- Established a department manual and training program, including comprehensive training syllabi, for new employees- Recommended, developed, and implemented procedures to improve productivity and efficiency o Created a departmental paperless workflow o Developed a Sharepoint site and lists to eliminate extraneous email traffic for several work types, such as ACH returns- Executed network, security and physical access requests- Created and implemented MCS… Show more - Established a department manual and training program, including comprehensive training syllabi, for new employees- Recommended, developed, and implemented procedures to improve productivity and efficiency o Created a departmental paperless workflow o Developed a Sharepoint site and lists to eliminate extraneous email traffic for several work types, such as ACH returns- Executed network, security and physical access requests- Created and implemented MCS and FISS profiles for the department- Investigated and resolved complex financial reconciliation variances- Researched CMS mandates and the impact on financial reporting requirements- Completed monthly and quarterly CFO reporting for the JL and JH Medicare contracts: Financial Integrity Reconciliation, Treasury Report on Receivables, Cash Collections analysis, AR Trend and Flux- Wrote and entered journal entries to reconcile accounting- Evaluated risk and credit-worthiness of extended repayment schedule and loan applicants through review of financial statements Show less

- Supervised a non-exempt staff of 29 claims processors, claims adjudicators, and a technical assistant- Managed departmental inventory and location assignments in FISS and Oracle- Completed and delivered performance reviews- Created and implemented a workforce management program- Coached staff members throughout the disciplinary process for performance: met on a weekly basis with those who struggled and brainstormed one-on-one how to increase productivity and/or quality… Show more - Supervised a non-exempt staff of 29 claims processors, claims adjudicators, and a technical assistant- Managed departmental inventory and location assignments in FISS and Oracle- Completed and delivered performance reviews- Created and implemented a workforce management program- Coached staff members throughout the disciplinary process for performance: met on a weekly basis with those who struggled and brainstormed one-on-one how to increase productivity and/or quality metrics- Formalized Performance Improvement and Corrective Action Plans- Compiled monthly, quarterly and yearly reports on staff accomplishments and concerns, employee engagement activities, process improvements, and major project status updates- Coordinated necessary paperwork and forms for new hires, promotions, pay raises, terminations, FMLA, Short-term Disability, time reporting and payroll- Responded to inquiries regarding employee benefits and corporate policies, including human resources and compliance- Analyzed data trends of staff productivity and performance; created various tracking mechanisms- Led monthly team meetings and trainings- Coached staff on company ethics and compliance; ensured mandated trainings were completed in a timely manner- Screened and interviewed prospective candidates for hire Show less

- Guided and mentored a team of six workers- Coordinated implementation and testing between US Bank, Gentran, and various internal departments for transition of issue and paid files from the HP Enterprise Data Center (EDC) to the Companion Data Services (CDS) EDC as department project lead- Headed the JH Part B pre- and post- HIGLAS merge validations and reconciliations of cash accounts- Headed the JH Part A pre- and post- HIGLAS merge validations and reconciliations of cash… Show more - Guided and mentored a team of six workers- Coordinated implementation and testing between US Bank, Gentran, and various internal departments for transition of issue and paid files from the HP Enterprise Data Center (EDC) to the Companion Data Services (CDS) EDC as department project lead- Headed the JH Part B pre- and post- HIGLAS merge validations and reconciliations of cash accounts- Headed the JH Part A pre- and post- HIGLAS merge validations and reconciliations of cash accounts- Orchestrated testing of internal controls vis-à-vis government-mandated performance metrics; created a project plan and delegated tasks for completion- Oversaw research, data validation, and compilation of documentation requests for CFO audit; provided explanations for follow-up requests- Investigated and resolved complex reconciliation variances- Established a department manual and formalized training benchmarks for new employees- Recommended, developed, and implemented procedures to improve productivity and efficiency- Executed all network and security access requests- Acted as departmental ambassador for all IT-related testing and transitions, such as a company-wide transition from Windows XP to Windows 7- Screened and interviewed prospective candidates for hire Show less

- Delegated and reviewed banking reconciliations and research for four workers- Managed four Medicare Part B liability account reconciliations: high-level review of associates and direction of research and journal entries- Researched CMS mandates and the impact on financial reporting requirements- Completed monthly and quarterly CFO reporting for the JL and JH Medicare contracts: Financial Integrity Reconciliation, Treasury Report on Receivables, Cash Collections analysis, AR Trend… Show more - Delegated and reviewed banking reconciliations and research for four workers- Managed four Medicare Part B liability account reconciliations: high-level review of associates and direction of research and journal entries- Researched CMS mandates and the impact on financial reporting requirements- Completed monthly and quarterly CFO reporting for the JL and JH Medicare contracts: Financial Integrity Reconciliation, Treasury Report on Receivables, Cash Collections analysis, AR Trend and Flux- Validated data and completed account analyses, including roll-forwards of cash in transit- Wrote and entered journal entries to reconcile accounting- Performed daily cash reconciliation activities: Deposit logs, paid checks, outstanding checks, etc.- Interfaced with US Bank, JP Morgan, and other departments for day-to-day operations, including EFT/ACH returns, trace requests and bank charges- Acted as project lead for several financial reporting research projects- Outside inquiry coordinator: resolved provider, CMS, and other departments’ complaints and concerns - Trained new employees on government policies and practices, department activities, and reporting requirements- Created and revised departmental procedures Show less

- Reviewed and researched written and telephonic inquiries for coding and submissionerrors, contractor errors and medical necessity- Responded to inquiries regarding Medicare billing requirements and regulations- Communicated appeal determinations to providers and beneficiaries via letters andtelephone- Completed ongoing special project tasks, such as Program Safeguard Contractor (PSC)appeals and appeals concerning Health Care Professional Shortage Areas (HPSA)-… Show more - Reviewed and researched written and telephonic inquiries for coding and submissionerrors, contractor errors and medical necessity- Responded to inquiries regarding Medicare billing requirements and regulations- Communicated appeal determinations to providers and beneficiaries via letters andtelephone- Completed ongoing special project tasks, such as Program Safeguard Contractor (PSC)appeals and appeals concerning Health Care Professional Shortage Areas (HPSA)- Created and implemented Excel spreadsheets to track representative data for productionstandards Show less