Post Job Free

Resume

Sign in

Human Resource Main Street

Location:
Statesboro, GA
Salary:
open
Posted:
October 30, 2023

Contact this candidate

Resume:

Shaunda Renea Hunter

*** **** **** ****** ***. **5

Statesboro Ga 30461

912-***-****

ad0p7e@r.postjobfree.com

Dedicated and highly skilled team player with over ten years of Management and Supervising experience. Effective communication (verbal and written), adequate organizational and human relations skills. Ability to work well in a diverse environment; Proficient with all computer applications and software. Inbound/Outbound telephonic advocacy experience within the healthcare field. Invoicing and human resource skills. Seeking a position with a strong company in which to use my skills to further my career and contribute to the success of an organization.

Skills

Organized Multi-tasker

Analytical and Problem solving Skilled

Self-Motivation and Dependable

Ability to Work in A Fast Pace, High Demand Environment

Time Management

MS Office (Word, Excel, Access)

Research Data

Strong ability to execute based on strategic objectives

Word Processing and Data Processing

Advanced SAP Skills

Use of ADP Systems and Spreadsheets

CRM Documentation

Strong leader

Team player and detail oriented

Invoice and Telephonic Skills

Adaptability and Critical Thinking

Claims Processing

Workers Compensation

Experience

(APRIL 2022 – PRESENT)

Invoicing Data Specialist / Calero MDSL, Remote – Responsible for ensuring proper, timely and accurate invoice processing for assigned group of customers. Execute customer requirements for GL coding and cost allocations. Create and submit AP files to customers for payments in line with SLA and KPIS. Identify if past due balances are the result of missing or misapplied payments. Resolve past due balance with customers including confirmation of payment from the customer, bank clearance, vendor received and accurate application to account. Validate that all batched invoices have completed payments information (Reverse AP Feed). Manage and action all invoice alerts trigger within the platform and where appropriate create task and dispute. Also performed the following tasks:

Provide proper invoicing of 40 or more accurately and efficiently on a daily basis.

Follow-up with all customer demand for all 3 assigned clients which includes State Farm, Enbridge, and Cleveland Clinic.

Interact with customer(s) and carrier(s) relating to invoice processing to resolve any items which prevent completion.

Adhere to all required month-end processes and cut-off periods.

Works collaboratively with all team members to ensure all balances are handled properly and in a timely manner.

Work with the carrier(s) to resolve identified billing disputes, manage and resolve disconnection notices.

Work with the carrier(s) to resolve identified billing disputes, manage and resolve disconnection notices.

Where applicable, ensure that payment(s) successfully made to carrier(s) in line with Customer SLA.

Where applicable escalate open items to Service Operations Manger to resolve with appropriate Calero-MDSL finance resource.

Submit and track system-based alerts disputes on behalf of the customer(s).

Link inventory information or tasks created from billing and/or provisioning details to support full and complete inventory.

Where required, raise helpdesk tickets to solve platform issues and follow to completion.

(DECEMBER 2020 – APRIL 2022)

Remote Clinical Support Coordinator / LHI, Lacrosse, WI - Responsible for reviewing compensation and pension request documents and claims file for completion of the claims. Bookmarking to facilitate providers in location of pertinent information to ensure timely review and accurate completion of Disability Benefit Questionnaires. Responsible for obtaining the use of computers and Microsoft Office to create, copy, edit, send, and save documents. Must require technical competency to train remotely with the support of a trainer. Responsible for completion of upskilling course, Anatomy, Physiology, Medical Terminology, Human Body Systems, and Common Disease. Also performed the following tasks:

Provide quality coordination services to numerous medical centers.

Bookmark documents for provider exams to ensure the best quality for all Veterans.

Knowledge of Veterans exams and contentions in order to provide the most accurate and efficient bookmarking goals.

Knowledge of DBQ’s, Rating Decisions, Medical Exams, DD2-14’s, and all other pertinent documents in order to make each Veteran’s file acceptable

Works collaboratively with all team members to ensure all tasks are handled properly and in a timely manner.

Handles all patients documents efficiently and accurately.

Communicated with all department heads to ensure employee participation in mandated services.

Must obtain Administrative, Clerical, and Interpersonal Communication Skills at all times.

Uphold the integrity and privacy of patients by keeping all medical records and personal data HIPAA compliant.

Must meet all Bookmarking goals and quotas on a weekly basis.

Passionate about being an integral part of the LHI’s success and the patient’s needs.

