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Administrative Assistant Medical

Location:
Austin, Texas, 78723, United States
Posted:
September 26, 2019

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Resume:

Rhonda L. Patridge-Bolivar

**** ********* **. – Austin, TX 78724

512-***-**** / home – 281-***-**** / cell

adagg4@r.postjobfree.com

OVERVIEW

Ambitious, self-motivated, dependable, and well organized team-player with a positive attitude that works well with internal and external customers. Qualifications include 40 years of transferable skills in the insurance industry handling workers’ compensation claims, the trucking/transportation industry dispatching loads, negotiating rates.

EXPERIENCES

Star Shuttle & Charter – Austin, TX

September 2015 to May 2019

Austin Dispatch / Operations

Handled inbound and outbound calls from drivers, operators, customers, and staff

Called and confirmed operators with charters

Analyze all charters to make sure all information are in the charters

Analyze over the road charters for operators change out

Input operators payments

Monitored motor coaches while out on charters

Arranged motor coach rescues

Generated charter work tickets for the operators

Generated school bus work tickets for the school bus drivers

Input operators and school bus drivers work tickets in the system for payroll

Covered overnight on-call calls

Knowledge on Saucon, Crystal Reports, DOT Laws, TD21, Microsoft Word, Excel, and Outlook

R&R Limousine and Bus Service – Austin, TX

December 2014 to September 2015

Dispatch / Operations

Handled inbound and outbound calls from operators, customers, and staff

Called and confirmed operators with charters

Analyze all charters to make sure all information are in the charters

Analyze over the road charters for operators change out

Input operators payments

Monitored motor coaches while out on charters

Arranged motor coach rescues

Generated charter work tickets for the operators

Covered overnight on-call calls

Knowledge on Saucon, DOT Laws, Microsoft Word, Excel, and Outlook

Skip’s Transportation & Investments, LLC – Missouri City, TX

August 2013 to September 2014

Office Manager / Dispatch

Handled inbound and outbound calls from operators, customers and staff

Greeting customers and operators

Maintained calendar events

Negotiated rates on loads for truck drivers

Dispatch loads to the drivers via texts and/or e-mails

Verified loads were pickup and delivered to customers

Process contracts of new customers

Process invoice for payments to factoring company and customers

Maintained Safety Logs

Set up random safety inspections

Maintained truck drivers’ loads and driving records

Maintained the after hour call line

Maintained company expenses

Maintained load boards, Internettruckstops.com and Truckbuzz.com

Gila, LLC – Austin, TX

August 2012 to May 2013

Payment Processing Specialist I

Verified payments when received to make sure it matches to the correct accounts

Post payments to accounts within 72 hours of received

Processed NSF journals and letters to customers

Verified team members’ payment postings to make sure payments posted to the correct accounts

and journals balance

Researched lost and/or miss posted payments

Assisted other team members for absent and/or vacant positions

Gila, LLC – Austin, TX

February 2012 to August 2012

Customer Service Agent

Handled inbound calls from customers regarding their surcharges accounts

Provided the meaning and reasons for the surcharges

Provided payments options and fees to the customers

Provided information regarding the Indigence Program

Received payments from customers

Appropriately documents surcharges accounts

Kelsey Seybold Clinics – The Lakes – Houston, TX

June 2009 to September 2009

Per Diem Patient Account Analyst / Insurance Benefits Verification

Contract Job

Contact third party carrier to verified insurance coverage, benefits, and eligibility as well as referral authorizations

Interface with patients and/or clinics to verify insurance information and discuss account information

Maintain IDX/EPIC enrollment database

Working knowledge of IDX/EPIC, front desk and how they integrate

Analyze and correct enrollment information in IDX/EPIC to ensure customer satisfaction

Appropriately documents insurance information in the IDX/EIPC system

Researched and analyzed patient benefits using Web tools

U.S. Specialty Insurance Company – Houston, TX

August 2006 to April 2009

Claim Adjuster II

Investigated and reviewed non-scripted/occupational accident claims to determined compensability

