Data Entry Administrative Assistant
Resume:
Conway, AR *****
Home: 501-***-****
Mobile: 208-***-****
Email: ***.***@*******.***
Professional Summary
An award-winning business analyst/IT delivery specialist with 20 plus years in healthcare primarily in government programs. Medicare and Medicaid shared 14 years of history including various mainframe and web formats. The remaining 8 years included private insurance with managed care during the formative years. Implemented changes including reductions in corporate budgets utilizing cost saving measurements.
Requirement Gathering
MS PowerPoint
MS Advanced Excel
MS Advanced Word
Test Scenario Composition and Execution
Issue/Defect Resolution
Work History
Blue Cross Blue Shield of Texas. 3 yrs
Health Advoxate Conceirge
Receive member calls
Document calls for record retention
Resolve member request
Perform followup if necessary
Work History 5 yrs 3 months
In Home Care Specialist Susan M. White
•Produced tax returns and other necessary paperwork for Ms. White utilizing my skills with Microsoft products.
•Manage meds, provide meals and household chores.
•Susan is a chronic dementia patient no longer able to drive or perform any chores. Daily activities must be monitored because of unstable walking, standing and confusion.
•a chronic dementia patient no longer able to drive or perform any chores. Daily activities must be monitored because of unstable walking, standing and confusion.
Work History
IT Services Delivery Specialist – Medicaid – Implementation Projects
Hewlett Packard Services/Electronic Data Services Plano, TX 14 yrs and 4 months
(telecommute – 4 yrs)
Manage projects, contribute to committee and/or teamwork.
Assist with development and maintenance of internal and external company website. Assist Subject Matter Expert (SME) with all phases of testing creating test scenarios, designing test scripts in Test Director, tracking all results and defects
Work with provider system engineer to evaluate and test various areas
2955 Billy Jack Dr Apt 2
Conway, AR 72034
Home: 501-***-****
Mobile: 208-***-****
Email: ***.***@*******.***
•Monitor provider cycle for provider letters on the website for Medicaid in Georgia.
•Coding field inputs of the Medicaid providers into software
•Design, test and maintain all letters for the Medicaid providers for Georgia
•Write, execute and document test scenarios
•Compose and publish user manuals for end user community
•Provide training for end users
•Initial contact for input data integrity
Work History
Business Analyst – Medicare
Electronic Data Services Plano, TX
Telecommute occasionally
•National conference calls for presentation of proposed system changes
•Testing lead for select releases to ensure timely execution of a quality product
•Head lead for the initial 837 Inbound HIPAA project, including writing requirements and system changes
•Produced initial 837claim data file for extensive testing of the HIPAA projects. Implemented nationwide for
testing purpose prior to HIPAA going LIVE
•Establish work efforts for system engineers and business analysts for HIPAA project
•Testing for all environments, model office, user acceptance and limited production
•Monitoring test information on spreadsheets in Microsoft Excel and in the government approved testing software, Test Director*. Test Director captures results, defects and resolutions required for user fixes or work arounds.
Work History
Multiple Positions - Blue Cross & Blue Shield of TX, Inc (BCBSTX) 7 yrs and 8 months
1.Medicare Overpayment Administrative Assistant
2.HealthCare Financing Administration (HCFA) - Onsite Administrative Assistant
3.Benefits Specialist - (Human Resources)
4.network directory specialist - (provider networks)
•Create, maintain, and enter information into databases utilizing confidential information safeguards.
•Enrollment of health, dental and life benefits for employees, reconciling membership files with payroll and member services.
•Produced member group specific (e.g., FEP) provider directories
•Verified accurate credentialing information on provider file
•Trained the HCFA teams for initial email system (PROFS – IBM product)
2955 Billy Jack Dr Apt 2
Conway, AR 72034
Home: 501-***-****
Mobile: 208-***-****
Email: ***.***@*******.***
Awards
Outstanding Contributions to the Health Care Financing Administration - (Presently named Centers for Medicare and Medicaid Services or CMS)
1992
Training
Desktop publishing provided by specialized training at Hewlett Packard –
2005
Extensive training for desktop publishing on FrameMaker™ for creating company specific provider directories at
Blue Cross Blue Shield of Texas -
1995
Education
Brantley Draughon Business College Fort Worth, TX
Certification for Data Entry & Business Administration
Skills
Exceptional Customer Service Brainstorming
Impeccable Analytical Skills
Reading Comprehension Desktop Publishing/Proposals Technical & Business Writing
Georgia
May 1971
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