ALICIA GRIFFIN
Milwaukee,WI
Summary
Accomplished Administrative Specialist and Peer Support Advocate with over 20 years of experience across federal, nonprofit, and healthcare sectors. Expertise in personnel management, organizational development, and revenue cycle management. Known for leveraging an active Secret Clearance to manage sensitive information and execute high-impact projects. Proficient in HR systems, revenue cycle management, and knowledge management, with a strong track record of driving efficiency and fostering innovation. Adept at leading teams, developing training programs, and advocating for mental health and wellness. Results-oriented individual with a passion for continuous learning and innovation. Known for leveraging analytical thinking and creativity to solve problems, and deliver high-impact solutions in fast-paced environments.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Administrative Human Resource Personnel, GS-12
United States Department of Agriculture - Natural Resource Conservation Service
Madison, WI
10.2024 - Current
- Serves as HR Liaison for assigned state with agency Business Center
- Coordinates staffing actions, maintain staffing plan, and organizational charts
- Serve at State Earth Team Coordinator
- Serves as Internship Program Coordinator
- Acts as a Master Timekeeper and process timesheets
- As the Master Timekeeper, perform leave audits and reports for former employees
- Administers agency performance evaluation and award programs
Management Analyst, GS9/11
United States Military Entrance Processing Command
Great Lakes, Illinois
11.2021 - 10.2024
- Processed request for personnel action utilizing the TDA and DefenseReady.
- Managed the agency's Management Review Working Group governance program for military, civilian personnel, and manpower issues for the command.
- Scrubbed TDA reports and presented findings to section leaders and senior-level managers.
- Interview prospective candidates for employment with USMEPCOM.
- Developed, applied, and ensured compliance with policies and procedures for manpower requirement determinations, programming, and allocation.
- Conducted studies and surveys, and analyzed objectives, policies, procedures, organization, and administrative actions within the command to assess the effect of management policy.
- Used statistical data, economic theory, and mathematical techniques to establish the comparative factors and alternatives available to managers in decision-making.
- Analyze manpower authorizations, determining qualitative and quantitative accuracy, and ensuring balance with total allocations authorized.
Health System Specialist, GS-8/9
Defense Health Agency
Great Lakes, Illinois
10.2018 - 11.2021
- Counseled active duty and Guard/Reserve members to advise them on specific steps required for resolving healthcare issues
- Verified program eligibility and enrollment in Defense Eligibility Reporting System (DEERS)
- Researched informal medical inquiries/appeals presented directly to the section by active duty and reserve personnel, healthcare providers, legal representatives, and healthcare administrators
- Conducted investigations on congressional and special interest healthcare inquiries and provide information to immediate supervisor to assist with the resolution of the case
- Assisted in the resolution of medical debt cases referred for collection action by obtaining copies of correspondence, medical bills, explanation of benefits form contractor
- Served as telephone POC on matters related to Supplemental Healthcare Program (SHCP) benefits and entitlements
- Processed daily reports for quality and productivity initiatives for the organization
- Processed deferred claims for payment
- Advised Medical Treatment Facilities (MTF) personnel on policies and procedures that will impact the measurement of workload
- Implemented efforts to improve systems and processes affecting the integration of multiple healthcare disciplines, e.g
- (process improvement, risk management, utilization review and credentialing and privileging)
- Trained new staff
Contact Representative, GS-5
Selective Service System
Great Lakes, Illinois
06.2018 - 09.2018
- Received and responded to telephone inquiries relating to the Military Selective Service Act
- Resolved issues relating to the registration or potential registration with the Selective Service
- Used various databases to research inquiries and prepares response
- Verified information and updated Registrant and/or Compliance databases or suspense files
- Updated information in multiple databases
Veteran Service Representative, GS-7
Department of Veteran Benefit Administration
Milwaukee, Wisconsin
08.2017 - 06.2018
- Explained the full range of VA benefits and all related programs
- Served as primary contact for the veteran and his/her representative or advocate and the decision-maker for his/her compensation or pension
- Made determinations as to eligibility for the type of benefit sought and fully analyzes, develops, and requests required evidence for certain claims requiring a rating decision
- Decided the necessity for and type of examinations, reexamination, or opinions to determine the existence of or to evaluate disabilities resulting from diseases or injuries
- Developed comprehensive requests for these examinations/opinions to ensure appropriate evidence is received from which to adjudicate the claim
- Prepared correspondence to members of Congress and special interest groups on case assignments and other 'controlled' correspondence
- Rotate through Cross-Functional teams, Intake Processing Center, Direct Contact, Appeals, and Quality Review teams to gain experience in all aspects of the Transformation Initiative
- Utilized various electronic data processing (EDP) systems for inputting data related to claims adjudication, processing, monitoring, and correspondence preparation
- Acted as an advocate for veterans and their beneficiaries in their dealing with other VA elements and organizations that affect their claims
P.S.A.-Facility Revenue Technician, GS-6/7
Department of Veteran Affairs
Milwaukee, Wisconsin
08.2015 - 08.2017
- Managed first- and third-party health care accounts through online databases, electronic email.
- Research all aspects of program topics, such as revenue data, accounts receivable, patient access, compliance, and insurance data.
- Provided answers to customer service inquiries regarding accounts receivables, means, co-payment testing, and health insurance-related issues.
- Prepared and assessed billable and non-billable medical health care services.
- Assured that medical coding and terminology information, abstracted for billing purposes, is accurate and complete.
