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Financial Analyst Resume

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Bethesda, MD

SUMMARY:

  • Demonstrate capacity to provide comprehensive support for executive - level staff including scheduling meetings, coordinating travel, and effectively managing all essential tasks.
  • Excellent communication, organization and multi-tasking skills. Work well both independently and as a contributing member of the team.
  • Proficient in Microsoft Word, Microsoft Excel, Microsoft Power Point, Word Perfect, Lotus Notes, PeopleSoft, Defense Travel System (DTS), LiveLink, KRONOS, Ultipro, CCQAS, ABACUS.
  • Skillful and dedicated with extensive experience in the coordination, planning, and support of daily operational and administrative functions.

PROFESSIONAL EXPERIENCE:

Financial Analyst

Confidential, Bethesda, MD

Responsibilities:

  • Process Medical Accounts Receivables by maintaining ledgers, compiling, consolidating, checking and funding data
  • Generate and submit medical claims to insurance companies ensuring all set rules, regulations, and/or procedures are adhere to
  • Strategies, policies and procedures will be developed for Government review and approval
  • Train contractor staff members upon government request on accounting, budgeting, third party collections or other financial programs required
  • Maintain account receivable records, claims, billing receipts and history files
  • Develop and maintain ABACUS files for tracking delinquent accounts receivables
  • Track and process all overdue Medical Accounts Receivables
  • Prepare letters to organizations to request payment on delinquent Medical Accounts Receivables
  • Develop a process to track and maintain a file of these letters and the result collections
  • Provide guidance to internal and external contacts and insurers regarding questions concerning patient medical claims
  • Act as point of contact between private insurance companies regarding Account Receivables
  • Research, extract and summarize reimbursable information, submitting all reports to the government
  • Post, examine, balance, and extract data from records to prepare reports

Credentialing Coordinator

Confidential, Bethesda, MD

Responsibilities:

  • Established and maintained an individual credentials file (ICF) or nursing individual professional files (IPF) for appropriate individuals on active duty, employed by or contracted to WRNMMC
  • Prepared and maintained an IPF on all active duty, civil service or contract nurses working at Walter Reed National Military Medical Center (WRNMMC) or its branch clinics
  • Under the direction of the Medical Staff Services Professional, analyzed all aspects and details for proper credentialing
  • Assured the ability of the hospital’s credentialing body to make appropriate decisions with regard to a provider’s privileges to practice medicine and perform procedures and in so doing, ensures the quality of patient care provided at WRNMMC
  • Responsible for assuring the accuracy and validity of ’ credentials through monitoring the verifications and confirmation of information such as education, training, licensure, certification, experience, and health status. Submitted request for validation of information. Verified via telephonic and written communication or the internet, all transcripts, diplomas, licenses, etc. Contacted previous employers and supervisors in order to validate references and employment.
  • Assured that health care providers’ ICFs as well as IPFs were current, complete, and available for review by the Commander, Chair ECOMS & Credentials Committee, and Department Heads
  • Received reviews, initiates actions, and provides guidance on the completion of applications for clinical privileges to ensure the broadest scope of practice was being requested.
  • Performed primary source verification via the internet, telephone or written communication on all training documents, license & certifications.
  • Maintained contacts with educational institutions and state licensing agencies throughout the United States, civilian and military hospitals in the U.S. and overseas, professional associations, specialty boards and appropriate staff offices.
  • Maintained a desktop database, accessible through the DoD web based CCQAS, used to track all licenses, certifications and clinical support staff Clinical Appraisal Report (CAR) expiration dates.
  • Responsible for data collection, management, and analysis of provider credentials and entry into the DoD web based CCQAS.

Credentialing Specialist

Confidential, Arlington, VA

Responsibilities:

  • Analyzed all information sent in by the physician/provider and received through Federal and State queries, and compares it to established criteria
  • Processed second practice applications and specialty change forms. This includes researching discrepancies and performing primary source verifications, as necessary
  • Assisted the Credentials Manager in tracking and reporting on credentials files for both initial credentialing
  • Oversaw the primary source verifications and performs quality audits
  • Researched all discrepancies between the information provided by the physician/provider and information received from Federal and State queries
  • Determined which applicants meet criteria and which applicants will need further review.
  • Resolved problems and questions regarding confidential issues discovered during the credentials process
  • Interfaced with all internal departments regarding physicians/providers who are in the credentials process
  • Monitored integrity of the credentials tracking databases
  • Acted as a resource to the Credentials Specialists for daily questions regarding criteria, quality standards, and work processes
  • Researched issues regarding physician training and query discrepancies with the appropriate program directors, medical boards and physicians as appropriate
  • Reviewed and prepares files requiring Medical Director Review

Administrative Assistant

Confidential, Washington, DC

Responsibilities:

  • Composed and prepared routine correspondence for the department
  • Scheduled appointments and meetings for PGA and schedule candidates for interviews with PGA, physicians and management
  • Assisted the department annual capital and annual budget process
  • Processed payroll for all the AMG managers
  • Processed invoices and reimbursement through core integrator
  • Processed facilities request for all the AMG
  • Some traveling to Montgomery and PG County sites
  • Completed and submitted new user forms for Allscripts and IDX for the AMG physicians and staff
  • Completed and submitted required forms and documentation to Human Resources for AMG staff
  • Generated requisitions for one opening or multiple openings
  • Coordinated credentialing and re-credentialing process for new and current physicians for all AMG sites
  • Proof, edit and update Contract Renewal letters for physicians

Administrative Assistant

Confidential, Falls Church, VA

Responsibilities:

  • Provided support to the CNO and other leaders within the Nursing Administrative Office including: management of calendar and appointments, screened calls and routed to appropriate individuals, organization of hospital and nursing specific mail and project assistance and management.
  • Organized and coordinated the functions of the Nursing Administrative Office to create a friendly, professional and helpful atmosphere.
  • Utilized the computer to perform job activities and increase efficiency.
  • Assisted in scheduling clinical staff as well as monitor clinical staff call offs utilizing HCA system database.
  • Answered phones, relayed messages, communicated with patients/visitors, and directed information to appropriate personnel.
  • Sent out meeting notices, prepared agenda, took and transcribed minutes of various meetings.
  • Assured primary area is clean and organized
  • Communicated effectively and professionally to all internal and external customers.
  • Approved leaders and clinical staff accurate time using KRONOS.
  • Assisted in other areas of the department.

