Personal Care Memory

Rhonda N. Rhynes

ad5t2n@r.postjobfree.com

HR Professional with excellent analytical skills and experience with benefits and payroll administration. Administrative professional offering excellent communication and computer skills. Meets deadlines and works with a high level of multicultural awareness and adaptability.

Experience

Self-Employed Notary-Current

Remote Notary

Depositions

Jurats

Safe Deposit Box Witness

Power Attorney

I9 Employment Verification form

Apostilles

Exam Proxy

Trust/ Estate

December-2022-Current

Honor Health Care Network

Assisted with personal care: bathing and grooming, dressing, and exercise. Basic food preparation: preparing meals, shopping, housekeeping, laundry, and other errands. Assist with memory care such as Dementia, Alzheimer’s, and general memory loss. Hospice and infectious disease care.

Also did on-the-job training of other caregivers.

Assisted with the assessment of new client’s condition when being released from the hospital.

May 2022 – November 2022

Caregiver Senior Helpers

Assisted with personal care: bathing and grooming, dressing, and exercise. Basic food preparation: preparing meals, shopping, housekeeping, laundry, and other errands. Assist with memory care such as Dementia, Alzheimer’s, and general memory loss. Hospice and infectious disease care.

Also did on the job training of other caregivers.

Assisted with the assessment of new client’s condition when being released from the hospital.

JSR Tech Consulting/Prudential – Cranford, NJ (remote)

September 2021 – December 2021

Processed STD, FTD, FMLA, and LTD from Intake to the end

Researched claims and worked with Prudential for various Fortune 500 companies

Worked with various systems to track and audit claims.

Spoke with the employee, to get medical certification from doctors for behavioral health claims and other medical claims.

Made sure we followed all federal and state laws.

Processed all monetary transactions that may have been offset by overpayments, underpayments, according to working comp, statutory and state benefits UPT or PTO.

This also depended on the state where the employee lived and was not limited to ramp back and partial deductions for return-to-work programs that were calculated properly before.

Ensured all SLA’s met the companies as well as exceeded the clients' expectations

and would make sure make the STD payment would batch over to the feed daily.

May 2021-September 2021

Human Resource Case Manager/Aerotek

Processed STD, FTD, FMLA and LTD from Intake to the end

Researched claims and worked with Sedgwick and The Hartford, UHC and Aetna

Worked with various systems to track and audit claims.

Spoke with employee, set up appointments with Am/Care and other specialists.

Stayed in compliance with all federal and state laws.

Processed all monetary transactions that may have been offset by overpayments, underpayments, according working comp, statutory and state benefits UPT or PTO.

This also depended on the state where the employee lived and was not limited to ramp back and partial deductions for return-to-work programs that were calculated properly before.

Ensured all SLA’s met the companies as well as exceeded the clients’ expectations.

and would make sure make the STD payment would batch over to the feed daily.

April-2021

Indexing Healthcare Contract Specialist/Reliance One/Health/Smart

Indexing Specialists are responsible for

Providing professional and efficient support to the Network Development team

Reviewing, indexing, and tracking

Responsibilities included inputting accurate contract data into imaging web base system.

Maintain levels of confidentiality of PHI information and strong communication within a team environment.

Adheres to all policies and procedures associated with indexing criteria.

Responsible for meeting department quality standards for indexing, 95% accuracy rate for all healthcare contracts, policies, members and healthcare companies.

January 2021-April-2021

Human Resource Support Assistant/Aerotek/Amazon

Processed FMLA and STD and with The Hartford.

Peoplesoft. Kronos, ADP, Panorama, Dali and CEM software systems.

Coordinated with managers to ensure associates are on the correct schedule patterns complete and report metric gaps on daily and weekly reports regarding attendance, attrition, engagement, labor fill.

Assist managers in responding to associate questions on time, benefits, accommodations and LOA.

Batched out daily for all transactions for that day.

Calculated the amount benefits for their leave as well as extended the leave if needed.

Met SLAs for the company and met or exceeded client expectations.

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June 2017 – November 2017

HR Analyst, Tek System

Updated and processed claims new data to file records for the Hartford and Sedgwick.

Handled the claims for payment with Aetna m Cigna, UHC, Sedgwick and The Hartford

Case management for furloughed, medical leave employees for secondary benefits with the different carriers.

Calculated biweekly and monthly benefits according to all union and payroll policies and guidelines.

Calculated and processed overpayments, underpayments for STD and LTD payments.

Updated all calculations and recalculations with Sedgwick before noon to be able to be batched out for payments to direct deposited the next pay cycle.

All intakes needed to be handled with all accuracy to ensure all guidelines were met federal and state (depending on the state) when processing claims.

Run audits of all claims monthly and quarterly.

Processed reports for auditing, tracking and changes made to the claim.