- Processed daily reports for quality and productivity initiatives for the organization.
- Implement efforts to improve systems and processes affecting the integration of multiple healthcare disciplines, e.g.
- (process improvement, risk management, utilization review, credentialing, and privileging)
- Trained new staff.
- Gathered medical billing data from a variety of sources, using specific analysis techniques, and suggested actions to correct any deficiencies.
- Accounts receivable management, billing, and health information management.
- Worked on tort legal cases obtaining certified bills for collections
Accounting Technician, GS-6
Department of Veteran Affairs
Milwaukee, Wisconsin
11.2014 - 08.2015
- Examined vouchers, invoices, claims and other request for payment
- Processed and interpreted daily reports and pay invoices
- As a backup cashier, accepted payments from veterans on hospital accounts
Claims Clerk, GS-5
Department of Veteran Affairs
Milwaukee, Wisconsin
08.2013 - 11.2014
- Determined legal eligibility and entitlement for all Fee programs
- Analyzed medical documentation
- Performed thorough audit of charges submitted for contractual payment
- Worked on obtaining documentation for past due accounts to pay vendors
- Ensured the appropriate forms are completed and obtained additional information as necessary for the resolution of claims
Administrative Assistant/Assistant Supervisor
Milwaukee County Department on Aging
Milwaukee, WI
01.2013 - 08.2013
- Supervised and trained clerical staff
- Controlled/Distributed the workload and ensured that work was completed
- Maintained liaison with other units
- Maintained employee relations and a suspense file system
- Communicated with members of the public in regard to elder abuse assistance
- Used business process management techniques to identify problems and inefficiencies
- Created resolutions to align with the organization's goals and educate staff and managers on processes
Fiscal Assistant II
Milwaukee County Mental Health Complex
Milwaukee, WI
04.2006 - 01.2013
- Inquired about unresolved third-party claims, including reviewing remittance advice and filed appeals.
- Contacted insurance companies and HMOs to verify coverage and benefits.
- Interviewed and screened clients and/or family members to determine eligibility for payment assistance.
- Billed claims electronically.
- Trained new staff
- Used business process management techniques to align with the organization's goals and educate staff and managers on processes.
Accounts Receivable Specialists
Medical Foundation Inc.
Meridian, MS
04.1998 - 12.2001
- Checked postings and documents for correctness, accuracy and proper coding.
- Prepared bank deposits by verifying that funds are available before posting them.
- Reconciled computer reports with manually maintained ledgers.
- Reviewed and analyzed contracts to resolve billing issues with vendors and carriers.
- Reconciled customer accounts and resolved discrepancies.
Education
Master of Arts - Organizational Development
Alverno College
Milwaukee, WisconsinBachelor of Arts - Business Management
Lakeland College
Sheboygan, WisconsinAssociate of Applied Science - Business Management
Milwaukee Area Technical College
Milwaukee, WICertificate - Accounting Technology
East Central Community College
Decatur, MSSkills
- Analytical
- Knowledge Management
- Data Collection
- Revenue Cycle Management
- Disability Determination Processing
- Conflict Resolution
- Communication
- Research
- Process Redesign and Improvement
- Quantitative and Qualitative Analysis
- Office Management
- Supervision and Leadership
- Training
- Employee Relation
- HR Staffing
- Peer Support
Certification
- 01/01/25, Wisconsin Department of Health Services, Certified Peer Specialist
- 06/01/23, Department of The Army, Certification of Completion, Knowledge Management
- 11/01/17, Department of Veterans Affairs, Veterans Benefit Administration, Certification of Completion, Certified Veteran Service Representative
- 10/01/13, Department of Veterans Affairs, Veterans Healthcare Administration, Certification of Completion, Mentor Apprentice Course
Clearance
Active Secret Clearance
Computer Software
- ETMS2
- TDA
- DefenseReady
- SharePoint
- MS Word
- MS TEAMS
- MS Excel
- MS Power Point
- MS Access
- MS Outlook
- A365
- VISIO
- Oracle PeopleSoft
- USA Staffing
- EmpowHR
- WebTA
- ServiceNow
Timeline
Administrative Human Resource Personnel, GS-12
United States Department of Agriculture - Natural Resource Conservation Service
10.2024 - Current
Management Analyst, GS9/11
United States Military Entrance Processing Command
11.2021 - 10.2024
Health System Specialist, GS-8/9
Defense Health Agency
10.2018 - 11.2021
Contact Representative, GS-5
Selective Service System
06.2018 - 09.2018
Veteran Service Representative, GS-7
Department of Veteran Benefit Administration
08.2017 - 06.2018
P.S.A.-Facility Revenue Technician, GS-6/7
Department of Veteran Affairs
08.2015 - 08.2017
Accounting Technician, GS-6
Department of Veteran Affairs
11.2014 - 08.2015
Claims Clerk, GS-5
Department of Veteran Affairs
08.2013 - 11.2014
Administrative Assistant/Assistant Supervisor
Milwaukee County Department on Aging
01.2013 - 08.2013
Fiscal Assistant II
Milwaukee County Mental Health Complex
04.2006 - 01.2013
Accounts Receivable Specialists
Medical Foundation Inc.
04.1998 - 12.2001
Master of Arts - Organizational Development
Alverno College
Bachelor of Arts - Business Management
Lakeland College
Associate of Applied Science - Business Management
Milwaukee Area Technical College
Certificate - Accounting Technology
East Central Community College
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