ALICIA SMITH

• Coordinated with technical and program staff to update project cost estimates and completed monthly uploads, enabling conduct of projects within budget requirements
• Created and updated CAM reports on multiplex national security program projects, enabling accurate tracking and forecasting of project performance and budget
• Monthly cost and finance updates on multiple rigorous projects
• Developed sandbox schedules for national security programs using Primavera P6
• Procurement uploads and updates on multiple projects
• Project Task uploads in Oracle Business Suite
• CPI/SPI monthly analysis
• LTE & FTE weekly analysis
• Manage Pos with overdue shipments and open orders
• Ensure timely deliveries of materials to product locations
• Resolve issues with purchasing, delivery, receiving, accounts payable invoices
• Prepared and filed documents and collected data to track performance and efficiency
• Worked with senior project managers to assist with day-to-day functions

• Financially assisted high priority physicians with high end financial claims (greater than $1M)
• Assisted multiple Native American medical facilities with high end financial claims (greater than $500K)
• Assist Providers that accept Medicaid, and Medicare community Health Insurance with patients benefits, claims, and authorizations
• Give detailed information on patients benefits, deductibles, co-insurance, and co-pays
• Attend to answering high volume of calls
• Follow HIPPA guidelines while assisting providers with medical information
• Benefit assistance with Medicare, Medicaid and commercial plans
• Assist setting up with daily schedules and appointments
• Help providers calculate and thoroughly understand their claims that have been processed
• Assist providers with claims that have been denied by researching their denials and getting their claims to claim's adjustor for reconsideration
• Assist Providers in initiating medical prior authorizations for all medical surgeries including outpatient, inpatient, and emergency admissions
• Assist Providers in helping their patients get set up for language interpreter for their office visits
• Daily assist Providers from multiple states such as NM, AZ, CA, WA, and surrounding states with members from their clinical offices, hospitals with all managed benefits, claims and appeal disputes
• Research medical claim appeals for providers and provide documentation on denials or approvals
• ICD-10 Coding trained along with medical terminology along with knowledge of medical claims (ability to assist in calculation and breakdown of claims)
• Worked effectively with fellow team members to coordinate effective solutions to any question or concern
• Created business correspondence to foster clear and precise communication with external parties

GPA: 4.0

GPA: 4.0