Dedra Nickell Email & Phone Number

Overland Park, Kansas

•Validated all billing thru claim scrubbers before processing to the clearinghouse.•Cross reference existing client’s payer list with clearinghouse payer IDs for claims submission•Provided enrollment forms required to allow clients to set up and submit electronic claims (837) and receive ERA’s(835)•Tested claims and report back with issues of failed / rejections along with following claim through adjudication system with report back to client.•Added new payers to existing provider accounts, add / terminate providers within groups, research missing claims or ERA’s from payers by logging service requests with clearinghouse, investigate failed / rejected claims as needed, and research payer routes if not on existing Master Pay List•Training internal & external clients on RevConnect including eligibility, uploading claims, and report features as assigned•Demonstrated RevConnect to prospective clients as assigned•Meets / exceeds performance expectations and completes all EDI functions within the required time frames•Maintains strictest confidentiality; adheres to all HIPAA guidelines / regulations

Overland, Kansas

• Prepares and submits clean claims to various insurance companies either electronically or by paper.• Posts payments, adjustments, transfer of responsibility and refunds, as necessary • Issues adjusted, corrected, and/or rebilled claims to insurance companies.• Denial and insurance follow-up management• Insurance Appeal Process/ Handling patient inquiries.• Identifies and resolves patient billing problems.• Performs dialing collection actions including contacting insurance company, contacting site, correcting and resubmitting claims to third party payers.• Processes payments and denials from insurance company either electronically or manually.• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations

Overland Park , Kansas

Provide high quality customer service for 24-Hour Banking by responding to telephone inquiries, requests and problems. Researches and resolves problems and errors. Actively expands existing customer relationships by cross-selling products and services or referring customers to appropriate sales staff. • Resolving customer inquiries and problems on first contact;• Process credit and loan application; • Revising fee and finance charges as appropriate; • Opening and closing checking and savings accounts;• Account maintenance;• Processing loan quote for auto and home loans• Researching customer problems that could not be resolved during the initial contact

Accurately performed daily balancing for retail stores activity and resolved all outstanding issues. Processed payments for the affiliate settlement and performed daily reconciliation in the Retail Management System. •Analyzed, tracked and published monthly internal Retail Health Operation report and captured financial data in ReconNet to identify business process improvement opportunities, reduce process costs, improve productivity and increase efficiency. •Trained and provided continuous business process improvement to internal customers by identifying opportunities with the organization’s goals.•Reduce financial and operational risk of retail stores by performing daily reconciliation audits and providing training to retail store personnel.•Provided daily settlement reports to our internal Treasury Department to ensure accurate wire transfer swept from the Affiliates bank accounts for Sprint revenue. •Generated monthly Retail Health Operations report and identify and communicate fraud and theft issues. This reduced theft and fraud by 20% in retail stores. •Reconciled over 400 retail stores daily. Reduced weekly aging report from 30 days to 15 days saving the company $40,000 annually.

Researched and determined customer accounts in which were protected under the Bankruptcy Laws. Processed complex account analysis entries and billing adjustments into Sprint Accounting Receivable Systems. •Tested, analyzed and creating Methods and Procedures across the entire Bankruptcy processing spectrum. •Assisted in providing a reporting environment which allowed Sprint to understand the short and long term affect on Sprint Receivables for bankrupt debtors in which we continued doing business.•Processed 150 plus consumer and business post and pre-petitions bankruptcy claims daily. •Trained, tested and implemented the product “Home & On the Go” to ensure that the bankruptcy accounts were properly adjusted when necessary.

Performed reviews and identification of complex billing data for co-location towers for third party vendors utilizing multiple billing software to ensure accuracy and completeness, resolved issues according to Revenue Fraud Service policy.•Responsible for billing data entry, reviews and verification to ensure accurate, complete, and timely processing and delivery of Revenue Fraud Service information.•Posted 200 plus daily co-location tower payments to customer accounts into People Soft Billing System. •Performed routine data analysis, ran reports, and prepared detailed information for review by analysts or other senior personnel.

Coordinated ordering Local Number Portability between the Local Telephone Companies and Sprint ION functional Groups to ensure successful porting to the Sprint ION Network •Managed Local Number Portability reschedules for Sprint ION customers to significantly increase the number of daily installations. •Led the team as the In-Charge Supervisor and performed associated duties and responsibilities necessary for the daily operations.•Coordinated ordering Local Number Portability for Sprint Corporate Dial IP complex orders between coordination of Local Telephone Companies and SS-7 Edge Operations Group. •Conducted root cause analysis to evaluate and remedy for Corporate Dial IP accounts.

Analyzed and identified the root cause for customer’s disputes for unauthorized charges. Developed and implemented Method & Procedures for Wrong Ani Billing. •Responsible for analyzing accounts for $40,000 plus daily in revenue to ensure proper credit is attributed to customer accounts. •Provided high quality customer service for disputes resolution for both internal and external customers via the CTI hotline.•Analyzed and identified the root cause for customer disputes.

•Responsible for researching and balancing general ledger accounts•Balanced daily finance report, process checks and credit/debit tickets received for drafts •Reviewed and Released over 300 domestic and international wires on a daily with less than a 0.3 % error rate •Maintained good customer relations with internal and external customers

•Re-established items processed statistical tracking documentation for Mutual Fund Department •Responsible for communications by interacting with clients and broker/dealers on a daily basis•Responsible for proofreading all incoming transaction crediting customer accounts•Prepare status reports and other information for management review•Assist in training new associates and cross training associates from other groups

Project Management

Project Management Certfication, Business Administration And Management, General

Project Management