Data Entry Customer Service
Resume:
Angie Boyd
Great Falls, MT
************@*****.***
OBJECTIVE
To secure a challenging career opportunity to fully utilize my training and skills, while making a significant contribution to the success of this company.
Technical Skills
EXPERIENCE
Envolve Benefit Options
NCQA review
Microsoft Teams
JIRA software
Smartsheet
Microsoft Word: PCR Documentation, MBO
Microsoft Excel: Reporting, Inventory Management, Formulas, V-lookups
Microsoft Outlook: Email communication, tasks, OneNote
Amisys: Readjudication, Adjustment, Prod, test
CenPAS: UAT testing, inventory management, Org changes, reporting
Golden: Data analysis
SQL: Data analysis
SharePoint Site: Batch/Macro Team data analysis reporting
Access Database: Reporting, data analysis
CCP: Special Projects Management
EDUCATION
Havre, MT
Bachelor Degree in Education-2011
Manager MED Quality Improvement- Envolve Health *Centene, Corp 2020-present
Manage provider data information systems
Import Excel spread sheets to various databases
Validate information systems for accuracy
Macro/Batch analyst developer• Centene, Corp. 2018-2020
SQL scripting knowledge-limited
Develop, edit and distribute Macros utilizing Macro Express software. Run, analyze, and review batch reports for macro processing to ensure accuracy of claims data
Run, analyze, and review batch reports, including validating eligibility for macro processing, to ensure accuracy of claims data upon project completion
Review, investigate, adjust and resolve claims, claims appeals, inquiries, and inaccuracies in payment of claims
Maintain appropriate records, files, documentation, etc
Create/maintain trend analysis reports
Provide excellent customer service by maintaining appropriate turnaround time and quality levels
Advanced knowledge of Microsoft Applications, including advanced knowledge in Excel applications
Advanced/COB Claim analyst • Centene, Corp. 2014-2018
Managed multiple, variable tasks and data review processes, as well as mass data entry, maintenance, and update projects
Completed data audits and evaluations within core systems
Identified and resolved complex issues, including mass change updates, reconciliation projects, and the operationalization of data from various sources
Created report and data reconciliation through Access, Excel, Business Objects and other reporting tools, to include provider data, claims data, membership data
In-depth knowledge of fee schedule pricing, COB pricing, and recovery adjustments
Contact this candidate