Remote Data Entry Clerk Resume Title
Resume:
Melissa J. Sinclair
**** ********* ******* **** **********, MD 21903
***********@*****.***
Objective: To utilize my skills and knowledge in the Administrative/Clerical/Customer Relations Field and be an asset for your organization.
Qualifications:
• Twenty plus years in the Administrative/Clerical/Customer Relations Field.
• Advanced telephone skills
• Highly proficient in Microsoft Word, Publisher, Excel and Works Word Processor and QuickBooks Pro.
• 10 Key Data Entry.
• Mailroom, with weights and shipping.
• Accounts Payable and Accounts Receivable
• Preparation of reports to include: Reports for Monthly Spend Downs for all Departments
• Inventory/Purchasing of Office Supplies.
• Handled Banking for Administrative Office and Resident's Accounts. Managed Petty Cash Account and Facility Purchase Card.
• Superior communication skills with a variety of customers Professional Experience:
4/2019-Present
Key Point Health Services, Aberdeen, MD, Credentialing Specialist/Payment Posting/Dat Entry
Supervisor:Adam Kramer 443-***-****) (Contact: No) 40hrs/wk
• Manage all Credentialing for all three clinic sites.
• Establish all new Credentialing for New Employees.
• Complete all Credentialing Applications on behalf of Medical Doctors, Nurse Practitioners, Social Workers and Professional Counselors.
• Complete and submit Credentialing Applications to the following Insurances: Medicare, Maryland Medicaid, Humana, Aetna, CareFirst BCBS, US Family Health Plan/Johns Hopkins Health Care.
• Establish accounts for each Provider for CAQH (Credentialing Management System) and ePREP (Maryland Medicaid), monitor and submit changes as needed.
• Manage all Licensures and Liability Insurances. Upload new licenses to sites as needed based on expiration.
• Also assist with Accounts Receivable, resubmitting claims and corrected claims to ensure control of outstanding revenue for the company. Data Entry and Payment Posting on a daily basis.
6/2018-4/2019
Key Point Health services, Aberdeen, MD, Client Accountant/Finance Department Supervisor : Diane Null (Contact: No) 40hrs/wk
• Managed all client accounts for our Residential, PRP, Subsidized Housing and Outreach clients.
• Prepared client statements as needed for Case Managers, Directors and Social Security as needed.
• Paid Rents and Assisted Rents monthly for clients.
• Assisted Chief Financial Officer with monthly Bank Reconciliations for six bank accounts. 3/2017-6/2018
Key Point Health Services, Aberdeen, MD, Assistant Billing Manager Supervisor: Jennifer Petrik 443-***-****) (Contact: No) 40hrs/wk
• Complete Excel spreadsheets uploaded from Access of client appointments for the next business day. This is done on a daily basis. This involves verification of all client insurance for two site locations. Notify on daily spreadsheets by color code whether insurance and/or authorization ending and what needs to be addressed with clients.
• Case Rate Billing and Managed A/R for Beacon Medicaid
• Complete insurance verifications daily from two site locations for each new client Intakes.
• Answer incoming calls as needed and direct callers to appropriate party and/or department.
• Assist with adjustments and other data entry as needed.
• Provide patients with pertinent information regarding their coverage
• Perform additional administrative duties as needed. 10/2016-3/2017
Perry Point Veterans Administration, Perry Point, MD, Claims Assistant Supervisor: Heather Hipsley 410-***-****, ext. 5278) (Contact: Yes) 40hrs/wk
• Worked with Veterans and Peers within the VAMC to assist with the process, from start to finish of consults through the Choice Program.
• Uploaded consult and required documentation to HealthNet
• Once the consult appointment was established through HealthNet I would then schedule the appointments in Vista.
• We were assigned Specialties and would work spreadsheet requests in the shared drive, via email requests and via telephone communication.
08/2014-10/2016
Key Point Health Services, Aberdeen, MD, Insurance Verification Specialist Supervisor: Jennifer Petrik 443-***-****) (Contact: No) 40hrs/wk
• Complete Excel spreadsheets uploaded from Access of client appointments for the next business day. This is done on a daily basis. This involves verification of all client insurance for two site locations. Notify on daily spreadsheets by color code whether insurance and/or authorization ending and what needs to be addressed with clients.
• Complete insurance verifications daily from two site locations for each new client Intakes.
• Answer incoming calls as needed and direct callers to appropriate party and/or department.
• Assist with adjustments and other data entry as needed.