December 2018 – January 2021

Caregiver Senior Helpers

Assisted with personal care: bathing and grooming, dressing, toileting, and exercise. Basic food preparation: preparing meals, shopping, housekeeping, laundry, and other errands. Assist with memory care such as Dementia, Alzheimer’s, and general memory loss. Hospice and infectious disease care.

Also did on the job training of other caregivers.

Assisted with the assessment of new client’s condition when being released from the hospital.

February 2017 – January 2019

Caregiver, Always Best Care

Assisting with personal care: bathing and grooming, dressing, toileting, and exercise. Basic food preparation: preparing meals, shopping, housekeeping, laundry, and other errands. Assist with memory care such as Dementia, Alzheimer’s and general memory loss. Hospice and infectious disease care.

Also did on the job training of other caregivers.

November 2016 – November 2016

Benefit Service Coordinator, Aerotek/Southwest Airlines

Worked with SAP/Airline Systems.

Assisted with Benefits/Open Enrollment.

Assisted with Paperwork as needed. Assisted Employees with benefits via phone/email. Updated Employee profiles.

Walked employee through Navigation of Company website.

May 2016 – May 2016

Benefit Administrator, Matrix staffing Solutions/ CompuCom

Processed and updated Workers Comp claims/ benefits to be paid out once I completed the initial intake and investigation with the doctors and specialist.

Updated new information for Unemployment Benefits.

Filed employee records to get ready for the initial move to new location.

Handled various reports.

Explained various benefit programs

Current on HIPAA/ERISA laws. Sent Corresponding letters concerning Letters of Credible Coverage.

Sent Corresponding letters for pension inquiries. Corresponded with employees via email and phone.

Used various Computer programs such as Workday and SAP.

November 2015 – March 2016

Health Coach, Aerotek/Envolve/Centene

Health Code Compliance for Insurance companies.

Case management for all persons with chronic diseases dealing with state insured health plans. Researched information for the insurance companies.

Complied with all HIPAA guidelines when dealing with doctor's and members.

Viewed claims and made sure they were coded correctly. Scheduled appointments for member to close insurance Gaps for Insurance companies.

Updated member and Primary Care Physician's information daily. Coached members on health eating and proper healthcare.

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April 2007 – April 2015

HR Representative, Mercer HRS

Complied with HIPAA/ERISA laws.

Corresponded with clients by chat & email.

Assisted employees with payroll issues.

Trained new employees in Shared Services for various clients.

Processed claims for FMLA, STD, LTD and FTD.

Updated and processed and updated notes, claims so benefits could be paid.

Completed various reports and tracked the payments in the systems for Sedgwick and the Harford.

Made sure that the calculations were offset or adjusted by state, overpayments, underpayments, and PTO.

Made sure all other claims from UHC, Aetna and Cigna were paid out as well once the initial claims came in and were verified.

Handled the direct claim with Sedgwick for Worker Comp starting with the initial intake and ending with the calculating the payments.

Provided total case management from intake to claim closure.

Met a SLA’s for the company and met or exceeded client expectations.

Calculated the amount benefits for their leave as well as extended the leave if needed. Batched out daily for all transactions for that day. Research all injuries and claims, spoke with doctors and specialist.

Handled the STD claims for the Hartford and worked with our contacts over there to make sure all payments and claims were being paid put according to our records and updating any changes.

Batched out claims daily.

Always peer reviewed any claims before they were paid out. Spoke with the initial employee from the start to finish of their claim and when and if they had to transition to LTD.

Handled all transitional claims to make sure employees were paid on time and all things were done according to federal and state laws.

Education

Graduated June 26, 2021

Associate of Applied Science -EL Centro Community College

Paralegal/Law Degree. I majored in the legal field to work either in a law office, human resource and took dispute resolution courses. I took business organization as well as employment law.

My GPA is 3.8. Law Office Tech Certificate, Certified Mediator

June 95 -January 97

Business Management-Bryant& Stratton College

Majored in business management, accounting, and forecasting. I took courses to that taught me how to use different software and maintain a business.

Ran my own in-home daycare through Western NY Children Services

Received certifications, nutrition, early childhood behavior and the children behavior at different stages of life.

Skills

Detailed Oriented

Team Player

Human Resource Skill

Case Management

Dispute Resolution

Microsoft Office

SAP, Workday, Access, Payroll

Leave Management

Union Benefits/Airline

Certified Mediator in TX for Conflict Resolution

Certified TX Notary

Activities

I joined DAPA (Dallas Paralegal Association). I strive to assist and help people by volunteering at my church. I have my law office certification through NSLT (National Society of Legal Technology). I receive a certificate for Mediation/Dispute Resolution Training through EL Centro College.

References Available Upon Request

I had been in school finishing up my degree since fall 2018.

Contact this candidate