Set and maintained reserves based on anticipated exposures

Examined medical information and bills to determined compensability

Administered Temporary Total Disability Benefits (TTD); Continuous Total Disability Benefits (CTD) and Death Income Benefits (DIBS) to injured workers and beneficiaries

Audited income benefits to determined accuracy of payments

Processed Large Loss Reports (LLR) on claims over $50,000 in exposures

Processed subrogation claims

Assisted team in reviewing and updating claims information for absent and/or vacant positions

Ward North America, TPA for Harris County and Harris County Hospital District – Houston, TX

March 2006 to July 2006

Disability Determination Examiner

Contract Job

Investigated and reviewed claims to determined compensability

Set and maintained reserves based on anticipated exposures

Examined medical information and bills to determined compensability

Administered income benefits, (TIBS, IIBS, SIBS and DIBS) to injured workers and beneficiaries

Audited income benefits to determined accuracy of payments

Prepared files for Benefits Review Conferences (BRC) and Contested Case Hearing (CCH)

Assisted team in reviewing and updating claims information for absent and/or vacant positions

Processed subrogation claims

CMI Barron Risk Management Services, TPA for the City of San Antonio – San Antonio, TX

September 2005 to January 2006

Disability Determination Examiner

Contract Job

Investigated and reviewed claims to determined compensability

Set and maintained reserves based on anticipated exposures

Examined medical information and bills to determined compensability

Administered income benefits, (TIBS, IIBS, SIBS and DIBS) to injured workers and beneficiaries

Audited income benefits to determined accuracy of payments

Prepared files for Benefits Review Conferences (BRC) and Contested Case Hearing (CCH)

Processed subrogation claims

Assisted team in reviewing and updating claims information for absent and/or vacant positions

Texas Mutual Insurance Company – Austin, TX

December 2004 to September 2005

Administrative Assistant

Contract Job

Prepared files for State Office of Administrative Hearing (SOAH)

Prepared files for expert witnesses and attorneys prior to hearings

Austin State School – Austin, TX

June 2004 to November 2004

Workers’ Compensation Claims Coordinator

Investigated claims submitted by injured workers

Prepared and submitted required claim forms to Employer, Insurance Carrier, Medical Providers and Texas Workers’ Compensation Commission (TWCC)

Assisted Employer, Insurance Carrier, TWCC, and injured workers in obtaining additional information

Conducted safety audits

Searched for employment within the medical restrictions for the injured workers within the accordance to the Employer’s “Return to Work” Program

Monitored and updated the Material Safety Data Sheet (MSDS) to assist in treating chemically inducted injuries

Philadelphia Insurance – Austin, TX

February 2004 to June 2004

Administrative Assistant

Contract Job

Prepared and mailed policy renewals to agents

Bounded final policies and mailed to agents

State Office of Risk Management – Austin, TX

May 1993 to November 2003

Disability Determination Examiner II

Investigated and reviewed claims to determined compensability

Set and maintained reserves based on anticipated exposures

Examined medical information and bills to determined compensability

Administered income benefits, (TIBS, IIBS, SIBS and DIBS) to injured workers and beneficiaries

Audited income benefits to determined accuracy of payments.

Prepared files for Benefits Review Conferences (BRC) and Contested Case Hearings (CCH)

Attended BRCs on the behalf of the insurance carrier

Process subrogation claims

Assisted team in reviewing and updating claims information for absent and/or vacant positions

Office of the Attorney General, Workers’ Compensation Division – Austin, TX

July 1985 to May 1993

Administrative Assistant / Accounting Clerk

Provided administrative assistance to the workers’ compensation claims adjusters

Prepared and processed checks for medical providers, injured workers and beneficiaries

EDUCATION

Adjuster – Workers Compensation Adjuster – Type 03 License, 1993-2009

Austin Community College (ACC) – Austin, TX

LBJ High School, Austin, TX – Graduated May 1983

References furnished upon request



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