Administrative Assistant Medical
Resume:
Rhonda L. Patridge-Bolivar
**** ********* **. – Austin, TX 78724
512-***-**** / home – 281-***-**** / cell
**********@*****.***
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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