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health insurance

Location:
Lebanon, PA
Salary:
20/Hr
Posted:
December 07, 2022

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Resume:

Matthew J Smull

Contact information: Home: 610-***-**** cell: 484-***-****

Email: adtw3p@r.postjobfree.com

Brief Synopsis: Reliable and high performance worker who has excelled for the last 25+ years in various challenging production and quality related positions mostly dealing with medical billing. Have consistently shown a near perfect attendance record and developed numerous business related skills and proficiencies along the way. (ie management, customer service) Looking for new opportunities and challenges in east central PA, or any work at home (telework) positions.

Career History

Amazon (April 2018 to Dec 2018)

Job Title: Associate

Description: Responsible for the accurate and prompt processing and delivery of outgoing orders in an Amazon Fulfillment Center. (ABE2 in Breinigsville PA) Aetna Healthcare (1997-2017)

Job title: Quality Analyst

Start date: 9/10/2007 End date: 01/09/2017

Responsible for the accurate and prompt review and release of high dollar medical charges previously processed by mostly overseas outsourced workers. (Typically 30K or higher) Key Accomplishments: recognized for quality performance, Sept 09 thru Jan 2010. Recognized for sustained quality achievement 2009 thru 2015. This position also had challenging production goals much higher than the industry standard. Experience with international audits, also trained and functional in stratified auditing. Promotions within dept: 7/11/2011, 10/31/2011. Acquired proficiencies:

Microsoft OneNote, stratified audit system, paperless prepay tool, Claim Quality Assurance, Aetna Total Clinic View, Claim Audit System, Ultipro, Skype for Business, Quickbase, Telework tools. Job Title: Claim Reporting & Special Services Analyst Start Date: 8/19/2002 End date 09/15/2007.

Promotions within dept: 09/30/02, 08/04/03

Recognized for various quality and production achievements during time period with the Provider Solution Team. Had to learn HMO and MC products on the fly, without training. Work primarily involved provider projects and provider rework. This position also had strict production standards and high quality goals.

Acquired Proficiencies:

Microsoft Word, Microsoft Excel, provider services, HMO products, managed choice products, Pegareach professional, IOPview, Epolicies, Webex. Member Enrollment Application Job title: Claim Benefits Specialist

Start Date: 9/15/1997. End date 08/19/2002

Promotions within dept: 03/05/01, 07/09/01, 08/05/02 Miscellaneous:

Trained numerous new hire processors, was recognized twice as employee of the month for the division. This position also had high production goals in addition to strict quality standards. Assumed customer service representative (CSR) duties during high volume call hours. Acquired proficiencies:

Rumba mainframe, ACAS claim engine, customer services, member services, Traditional Products, Microsoft Notepad, Customer Coverage Inquiry, Enterprise Provider database, Microsoft Outlook 2010

(current version), Wordpad, Strategic Contract Mgt. (SCM) EWMP workflow mgt. Other work History

Field Agent

Mueller Reports (January – March 2017)

Collected property value data and filed detailed reports for various national insurance corporations such as USAA and Allstate.

Data Transcriber

Organization: IRS

Start Date: 1/1/1995 End Date: 7/31/1997

Acquired proficiencies: Tax reporting and code. Exceeded production and quality requirements. Office Manager

March 1991 to February 1993

East Coast recruitment and staffing company (full time work) Acquired proficiencies: Multifunctional management, < 25 employees. Hiring, performance evaluations, orientation, scheduling, payroll processing and contracting with clients, and other supervisory duties General manager/field manager

Organization: Regional semi pro summer baseball leagues (Allentown PA area) Start Date: 4/1/1993 End Date: 8/1/1997

Noteworthy: Composite record of 80 wins and 30 losses, 3 playoff appearances. Successfully organized and managed top adult baseball players in a very competitive environment. High School Assistant Baseball Coach

Notre Dame HS, Easton PA. Spring of 1991 and 1992

Noteworthy: Winning record and playoff appearances in both seasons including a PIAA district 11 playoff finals appearance in 1992.

College Assistant Baseball Coach

Northampton Community College. Fall of 1992 to spring of 1995 Noteworthy: Winning records and playoff appearances all 3 seasons as coach including a PCAA championship in the fall of 1994.

Assisted golf pro as a closer (part time work)

--April 2015 to December 2015

Iron Lakes golf club, Allentown, PA.

Education History

SAINT LEO COLLEGE

Education Level Obtained: BACHELOR'S DEGREE

Institution State: FL

Graduation Date: 1/1/1990. GPA 3.75

miscellaneous personal achievements

-- 5 handicap golfer.

-- Still play competitive baseball in regional leagues, and national tournaments. Have accumulated 46 divisional and playoff championships for 13 different teams spanning over 25 years. Was recognized for individual achievement several times. (ie, post season awards and all star game appearances)

References

Kelly Hartenstine (supervisor, Aetna healthcare)

adtw3p@r.postjobfree.com

Business #: 610-***-****

Melanie Miller (supervisor, Aetna healthcare)

adtw3p@r.postjobfree.com

Business #: 570-***-****



Contact this candidate