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Service Representative Document Reviewer

Location:
Charlotte, NC
Posted:
April 01, 2023

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Resume:

Contact

**** ********* ******* *****

Unit ***

980-***-**** (Mobile)

adv91l@r.postjobfree.com

www.linkedin.com/in/carol-

smith-2711623b (LinkedIn)

Top Skills

Analytical Skills

Data Analysis

Management

Certifications

System Administration and IT

Infrastructure Services!

SAP S/4 HANA Financial Accounting

Overview

SAP Certified Application Associate

- Business Process Integration with

SAP S/4HANA 1809

Windows 11 Essential Training

Technical Support Fundamentals

Carol Smith

QA/QC Analyst at Witt O'Brien's

Charlotte, North Carolina, United States

Summary

I recently re-started a career in the Information Technology field, starting with SAP Certified Application Associate. I am CompTIA N

+ certified and I have completed my Google IT Support Professional certificate through an organization called Merit America in May 2021. I have nearly 10 years in the customer service field providing technical support.

With my varied professional experience, I can offer a broad range of skills in operations, team management and training. My goal is to bring this skill set into the role that I am applying for and bring the knowledge to help my team grow together in the business world. As a leader I will always be willing to take on a task to provide the best support to my team that I can get them to be successful as well. If you are looking for a hard worker who wants a job well done then look no further. With my experiences and education I have learned and used every step of the way.

Experience

Witt O'Brien's

QA/QC Analyst

March 2022 - Present (7 months)

Charlotte, North Carolina, United States

Ensure the accuracy of data and documentation submitted in support of program activities. Contribute to the development of checklists and job aides also contributing to the design of program specific auditing, monitoring and compliance protocols. Support Program Manager and team to triage implementation concerns through productive interface with grant management platform providers, contractors, and other external partners. High level of demonstrated experience and competency working with technology solutions, database management and other information management systems required. Ensure data accuracy and reporting.

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Deloitte

Document Reviewer

May 2021 - April 2022 (1 year)

Charlotte, North Carolina, United States

Review documents in order to determine eligibility for federally funded programs. Intake and review applications for assistance consistent with federal requirements, program policies, and procedures. Maintain and track applications, ensure information accuracy within the data management information system, log new information, and document awards. Insight Global

Benefits Verification Specialist

October 2020 - February 2021 (5 months)

Charlotte, North Carolina, United States

Responsible for assuring appropriate insurance verification, prior approvals, and all authorization requirements are obtained prior to the patient's arrival for treatment.

TTECH

Claims Specialist

April 2020 - September 2020 (6 months)

Charlotte, North Carolina, United States

Providing high quality customer service by responding to and researching and resolving customer inquiries related to dispute/fraud claims. Managing a large caseload by researching, investigating, and resolving disputed credit/debit card charges. Interacting with customers via correspondence and telephone to determine the source of the claim and correcting errors. Insight Global

Patient Access Specialist

October 2018 - January 2019 (4 months)

Charlotte, North Carolina, United States

Duties include contacting insurance companies to verify patient-specific benefits for programs we administer. Vase knowledge with an understanding of insurance benefits. Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options. Identifying any coverage restrictions and details on how to expedite patient access. Documenting and initiating prior authorization process and claim appeals. Attention to detail, flexibility, and the ability to adapt to changing work situation.

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Mecklenburg County

Human Services Specialist II

August 2017 - November 2018 (1 year 4 months)

Charlotte, North Carolina, United States

Performs eligibility case management services with extensive knowledge in Adult Medicaid and Food Stamp programs. Interpret information to determine eligibility and issue benefits for family units. Responsibilities include providing ongoing and case management. Very well versed in computer systems. I was a member of advanced team servicing two programs both food stamps and Medicaid.

C & C Solutions

Principal Owner

October 2000 - April 2017 (16 years 7 months)

Washington DC-Baltimore Area

Evaluated LAN/WAN software and hardware requirements. Coordinated, installed, and supported client LAN/WAN software and hardware. Maintained technical support in PC hardware and software interconnection. Documented network architecture and procedures. Maintained network security and user profiles. Performed hardware and software upgrades. Provided support for Microsoft Suite. Very

adept with Smartphones and other mobile devices.

