Assignment and Benefit I.D. BCT is transferred via Electronic Data Interchange (EDI) load to vendor to populate EOC templates

Use Excel for V-look ups when extracting data sets from the system to prepare group and provider claims data

Medical Billing Support May 2011- 2014 July

Midtown Medical Associates Atlanta, Ga

Received and completed billing requests from the Collections department.

Analyzing payments.

Responsible for timely and accurate insurance claims submission to insurance carriers and other responsible parties.

Performing Hospital and Secondary billing.

Well-versed with different payers such as Mass Health, Medicare, etc.

Assisting in Accounts Receivables clean up, making sure payments were received according to contracts.

Checking for insurance verification.

Qualification Summary:

Demonstrated knowledge of CPT, ICD-9, and Revenue Codes required.

Proficient MS Office suite

Accuracy, attention to detail and effective time management skills.

Strong organizational, written & verbal communications skills

Ability to work independently and adapt to an evolving environment.

Capable of identifying and completing critical tasks independently with a sense of urgency.

4 years’ medical billing experience.

Financial Analyst

Millennium Systems Services Inc., Atlanta, GA

Supporting GSA / FAS Finance Division Aug 2008-2011May

Analyzing trends in revenues and expenses by preparing spreadsheets, graphs, and charts to help illustrate financial trends

Performing revenue and expense forecasts and budgets in order to make financial decisions and presented financial information to managers

Responsible for Transmitter reports

Review reports in the Telecommunications Ordering and Pricing System (TOPS) for accuracy

Administratively submit processed bills via FedEx to Finance Center

Post phone bills that are not currently in use in database

Reconciliation of bills

Creating and reviewing financial records

Analysis of market values

Ability to make decisions quickly while under pressure

Resolve product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution

Maintain financial accounts by processing customer information

Interacting with clients, vendors and visitors

Drafting responses/ replies to correspondence that contain routine inquiries

Managing and coordinating office services such as personnel and housekeeping and budget preparation

Creating, managing and modifying invoices, memos, letters, reports and financial statements using various programs and software such as MS Office.

Conducting research, compiling data and preparing papers or presentations on a weekly basis for the Federal Executive Board of directors and staff

Scheduling and coordinating meetings and conferences between board of directors, staff or other entities such as vendors and other agencies and third parties

Education:

Boston University Boston, MA

Bachelor of Science in Business Administration

Graduated from Grady High School, Class of 2006 Atlanta, GA

Special Skills: My technical skills include proficiency in Microsoft Word, Excel, Power Point, Access, 10-key.

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