CONTACT INFO
John Wolf
Monroeville, PA *****
US
***********@*****.***
Mobile: +1-412-***-****
Responsible for processing payments for commercial vendors as well as payments for vendors that provide a variety of services throughout the Medical Center.
Ensure that patients and insurance companies are properly billed for all services, and that payments are received and processed in a timely manner.
Ensuring accuracy and efficiency of operations, processing and monitoring incoming payments, and securing revenue by verifying and posting receipts
Years of experience with Creating Purchase orders and Data Analysis/research..
Advanced and highly fluent with Excel spreadsheets.
Review contracts, Purchase orders to ensure all policies & procedures are being followed in addition to checking for improvements needed to ensure the supply chain id is efficient.
(Create and review agreements for products and have strong leadership skills & teamwork mentality)
Data manipulations- pulling data through various systems and exporting to charts, formulas, graphs, pivot tables etc.
Knowledge in comparison/aging reporting, chart development & document verification including rebate and reimbursement knowledge.
Education
Gateway high school - Monroeville, PA
High school diploma
Skills
· General Ledger Accounting
· Financial Report Writing
· Medical Coding
· General Ledger Reconciliation
· Accounts Receivable
· Encompass (LOS)
· Purchase Orders
· Invoicing
· Data Entry
· Data Analysis
· People Soft
· ERP Systems
· AS400. Fox Pro
· Promise and Great Plains
· Analysis skills
· Customer support
· Typing
· Word processing
· Data collection
· Accounting software
· Accounts payable
· Paylocity
· Pricing
· ICD coding
· CPT coding
· ICD-10
· Insurance verification
· Google Docs
· FMLA
· Benefits administration
· HIPAA
· NCQA standards
· Managed care
· APIs
· Account reconciliation
· Salesforce
· Contracts
· Fair Housing regulations
· Microsoft Access
· Windows
· Quality control
· Database management
· Lexis-Nexis
· Underwriting
· ADP
· SharePoint
· Visio
· HVAC
· Training & development
· Workday
· Payroll
· Communication skills
· Microsoft Office
· Epic
· Problem management
· Microsoft Project
· JD Edwards
· ERP systems
· Customer service
· Pricing
· Analysis skills
· Accounts payable
Certifications / Licenses
Certified Notary Public
Medical Coding Certification
Professional Experience
Security System of Medicare
Accounts Payable
October 2022- Present
Responsible for processing payments for commercial vendors as well as payments for vendors that provide a variety of services throughout the Medical Center.
Ensure that patients and insurance companies are properly billed for all services, and that payments are received and processed in a timely manner.
Ensuring accuracy and efficiency of operations, processing and monitoring incoming payments, and securing revenue by verifying and posting receipts.
Inspire Closing Services - Pittsburgh, PA
Loan Closing Coordinator/Pre-Audit Specialist
May 2019 to October 2021
Assign notary to lenders and clients.
Prepare and update all applications to ensure its federal and state compliant.
Audit/disburse all files incoming and outgoing.
Finalize all documents until close.
Reviews/prepares residential loan closing packages to ensure completeness of information (loan amount, rate, program, etc.), proper disclosures (LE and CD etc.) and all necessary documentation is present. Corrects inaccuracies in documentation as necessary. Coordinates and schedules closings with customers, attorneys and/or Bank personnel. Ensures attorneys receive mortgage documents in timely fashion and follows-up with attorneys after the closing.
Prepares loan disclosures for all files including the Loan Estimate and Closing
Disclosure. Verifies that disclosures meet state and federal regulations/requirements.
Prepares loan disclosures for all files including Good Faith Estimate and Truth
In Lending (soon to be TRID). Verifies that disclosures meet state and federal regulations/requirements.
Ensures timely preparation and mailing of loan correspondence, including loan disclosures, adverse action notices, welcome letters, MA housing packages, seminar notifications.
Courteously communicates with customers, attorneys, appraisers and lending staff. May provide information regarding loan status, request additional information or data for application, or assist in solving problems. Ensures that all complaints and problems are handled in an efficient and timely manner. Follows up to ensure that customers are satisfied with resolution and service.
Performs responsibilities in accordance with all applicable federal and state regulations, including but not limited to Reg. B, the Bank Secrecy Act, Equal
Credit Opportunity Act, Fair Credit Reporting Act, Real Estate Settlement
Procedures Act, Truth-in-Lending Act, Home Mortgage Disclosure Act, Community
Reinvestment Act, and the Flood Disaster Protection Act.
Aids in preparing a loan file to submission to Processing by stacking the file in the correct order and ordering services as appropriate.
Performs other department, clerical and administrative duties as may be assigned.