(NOVEMBER 2020 – DECEMBER 2020)

Customer Claim Representative / Sunlife Financial, Kansas City, MO - Responsible for verifying all information in which the customer has provided within a Citrix process system. Receive telephone calls regarding inquiries from our customers in a high volume of demand. Responsible for numerous telephonic customer intake calls from such customers as VOYA, AFLAC, and United Health groups. Assess customers’ needs and address issues. Tracks, monitors and resolve customer requests while providing superior customer service by being proactive in meeting customer needs. Provides leadership, direction and mentoring for all testing activities on complex projects. Demonstrates proficient verbal findings to intake team and/or utilization review team. Works in a call-center at home environment. Responsible for handling all calls efficiently by providing superior customer service skills which consistently demonstrate professionalism. Responsible for effectively promoting Sun Life’s products and services while proving open and honest feedback along with self-awareness and emotional control. Also performed the following tasks:

Actively contributes to the development of best practices.

Champion’s quality assurance across the team and lines of business.

Must be able to meet specific metrics monthly in order to meet customer’s demands.

Records patients data and medical records carefully and accurately as required by SunLife’s policy.

Strictly followed all federal and state guidelines for release of information.

Demonstrate knowledge of HIPAA privacy and security regulations by appropriately handling patient information.

Completed and submitted clinical documentation in accordance with SunLife’s guidelines.

Must obtain medical terminology, critical thinking and sound decision-making skills.

(JUNE 2011– NOVEMBER 2020)

Process Improvement Specialist of Technical Service / Milliken, Sylvania Ga -Responsible for overseeing three shifts of thirty associates. Responsible for entering time in the ADP system. Responsible for implementing the continuous improvement of all products that meets the external and internal customers and supplier’s demands within a lab setting. Responsible for entering various test results in an SAP data base system and releasing final products to the customer. Responsible for QA, audit results and technical issues. Identifies and completes all projects that has a direct impact upon quality and cost improvement, assist

in implementing ISO procedures to make sure they are given to all lab associates, ensures that all process and product in which the lab produces meets customer testing specs, responsible for 5-S process in both labs. Responsible for creating COC for FR and non-FR customers. Responsible for conducting the morning communicating meeting for all three shifts in the lab and for ordering all chemical supplies in the lab. Responsible for keeping track of special projects, add-on-results, and making sure the overall flow of the lab remains successful. Successfully obtained three promotions within a ten-year period. Also responsible for the following tasks:

Assisted with the implementation of lean process improvement and continuous improvement in the lab setting.

Works directly with pH, Formaldehyde, and shrinkage testing.

Responsible for taking incoming calls from various customers.

Performed various office duties using transfer multi-phone lines and fax machines.

Staffing management and self-motivated leader.

Assisted with the hiring process of new lab associates.

Executed rapid improvement events and reports out to leadership within the company to execute and improve daily processes.

Work hand and hand with management on specific daily goals within the lab.

Co-chairman of the Safety Awareness Team, member of the TAP team, and a 5-S auditor.

(NOVEMBER 2013 – MAY 2017)

Patient Care Giver / Home Instead, Statesboro, Ga-Responsible for taking care of seniors in their homes providing overnight health -care services such as giving medications, personal care, assisting with putting patients to bed and other health care needs. Also responsible for performing vital signs and completing paperwork involving the patients care. Also responsible for the following tasks:

Executed bathing and dressing of patients every morning.

Executed morning meals.

Provided light cleaning and home organization.

Established a close relationship with all patients providing compassion and positivity.

Planned, coordinated, and implemented patients’ daily schedules.

Provided good judgement and punctuality.

Medical knowledge and light tasks including dressing wounds and administering medication.

CPR and First Aid Certified.

(JANUARY 2000 – JUNE 2011)

Machine Operator / Briggs and Stratton, Statesboro, Ga-Responsible for defining strategy and business planning for superior operations and quality within the company. Directed strategic initiatives to achieve the best product for the company. Responsible for estimating the demand of work and measuring clients results and data. Work directly with operators and team-leaders in order to achieve the best products possible. Also responsible for the following tasks:

Follows standard work procedures to manufacture parts.

Performs basic program call-ups on manufacturing equipment.

Reads and interprets blueprints and job orders.

Completes all work to required prints specifications.

Evaluates and inspects finished products for accuracy.

Performs all other duties as assigned.

Must be able to left and move an average of 25 to 50 pounds.

Education and Activities

Master’s Degree (2013-2014) / Ashford University, Clinton IO, Health Care Administration/Human Resource

Bachelor’s Degree (2008-2012) / Ashford University, Clinton IO Health Care Administration/Human Resource

High School Diploma (May1994) / Screven County High, Sylvania. GA

Tax Preparer and Business Owner (2018-Present) / SRH Tax Solutions, Statesboro, GA

3.8 GPA, Major: Computer Classes

Has successfully obtained a BA in Healthcare Administration/Human Resource Management. Microsoft Word, SAP, and Excel Dynamic. Ten-Year Laboratory, Supply, Invoicing and Customer Service Experience. Adequate Problem Solving, Root Cause Analysis, and Client Delivery Experience.

References

Hannah Steed, 706-***-****, Pooler, Ga.

Lorie Burns, 912-***-****, Sylvania, Ga.

Eledea Black, 724-***-****, Sylvania, G.



Contact this candidate