Administrative Secretary

Confidential, Largo, MD

Responsibilities:

  • Provided high level administrative support to Facility Operations Manager and Medical Office Building exercising considerable discretion and independent judgment in handling highest level of confidential information.
  • Created and maintained office libraries
  • Served as backup for Facility Services Supervisor, Materials Coordinator, Switchboard Operator, and other administrative support personnel as needed
  • Coordinated communication for the facility, including dissemination of communication from Regional, Service Line, and Facility Administration; maintenance of the facility’s monthly calendar; and maintenance of bulletin boards and job postings. Coordinated preparation and distribution of the facility newsletter.
  • Coordinated meeting arrangements and schedules conference rooms and videoconferences. Ordered refreshments, distributed agenda, and prepared materials and presentations. Attended admin and other meetings as assigned; took, prepared, and disseminated minutes.
  • Coordinated collection and submission of MAPMG timesheets. Monitored budget for administrative supplies and kept FOM informed of status.
  • Coordinated training and education activities in the facility. Conducted or facilitated new employee Morientation in the facility. May be responsible for training providers and health plan staff. Coordinated quarterly EH&S training, including schedule and track staff attendance; may present assigned topics. Ensured that teaching materials and handouts are available for all staff and member training sessions.
  • Worked with other departments’ support personnel to ensure coordination & clarity in all support areas.
  • Scheduled and maintained calendar, coordinated meetings and teleconferences. Prepared meeting packets & provided minute taking support to the staff for meetings.

Tele-Service Representative

Confidential, Fairfax, VA

Responsibilities:

  • Assisted patients in obtaining medical services throughout Confidential HMO and network affiliates.
  • Scheduled primary care and selected specialty appointments for 30 centers and several hundred providers.
  • Provided messaging service for the entire Baltimore and Washington markets.

Executive Assistant

Confidential, Falls Church, VA

Responsibilities:

  • Prepared ERM WIRE Submission: sent out email, compiled and edit updates for ERM Director, when final submitted to Joint Information Systems for inclusion into Office Chief Information Officer (OCIO) WIRE.
  • Prepared OCIO and Director Notes: sent out email, compiled changes and edit for ERM Director, when final submitted OCIO Notes to CIO and Deputy Chief Information Officer.
  • Prepared MHS Update: sent out email to ERM contractors, edit changes, and submitted approval to Deputy Director. Sent email to Deputy Director for forwarding to CIO.
  • Submitted Livelink Package Report to Director of ERM and Deputy Director every Monday.
  • Emailed Chief Architect the Weekend Read.
  • Prepared and submitted add/change/delete user forms to HA/TMA helpdesk..
  • Request new employee phone set-up.
  • Made travel reservations and computed travel voucher using Government travel system.

Confidential

Executive Administrative Assistant

Responsibilities:

  • Provided support to the Director’s of Clinical and Program Policy as required.
  • Coordinated meetings and assembled printed materials for meetings//briefings.
  • Prepared civilian time sheets and performance appraisal evaluations.
  • Prepared correspondences from rough drafts, note, or oral instructions; responsible for proper spelling, grammar, and punctuation.
  • Made travel reservations and compute travel voucher, domestic and foreign using Government travel system.

Administrative Assistant

Confidential, Rockville, MD

Responsibilities:

  • Provided administrative support for both on and offsite (overseas) staff within organization.
  • Monitored operation of office equipment (fax, photocopy machines, printers) to ensure proper operation; troubleshoot problems; arrange repairs and regular maintenance.
  • Coordinated and managed conference calls and meeting arrangements.
  • Prepared and validate invoices and credit card bank statements for payment; prepared wire transfer request.
  • Organized and completed department projects; maintained data on the intranet.
  • Coordinated fingerprints and photos for Isolated Personnel Report.

Administrative Assistant

Confidential, Silver Spring, MD

Responsibilities:

  • Answered telephone and route or respond to calls as appropriate. Greeted and announce visitors/clients as appropriate.
  • Assisted Office Administrator by producing and mailing form letters, maintaining correspondence
  • Managed the acquisition of good for successful office automation.
  • Created and maintained information resource systems.
  • Assisted in the project and reporting process as necessary.

Administrative Assistant

Confidential, Falls Church, VA

Responsibilities:

  • Interacted with government and commercial agencies to secure services.
  • Assembled printed materials for Resource Management briefings.
  • Coordinated meetings and travel for Division Directors and other staff.
  • Prepared civilian time sheet and performance appraisal evaluations.
  • Prepared written communications for internal and external distribution.
  • Prepared monthly fax and Xerox copier account reports, run local errands, and order / distribute weekly employee / office supplies.
  • Prepared documents from rough drafts, note, or oral instructions; responsible for proper spelling, grammar, punctuation, and format prepare and compute travel vouchers, domestic and foreign.

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