Data Entry Operator

ZELMA O. WHITENER

***** ***** ******* *** ************, SC 29065

Resident: 803-***-**** Email: **********@***.***

Seeking a position that allows me the opportunity to utilize my analytical, communication and computer skills while demonstrating knowledge of systems analysis and identifying business needs.

SUMMARY OF QUALIFICATIONS

General: Organized and dedicated self-starter. Extensive knowledge in claims processing. Strong interpersonal and analytical skills. Strong verbal communication skills. Multi-tasked and goal oriented.

PROFESSIONAL EXPERIENCE

2011 _ 2012 Department of Revenue Columbia, South Carolina

Data Entry Technician

Keying information on Individual Tax Return using a 10 key operating system.

2005 – 2011 Palmetto GBA Columbia, South Carolina

Operation Analyst

Processed Medicare claims for payments/denials while ensuring accurate and timely processing.

Developed, reviewed and maintained written processes, procedures, policies, and forms.

Handled special assignments within the department and Division for the purpose of improving

efficiency and quality.

Identified weaknesses and discrepancies that impacted the department’s goals/key measures and

recommended corrective action.

Provided periodic and consistent information to Division management impacted in each phase of

an assigned project.

Compiled monthly/quarterly reports, notified management of any outstanding issues.

Served as a liaison between departments including: Provider Education, Technical

Support, Medical Review, and Medicare Secondary Payee along with other departmental issues.

Perform other duties as assigned.

1991 – 2005 Palmetto GBA Columbia, South Carolina

Team Leader

Coordinated day-to-day activities of Part B Data Entry by ensuring the accuracy and timely entry of Part B hardcopy claims.

Administered test and updated materials for new hires and in-house associates.

Team Leader for in-house associates in Part B Data Entry.

Distributed daily work, maintained pending, and ensured standards and qualities were met.

Tracked and monitored team interactions and provided feedback to trainees and Managers.

Conducted On-The-Job training according to desk procedures, ensured contract standards and objectives, productivities, and qualities were met.

Assisted with the testing of system releases and contributed suggestions for improvement.

Tracked and monitored timesheets, scorecards, strategic planning and other reports as needed.

Produced all work instructions/procedures using the lotus note program.

Keyed Medicare primary and secondary claims according to CMS guidelines.

Analyzed requested changes and made recommendations to management.

Performed other administrative duties as assigned.

1981 – 1991 Blue Cross Blue Shield Columbia, South Carolina

Data Entry Operator

Keyed Medical Claims to ensure the efficient, timely and accurate payment in accordance with Medicare B regulations and guidelines.

Ensured Carrier met CMS mandated quality standards by fully complying with all desk procedures and internal policies as documented.

Maintained a productivity level of 95% of standard with an acceptable error rate.

Processed Medicare Secondary Payer (MSP) claims for beneficiary payments.

EDUCATION

2005 - Southern Wesleyan University Columbia, South Carolina

Associate of Science

2011 - South University Columbia, South Carolina

Bachelor of Business Administration

2012- South University Columbia, South Carolina

Master Business Administration (in process)

WORK EXPERIENCE

Type over 12,000 KSPH

Processed Insurance Claims for 30 years

Microsoft Word

Excel

Power Point

MCS System

REFERENCES: Available upon request.

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