Manager Insurance

DONNA NAPOLITAN

**** ********* ****** ********, **** 43211 *********.*****@*****.***

EXPERIENCED MANAGER /RECRUITER/ ACCOUNTING /MEDICAL INSURANCE COORDINATOR

Technically skilled professional demonstrating advanced skills in Microsoft MS Office, Word. Excel,

Power Point and Outlook. Expert interpersonal and communication skills-known for tactfully handling confidential issues resolving employee complaints and the timely completion of executive level reports and presentations. Recognized for maintaining a leadership role in support of other management.

Ability to multi-task with excellent output and flexible to change.

EXPERIENCE

BENEFITS VERIFICATION/ REIMBURSEMENT COORDINATOR

CVS Specialty Pharmacy/Corporate, Monroeville, Pa. 12/2018 – 3/2020

Complete Prior Authorization, insurance verification, coordination of demographic information necessary to process referrals.

Reviewing insurance claims ensuring clients receive accurate reimbursement.

Claims examiners processing and documenting insurance claims. Research of private foundations providing referrals for grant funding.

Organization of patient medical data in a secured database for insurance reimbursement.

The overseeing of insurance claims, reimbursements, and approving or denying claims processing.

Correcting errors in various work queues to ensure correct claim filing or refiling of denied claims.

TRAINING COORDINATOR/RECRUITER - 6 months

Walmart Inc., North Versailles, Pa. 6/2018 – 12/2018

Assisting in the operation of the Department

Administer, maintain and oversee facility training by communicating training plans.

Monitoring and tracking completion of training by associates

Reviewing training reports and reporting training issues to Management

Following laws and regulations with personnel files and other sensitive and confidential files.

Facilitation of new hire orientation

ACCOUNT CLERK/INSURANCE COORDINATOR – 1 year/6 months

Mahoning County Children Services, Youngstown, Ohio 7/2016 – 12/2017

Accounts Payable/Receivable /Processing payroll, agency invoices, pay-ins, create and convert purchase requisitions to purchase orders, maintain agency contracts, update spreadsheets, utilizing county and state computer programs. Assist with county and state financial reports.

Establishing Medicaid Eligibility for all children in MCCS custody. To set up and track monthly subsidies for foster parents and kinship families. The processing of adoption cases and adoption subsidies.

Monthly audit reports to the Child Support Agency and the Social Security Administration.

Cont. Donna Napolitan

PROGRAM PROPERTY MANAGER/REAL ESTATE – 3 years

Choice Homes Inc. L.P. Youngstown, Ohio 9/ 2012-9/ 2015

To supervise a staff of 4 consisting of leasing consultants, housekeeping and

maintenance of single-family homes and apartment complexes.

The development of transitional training programs from rental property to real estate/homeownership.

The screening of mortgage/loan applications for approval/denial.

To network with Housing Urban Development [HUD] Section 8 and [LIHTC] laws.

Hiring and training of personnel instituting procedure and policies.

HUMAN RESOURCES/RECRUITER – 4 years

Callos Resource Agency, Youngstown, Ohio 1/2014– 12/2014

Giant Eagle Grocery Store, Boardman, Ohio 1/2012 – 12/ 2012

VXI Global Solutions, Youngstown, Ohio 1/2010 – 12/2011

To facilitate the hiring needs for various companies.

Network through industry contacts and the creating of job descriptions.

Prescreening interviews, second interviews, background checks and drug screens.

The posting of open positions on the internet and to effectively fill open positions.

Made job offers. Facilitated all required HR documents for employment and or denial letters.

Increased college awareness of the companies and attending career fairs for recruiting.

Assisted in preparing and sending new employee orientation packets.

LOAN VERIFICATION/TAX COLLECTION / INSURANCE CLAIMS – 4 years

First National Bank Technology Center, Hermitage, Pa. 2/2009-12/2009

MIK Investment, Cleveland, Ohio 6/2006-12/2009

The screening of delinquent loan accounts for re-financing.

Department turn around of 90% of delinquent loans paid off,made current or closed.

The structuring of personal payment plans for various clients.

Approval /denial of small business loans by employee verification.

To liason with city tax collectors for the processing quarterly city taxes.

EDUCATION

EASTERN GATEWAY COMMUNITY COLLEGE January 2018

Business Administration [pursuing]

PHI THETA KAPPA/ Honor Society November 2017

TECHNICAL LEARNING CENTER, Warren, Ohio June 2004

Microsoft Word, Excel. Outlook, Publisher, PowerPoint

TRUMBULL BUSINESS COLLEGE, Niles, Ohio September 2001

Accounting 1

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