TalentBridge

Fax Reviewer

October 2016 - February 2017 (5 months)

Charlotte, North Carolina, United States

Provide reimbursement support for FDA approved product, assess client eligibility for program enrollment ensuring timeliness and accuracy. Assist in identifying issues for further review, analysis, or procedure implementation. Conduct insurance benefit verification while researching alternative health coverage, experience with physician-administered products. Effectively work with multiple teams across the organization. Guide potentially eligible patients through state Medicaid and local county application process. Aerotek

Site Coordinator

October 2014 - February 2015 (5 months)

Charlotte, North Carolina, United States

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Provide reimbursement support for FDA approved product, assess client eligibility for program enrollment ensuring timeliness and accuracy. Assist in identifying issues for further review, analysis, or procedure implementation. Conduct insurance benefit verification while researching alternative health coverage, experience with physician-administered products. Effectively work with multiple teams across the organization. Guide potentially eligible patients through state Medicaid and local county application process. Time Warner Cable

Commercial Provisioning Representative

April 2013 - September 2013 (6 months)

Charlotte, North Carolina, United States

Present Member of Operations team: Responsible for the order entry of BCP complex orders and Toll Free. Duties also include phone fraud management research, Sprint invalid processing, Number Inventory Management, Provisioning maintenance support, OMSE task management and other special projects as assigned.

Randstad

Customer Service Representative

August 2012 - March 2013 (8 months)

Charlotte, North Carolina, United States

Works as part of an ongoing team that provides quality customer service by helping client candidates, employees, retirees, and others understand, work with, and use their Health and Insurance plan(s), Payroll, and Workforce Administration accurately and effectively. Supporting Learning, Performance and Talent skills also. Responsible of managing caseload and other duties as assigned. Experience with the following applications: Peoplesoft, SAP and Oracle.

Vonage

Help Desk Technician

September 2008 - November 2010 (2 years 3 months)

Concord, North Carolina, United States

Provided help desk support for various services and products including those Vonage, ACN, and Wells Fargo. Addressed any issues that could arise in customers' networks with a goal of 1-call resolution. Verizon

Retail Sales Representative

March 2007 - July 2008 (1 year 5 months)

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Germantown, Maryland, United States

Met and exceeded Verizon quota and revenue targets for net activations, customer renewals, accessories, handsets, and enhanced services. Ensured customer satisfaction and resolved all customer issues and concerns. AlliedBarton Security Services

Account Manager

March 2004 - March 2007 (3 years 1 month)

Arlington, Virginia, United States

Responsible for managing a portfolio of various client organizations ranging in size and value from Fortune 500 to small- and medium-sized organizations. Managed area of over 2,000 weekly security contract hours with an estimated value of $3,000,000 in annual revenues. Administered training modules and service delivery techniques to all levels of the security service team, as well as supervisors and managers. Trained new hires at AlliedBarton onsite. Verizon

Facilities Locate Technician

April 2002 - February 2004 (1 year 11 months)

Fairfax County, Virginia, United States

Documented network architecture and procedures. Accurate with 99.7% of locates.

Capital Financial Group, LLC

Network Administrator

February 2001 - January 2002 (1 year)

Rockville, Maryland, United States

Responsible for network administration, password resets and MS exchange server user account management. Windows 2k server and Professional; Windows NT Server and Workstation; Microsoft Outlook; LAN and WAN network platforms; Microsoft Exchange.

DC Department of Human Services

Social Services Specialist 2

November 1998 - January 2002 (3 years 3 months)

Washington DC-Baltimore Area

Interfaced with clients requesting D.C. public assistance, reviewing and responding to applications, determining appropriateness and placement of services, and performing client intake and evidentiary interviews. Page 5 of 6

United States Department of Defense

Chemical Operations Specialist

November 1991 - January 2000 (8 years 3 months)

United States

Taught theater chemical warfare techniques to company. Member of USAR. Completed AIT training in the top 1% of my class.

Education

Western Michigan University

Bachelor's of Social Work, Social Work · (1989 - 1991) Merit America

Google IT Support Professional Certificate, IT Support · (2021) Kilgore College

Associate of Arts and Sciences - AAS, Business Administration and Management, General · (1988 - 1989)

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