Train new contracts on compliance and service issues
Aetna - Pittsburgh, PA
September 2018 to March 2019
Medical Biller
Prepared and submitted all Medicaid billing and claim adjustments of
Medicare/Medicaid, Insurance and prescriptions as well.
Maintained tickler system to ensure timely follow up on unpaid claims.
Identified, researched and resolved credit balances according to policy and state requirements.
Make sure Insurance BILLING is correct. Checking to see if they have a secondary insurance to be billed.
Screen for eligibility and benefits. Identify members without a PCP and refer to
Member Services
Check accounts for past due balances, light collections, and EOB’ s
Screen members by priority for case management (CM) assessment
Produces and mails routine CM letters and program educational material
Data entry assessments and authorizations into the systems including CMS.
Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney.
Transport Investments Inc R&R Express. - Pittsburgh, PA
September 2017 to September 2018
Credit/Collections/Billing Analyst
Credit risk and establish credit limits. Review and validate agreements
Data Entry/Analysis reporting to support various departments.
Provide financial order management support to Supply Chain and Sales and Marketing
Manage all purchasing activities and create new Purchase Orders and resolve all issues regarding orders and data entry.
Business to Business Collections. Applying payments to the correct accounts.
Analyze customer financial statements. Negotiated any resolutions with clients.
Organize customer files. (Every Client has administration paperwork)
(Charge backs/ Refunds to clients or agents even drivers of the products.)
Process refunds apply payments. (Send out corrected invoices)
Answering customer requests or inquiries including possible rebates and resolutions.
Identifying and resolving customers’ issues using problem-solving skills.
Building a positive rapport across a variety of personality types.
Personnel to control credit exposure, effect timely payment, and minimize risk of customer.
Negotiate customer discrepancies or disputes to resolution and document root cause.
Maintain accurate credit files and collection files. Maintain electronic collection notes for each customer account. Must have a strong attention to detail.
A majority of the work is accomplished utilizing phone and email communications.
Positive rapport across a variety of personality types.
Modis/BNY Mellon - Pittsburgh, PA
October 2015 to September 2017
Loan Certification/Vault Coordinator
Process assigned initial and final collateral reviews based on review servicing agreements.
Verify mortgage loan documents Data entry.
Identify category of collateral loans.
Review collateral and documents to meet agency guidelines and customer agreements.
Audit and clear exceptions.
Configuration of lockbox, lockbox file format, lockbox processing and bank statement processing.
File collateral documents and update system of records.
Ship and tracking of incoming and outgoing packages.
Maintain excellent internal and external customer service.
Entering data into spreadsheets.
Lockbox processing, defined lockbox accounts at house banks, defined lockbox parameters and defined the lockbox posting data.
Relationships with internal and external customers and suppliers and provide customer service support.
Eaton Corporation - Pittsburgh, PA
January 2014 to August 2015
Credit and Collections Data Analyst
Credit risk and establish credit limits. Review and validate agreements.
Data Entry/Analysis reporting to support various departments.
Manage all purchasing activities and create new Purchase Orders and resolve all issues regarding orders Data entry.
Must have excellent attention to detail.
Business to Business Collections.
Applying payments to the correct accounts.
Analyze customer financial statements.
Negotiated any resolutions with clients.
(Provide financial order management support to Supply Chain and Sales and
Marketing personnel to control credit exposure, effect timely payment, and minimize the risk to accounts every quarter to make sure all practices are being met at the highest standard.
PNC Bank - Pittsburgh, PA
Sr. Default Data Specialist III
December 2008 to November 2013
Analyzing Credit/Property Reports, Loan Modifications, Settlements, Foreclosures, and Short Sales. Attempt to find the best resolution for the Customer and Vendor for all E*TRADE and PNC Mortgages.
Analyze Property Cost, Loan Value Ratio to make sure that all Parties involved come to a Profitable Resolution. Debt Recognition for all charged off Accounts.)
Trained in Federal Guidelines for Fair Debt Practices, in all Bank training required.
Trained in Federal Programs such as Hafa, Hamp, 2MP, Harp.
Checks, Voluntary/Involuntary Debits, Document verification for Loans and County filing to see if Real Estate is secured, Advanced Computer Knowledge and Data entry.
Business Office Coordinator /Sr. Private Collector Specialist/Trainer
Golden Ventures, Northeast Billing Office - Pittsburgh, PA
September 2005 to December 2008
Medical Billing
Identify and Initiate progressive collection action on Delinquent Private Account balances.
Participate in as needed conference calls discussing High Risk Accounts. (Train all New Hires in Private Collator Position, and Data entry)
Prepared and submitted all Medicaid billing and claim adjustments of Medicare/Medicaid.
All insurance billing including prescriptions as well.
Maintained tickler system to ensure timely follow up on unpaid claims
Identified, researched and resolved credit balances according to policy and state requirements.