Granbury, Texas ***** CARRIE HOLSTEIN-DUFFY
Mobile: 281-***-****
Email: ******@********.***
SUMMARY
*-***** ** ****** ******** service success, personnel management, and training, providing account management and support across most major industries, including: Financial Services, Telecommunications, Government, and Manufacturing, Healthcare/Medical Coding/Compliance. Recent experience in Auditing Health Insurance Claims for fraud/waste, abuse, and QA process supervision. Experienced public safety professional with over 15-years as a Fire Service and Paramedic/Emergency Medical Technician. CORE COMPETENCIES
ACCOUNT MANAGEMENT FIRE FIGHTER/PARAMEDIC/EMT
CUSTOMER RETENTION
CUSTOMER SERVICE
BOOKKEEPING
AUDITOR, QA, OON, II
PROFESSIONAL EXPERIENCE
THE HOME DEPOT / Night Warehouse Stocker
Unloading trucks
Shocking shelves and inventory control
AMAZON GLOBAL / Warehouse Trainer
Team leader/Trainer for sorting and loading outbound shipments at fulfillment center VERTEX REFRIGERATION / Office Manager & Bookkeeper – 1 year
All back-office functions to include billing, payroll, collections, tax allocations and filings.
OSHA Compliance officer
MULTIPLAN INC /Auditor, QA, OON, II – 3 years
Auditor, for HIPAA compliance for all major Medical, Auto, Workers Comp insurance claims. Responsible for auditing inbound and out bound OON claims for PHI, PII and fraudulent billing practices. Audited for BMP and U&C discrepancies, claim salvages. Reviewed appeals for claims adjustments per client matrixes.
Audit closed provider and client claims that fall out of network. Responsible for auditing HCFA and UB claims for billing and coding errors. Audited for Provider type matching principles. Using EDI, EDSS, Enclarity IDRS (UHC), EDP claim search.
Preformed Phone Audits on OON Negotiator’s for HIPPA violations and customer service standards per QA Phone Audit Guidelines.
Completed Medicare Parts C and D General Compliance training -Certificate
Completed Medicare Parts C and D Fraud - Waste and Abuse Prevention and Auditing training - Certificate
Audit closed/open claims for fraud waste and abuse based on provider’s response to OON claims.
Audit open claims (real time) for out of network negations. AMAZON GLOBAL / Ambassador and Trainer for Amazon Fulfillment Engine (AFE) – 3 years
Lead Trainer/Instructor for AFE new hire employees, including logistics and robotics. Responsible for training over 2,500 new employees during Prime Week. For all aspects of Amazon Global departments at the DFW8 Location. HAZMAT first responder. Active Shooter first responder. EMS first responder
Amnesty technical support for robotics and grid training for proprietorial robotics system for Amazon Global.
Team leader/Trainer for sorting and loading outbound shipments at fulfillment center. CONCENTRA MEDICAL / Protocol Specialist – 3 years
Provided account management and customer service for several hundred accounts.
Lead negotiator and auditor for facilitated health care providers/interim clinics.
Diagnosed and developed retention plan for at-risk accounts.
Auditor for Concentra’s fraud department, for HIPAA compliance before claims is filed with patients’ Insurance provider. CORNERSTONE STAFFING for NEOPOST USA / Sales Representative – 1 year
Performed inside and outside sales for the private and public sector, including school districts, municipalities, and U.S. government.
Provided technical support for all U.S. Postal postage rate change meters. THE LYND COMPANY / Property Manager – 2 years
Managed residential apartment communities for approximately 600 residential units.
Reconciled rent payments, collections, payroll, annual budgets, and forecasts for apartment community revenue.
Secured and managed U.S. government grants for low-income housing programs.
Performed all necessary functions on running a high traffic leasing office. MUNICIPAL FIRE DEPARTMENTS and AMBULANCE SERVICES / Fire-Fighter, Paramedic, and EMT – 10+ years
Provided emergency medical care, fire suppression services, emergency rescue, and other duties related to the municipal fire service and ambulance care.
Participated in public relations events and fund raising for the fire departments that I was employed with.
Instructor for Texas A&M University, for fire-fighter I and II.
Instructor for North Texas Fire Academy
EMT Skills instructor for fire trainees.
Search and Rescue instructor
Confined Space/High Angle Rescue instructor.
ALS/CPR instructor
Licensed Emergency Medical Dispatcher for Fort Worth/Tarrant County 911
Taught Citizens Fire Academy and 72-hour classes for Frisco Fire Department, and Little Elm Fire Department. UNITED PARCEL SERVICE / DFW Airport Cargo/Load Handler – 3 years
Provided support services for loading/unloading of UPS aircraft, airport logistics vehicles, and line-haul trucks.
Marshalled aircrafts for inbound and outbound, unload.
EMS/HAZMAT First responder, unload.
EDUCATION
TEXAS A&M UNIVERSITY
College Station, TX
Fire Science Training – Graduate, Certified, 2000 BROOKHAVEN COLLEGE
Dallas, TX
Paramedic School – Certified, 2002
REFERENCES
Available upon request