Alfreda Lewis

***** ***** ***** ******, *******, Florida 32829

Phone: 904-***-****

E-mail: adxtzy@r.postjobfree.com

SUMMARY

Professional and motivated individual with various experiences in Healthcare, Finance and Revenue, Logistics, Customer Care, and Invoice Distribution. Excels in areas of Leadership and Customer Service. In-depth knowledge of insurance company liaison procedures. Excellent knowledge of medical terminology, coding, payroll, allocate, reconciliation, billing, program management; Have knowledge of insurance billing and reimbursement policies and procedures, insurance benefit, Exceptional verbal & written communication, organization, attention to detail, and task management skills. Consistently demonstrates ability to adapt to change, be a team player, and maintain a positive attitude. Recognized for dependability, integrity, and the desire to exceed goals and expectations. Type 65 WPM; Process 10,000 keystrokes; Extremely productive in handling high volume in a highly stressed environment; Build rapport, listen, clarify and manage flow; Ability to meet, communicate and interact with individuals from all backgrounds and health care team; members in a courteous and helpful manner in order to complete a task. Have ability to organize and maintain patient accounts; Ability to work independently in the accomplishment of wide; Ability to identify and resolve patients issues in a timely manner; Follow-up on pending issues and demonstrating understanding of incomplete work; Ability to review and monitor data to ensure all reports are accurate; Knowledge of HIPAA Privacy and Security Rule; Knowledge of the Privacy Act of 1974

PROFESSIONAL EXPERIENCE

Veteran Affair– United State Government, Caribbean CCPAC, Orlando, FL

9/2010 to Present

Account Agent/Cash Management

Manages the complete billing administration for complex groups that require special handling of Supplemental Health and Dental insurance policies.

Manage active accounts (both inpatient and outpatient medical claims).

Apply payments to 1000’s patients account in a timely manner.

Assist in gathering and reviewing collates and distributes a variety of data reports and information submitted by the administrator and other departments.

Determine the accuracy of the insurance payments by conducting review of the patient’s insurance and determining usual and customary payments for various healthcare services. Contact 3rd Party carrier for verification of insurance.

Follow-up activity is done either manually by contacting the 1st or third-party payer via

telephone or electronically by logging onto the 1st or third-party payers.

. Researches and resolves problems and allocates, gather and review collate and distribute a variety of data reports and information submitted by administrator and other departments. Utilize VISTA and CPRS system to record transactions.

Performed work involving the collection and tracking data and statistical information to support documentation. Receive and processes documents and reports in accordance with procedures. Create reports on validating data among databases.

Determine the accuracy of the insurance payments by conducting review of the patient’s insurance and determining usual and customary payments for various healthcare services.

Reliability of financial reporting, including reports on budget execution, financial statements.

Communicate effectively with other veterans and other departments, courteous.

Jani-King- Jacksonville FL

1/2008 to 9/2010

Inventory Manager/Customer Support

Serve the organization by handling the responsibilities of Customer Care and Logistics which take care of the life cycle of logistics.

Responsible for the supervision of several staff members within the customer service department.

Responsible for the recruitment and training of all customer service personnel

Maintain invoices and purchase orders of Vendors.

Managed the needs and requirements of high revenue commercial accounts through the process of extensive follow-up procedures.

Specialize in managing complex multi-transport routing projects.

Proficient in coordinating barge orders and air deliveries, monitoring and tracking shipments, and documenting transportation expenses.

Specialize in managing complex multi-transport routing projects.

Oversaw thousands of dollars in annual logistics spend for a multinational retail, analyzed process gaps, supply chain and sourcing strategy, and reduced transportation cost by great margins.

Built and managed relationships with vendors, reviewed vendor to ensure compliance with contractual obligations and conducted negotiations to secure pricing for manufacturing materials.

Full time student from 7/2006 to 2008

Source One Healthcare Technology, Jacksonville FL

3/2004 to 6/2006 (Division of PSS World Medical)

Customer Support Analyst

Responsible for management, account resolution, and collections on a multi-million-dollar Business portfolio of healthcare equipment servicing invoices for various HCA Hospitals and Medical facilities.

Handle 1000’s of customer support calls.

Prepared charts and diagrams on forecasting, balance sheet and financial ratios year consolidation and reports.

Contacted clients by phone and via email to secure payment arrangements on past due and upcoming invoices.

Created statements and provided invoice copies for customers to increase payment probability and timeliness. Assist in implementing the quality assurance and control program, to ensure compliance with HIPPA, CLIA and OSHA regulations.

Develop and route fiscal year training plan and yearly self-assessment reports using Microsoft Word and Excel.

Organize and schedule all Department onboarding of new personnel.

A successful account retention record of 97%.

Performed marketing research to seek feedback from the sales force.

Improve customer service through the development of new policies and procedures.

Have a success rate of all handling of public relation issues and procedures.

Schedule appointments for vendors for job orders completions of jobs.

Allocates program and unit costs; prepares and updates assigned accounting records and deposits.

Research and correct labor rejects; assists in the investigation of cost variances.

Researched and resolved account discrepancies and disputes to improve customer experience.

Performed account reconciliation to reduce aging accounts and decrease unapplied.

Evaluated and escalated issues to appropriate internal and external contacts refunds.

EDUCATION & CERTICATIONS

Business Administration, BA,

Touro University

Cypress CA completed: 9/2008

Business Administration AS

Norfolk College

Norfolk VA

Nursing

University of South Carolina/Florence-Darlington Technical College

Sumter South Carolina, Florence South Carolina

Database Network Management

Kee’s Business College

Portsmouth, VA

TRAINING

Anatomy, Physiology, and Microbiology of the body systems and clinical including room procedures, Medical lab procedures, Medical terminology, Pharmacology, Medical Record, Stockamp TRAC Report VHA CO Compliance and Business Integrity (CBI) Awareness, VA Privacy and Information Security, Awareness and Rules, Privacy and HIPAA Training, Logistics, Logistics Management, Sourcing, Supply Chain Strategy, Process Improvement, Forecasting, Inventory Control, Shipping and Receiving, ERP Systems, Prevention of Workplace Harassment/No Fear; Role Based Record Management Training, Championing Diversity, Mandatory OGC Ethics, Prevention Sexual Harassment, Suicide Prevention Guide Training; Internal Control Training; Focused Training Annual Government Ethics Training, Inside Ethics, VA Copayment and Effect of 3rd Insurance, Internal Control Training, VA Privacy and Information Security Awareness and Rule Training, Compliance Awareness Training, Prevention of Sexual Harassment, VHA CO Compliance and Business Integrity Training, Suicide Prevention Training.

SKILLS & STRENGHT

Proficient MS Office Professional Suite (Word, Excel, Power Point, Access, Visio, Projects) Interleaf desktop Publication, Technical Writing, Creative Writing, Technical Writing software; Email Microsoft Outlook, Outlook Express, Lotus Notes, Microsoft exchange servers; HP ProLiant servers with notebook, desktop, printers, Type 65 WPM, 10,000 keystrokes; Added Training Customer Service Training, Customer Service Telephone Etiquette, Training Coordinator, Division Software Training, Management Skills Training, Performance Consultant, Training, Skills Assessment, Continuous Process Improvement, Windows NT, XP and 2000Proficient MS Office Professional Suite (Word, Excel, Power Point,) IBM PCs and compatibles

and associates operating systems (Window NT, XP and 2000’s).

Reference

Available upon request

Contact this candidate