• Provide patients with pertinent information regarding their coverage
• Perform additional administrative duties as needed. 12/2013-Present
Genesis HealthCare Elkton Center, Elkton, MD, Bookkeeper Supervisor: Diane Heaps 410-***-****) (Contact: Yes) 40hrs/wk
• Assist Residents and Families with billing issues, concerning Insurance coverage and monthly billing statements.
• Post Cash received to the appropriate accounts
• Review claims to determine appropriate submission.
• Handle Resident Funds and Check Entry through National DataCare
• Issue financial statements
• Maintain an orderly accounting filing system
• Conduct periodic reconciliations of all accounts to ensure their accuracy
• Provide clerical and administrative support to management as requested 10/2011-11/2013
Upper Bay Counseling & Support Services, Elkton, MD Billing Management Specialist Supervisor: Rachel Stumpo, 410-***-****) (Contact: Yes) 40hrs/wk
• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Answers questions from patients, clerical staff and insurance companies.
• Identifies and resolves patient billing complaints.
• Prepares, reviews and sends patient statements
• Evaluates patient’s financial status and establishes budget payment plans.
• Follows and reports status of delinquent accounts.
• Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency.
• Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Process payments from insurance companies.
• Participates in educational activities and attends monthly staff meetings.
• Conduct self in accordance with HPA’s employee manual.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Enter daily authorizations after download from Value Options/Maryland Medicaid on a daily basis
• Prepare & post write-offs as needed
• Enter Case Rate Billing for Medicaid
08/2007 – 09/2011
Laurelwood Care Center, Elkton, MD Business Office Manager Supervisor: Amber Hurley, 410-***-****) (Contact: Yes) 40hrs/wk
• Maintains office services by organizing office operations and procedures; preparing payroll; controlling correspondence; designing filing systems; reviewing and approving supply requisitions; assigning and monitoring clerical functions.
• Provides historical reference by defining procedures for retention, protection, retrieval, transfer, and disposal of records.
• Maintained office efficiency by planning and implementing office systems, layouts, and equipment procurement.
• Design and implement office policies by establishing standards and procedures; measuring results against standards; making necessary adjustments.
• Completes operational requirements by scheduling and assigning employees; following up on work results.
• Kept management informed by reviewing and analyzing special reports; summarizing information; identifying trends.
• Maintained office staff by recruiting, selecting, orienting, and training employees.
• Maintained office staff job results by coaching, counseling, and disciplining employees; planning, monitoring, and appraising job results.
• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
• Achieved financial objectives by preparing an annual budget; scheduling expenditures; analyzing variances; initiating corrective actions.
• Contributes to team effort by accomplishing related results as needed.
• File yearly re-determinations on behalf of our Residents for Maryland Medical Assistance.
• Manage all aspects of the Resident Trust Fund Accounts. Handle Petty Cash, Facility Purchase Card and Banking for the Facility.
• Trained to assist in the Kronos Payroll system
• Billed commercial insurance & Medicaid co-insurance (paper & electronic billing). 9/2006-8/2007
Physiotherapy Associates, Elkton, MD, Data Entry Clerk Supervisor: Renee Magaw, (Unknown - Billing HUB closed) (Contact: Yes) 40hrs/wk
• Answer questions from patients, clerical staff and insurance companies.
• Identifies and resolves patient billing complaints.
• Prepares, reviews and sends patient statements
• Collected from Insurance Companies and Private Payments. 3/2005-8/2006
HHS Perry Point Department of Health & Human Services Supply Service Center Building 14 Perry Point, MD 21902
Supervisor: Annette Quinones, 410-***-****) (Contact: Yes) 40hrs/wk
• Provide superior customer service to Government Agencies.
• Assisted agencies in ordering and general account information.
• Special Projects April 2006 I was selected to work with the Center for Disease Control ( CDC) on clean-up efforts in Louisiana.
• Supplied pharmaceuticals and medical/surgical supplies from Health & Human Services Perry Point for the operating Clinics (St. Bernard, Plaquemines and Cameron HHS Primary Care) in Louisiana.
• Assisted in the set-up of the Formulary for the CDC to place regular routine orders using National Stock Numbers.
• Developed a page in the Operation Manual on how to place orders for the Center for Disease Control.
• Received an email of thanks from the Deputy Director, now Director, Steven Pearson at Health & Human Services for my work with the Centers for Disease Control. (available upon request)
• Assisted in VA Medical Centers, FEMA, Federal Occupational Health, State Department, Embassies and Army Medical Command with ordering Medical/Surgical supplies.
• Assisted in the keying of orders for Investigational Drugs.
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