QUALIFICATION SUMMARY
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Highly motivated and results-oriented professional with exceptional leadership, organizational, management, communication, analytical and problem-solving skills. Proven ability to cultivate productive relationships with key decision makers and manage complex projects to achieve corporate goals. Demonstrated ability to plan, develop and implement new business and maintenance of existing accounts. Comprehensive knowledge of installation, configuration and maintenance of software applications utilized in health plan and hospital operations.
COMPUTER SKILLS
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• Proficient in MS Office software
• Creation of reports using various reporting mechanisms; i.e., Suprtool,
Access, PL/SQL, R&R 11.0
• Evaluation, installation, configuration and troubleshooting of software
programs; i.e., Perot Systems
Diamond 950 & Peradigm software, Amisys 9.3, PowerPlus DOS and NT 3.1.2
software, Epic Spring 07 Hospital Billing software
EDUCATION
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• Washington High School, Sioux Falls, SD, 1983
• Killian Community College, Sioux Falls, SD
• University of Sioux Falls, Sioux Falls, SD
• Dakota State University, Sioux Falls, SD, 2005-Present – A.S. Application
Programming
PROFESSIONAL EXPERIENCE
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Sanford Health – Sioux Falls, SD Aug. 2007 - Current
Application Support Specialist responsible for performing Epic Spring 07 Hospital Billing system configuration, modification and testing. Activities and services include the installation/conversion of healthcare information systems and provide support to users of the hospital and lab information system. Research, analyze and facilitate work flow improvements. Responsible for assisting and/or training users with Epic Hospital Billing and creation of training materials and support documents. Responsible for creating and analyzing reports using multiple reporting mechanisms. Obtained certification in Epic Spring 07 Hospital Billing.
Sanford Health Plan/Sioux Valley Health Plan – Sioux Falls, SD Oct. 1998 – Aug. 2007
Application Support Specialist\FSA System Administrator responsible for performing Amisys 9.3, Diamond 950, Peridigm and PowerPlus NT system configuration, modification and testing. Responsible for installation/conversion and maintaining software applications utilized in Health Plan operation. Cultivate ideas and facilitate cross-functional process improvement initiatives. Responsible for creating and maintaining MS Access and/or SQL Server databases, queries and scheduled/on-request reports and update cycles. Responsible for assisting and/or training users with Amisys 9.3, Diamond 950, Peridigm, PowerPlus and PC applications, moving/re-configure PC’s as necessary. Lead development, implementation and management of the Flexible Benefits department, implementation and set-up of EFT processes and procedures, implementation/maintenance of Flex website and assisted in Medicare +Choice and FDI new product lines. Worked in configuration, modification and testing of all modules in Amisys 9.3 and obtained certifications in Benefits, Correspondence Generator and Pricing. Worked in all modules for Diamond 950, Peradigm and PowerPlus systems.
Wellmark Blue Cross Blue Shield – Sioux Falls, SD July 1996 – Oct. 1998
Flexible Benefits Administrator responsible for ensuring the correct administration of the medical and dependent care flexible spending accounts by the regulations and guidelines set forth by the plan documents and the IRS. Responsible for accurate and timely payment of flex claims, customer service, enrollment, various accounting and month end reports/reconciliation and basic accounting skills.
First Health/EBP Health Plans – Sioux Falls, SD Nov, 1993 - July 1996
Auditor responsible for auditing claims examiners paid/pending claims for accuracy according to the plan documents. Responsible for compilation of weekly/monthly reports and statistics, conducting training programs and creation and maintenance of training documentation.
Claims Examiner responsible for overseeing all aspects of client processing/adjudication of medical, dental, vision, short term/long term disability claims according to the plan documentation.
Centennial Bankcard – Sioux Falls, SD June 1992 – Nov. 1993
Credit Analyst responsible for reviewing and processing secured credit card applications, analyzing credit bureau reports, employment and address verifications, data entry, customer service and training.