Summary
Overview
Work History
Education
Skills
Timeline
Generic

Gwendelle M Wright

Indianapolis

Summary

Motivated accountant proficient in MS office and accounting software. Bringing several years of hands-on experience managing payroll functions and maintaining accounts payables. Independent and self-motivated team player possessing outstanding mathematics and analytical abilities.

Overview

15
15
years of professional experience

Work History

STOP LOSS SPECIALIST-TRANSPLANT COORDINATOR

IMAGINE360/EBMS
BILLINGS
02.2024 - Current
  • Review complex claims and/or situations and make informed decisions that may require judgment by providing directions on excess risk claims.
  • Respond to internal and external claim or reporting inquiries from managers, brokers, general agents, and administrators.
  • Responsible for providing direction, developing, training, and mentoring less experienced claims staff, including completing audits and providing feedback.
  • Research case rates from transplant vendors for coverage purposes and submit referrals.
  • Evaluation of plan documentation for choosing a stop loss plan and filing claims with insurance companies.
  • Emailing providers, Account managers, eligibility and groups with case rate information pertaining to the transplant.
  • Submit 50% notices to groups when necessary.
  • File medical record reports for claims submissions.
  • Documenting transplant process from beginning to end notating chart in Javalina and GBAS.

XRAY IMAGING ASSISTANT/EMERGENCY ROOM REGISTRATION SPECIALIST

ST VINCENT HOSPITAL
Indianapolis
09.2014 - Current
  • Greet patients, physicians, visitors, and salespeople promptly in order to provide service and process requests.
  • Cross train in related areas to assist the technologist and to maximize department efficiency.
  • Assist radiologists to communicate reports to patient care units, referring physicians, and emergency department.
  • Creating CDs and reports for patients and providers managing phone calls to and from the reading room.
  • Triaging communication with the radiologist and ordering Physicians.
  • Facilitates patient flow from point of entry to destination in a timely, accurate, and professional manner.
  • Obtains specific information to generate an accurate financial and demographic record for patients that will ensure maximum reimbursement and clinical outcomes.
  • Schedules appointments, interviews patients for appropriate medical information, explains charges and policies of the department/hospital, validates and enters charges into appropriate systems, and collects necessary payment.
  • Answers incoming calls and directs patients and visitors appropriately.
  • Administered registration of emergency room patients accurately and efficiently.
  • Accurate verification of insurance according to departmental procedures.
  • Managed to request and collect payments from patients according to policy and procedures.
  • High accuracy of audits on files registered.
  • Strong medical terminology.
  • Strong clinical judgment.

Accountant

Defense Finance and Accounting Systems
Indianapolis
06.2021 - 01.2023
  • Provides professional accounting assistance in the application and compliance of generally accepted accounting principles (GAAP), policies, and procedures in the Departmental Reporting Department.
  • Analyze accounting exception reports, estimates, and other source documents for adequacy and propriety.
  • Run error traps and research to make appropriate corrections in STRUCTRE based on TAS_BETC and GWA_TAS.
  • Customer invoicing, customer account review and reconciliations.
  • Download the collection and payment treasury Z-files from the SAM website.
  • Create TAS and TASRE Excel files for treasury submission.
  • Prepare journal vouchers and budget adjustments as needed throughout the fiscal year for Departmental Reporting.
  • Brief accounting director and manager, orally and in writing, on treasury submission progress, problems, and resolution steps.
  • Ensure reporting deadlines are met.
  • Prepare accounting entries for the automated accounting system in Central accounting Reporting System (CARS).
  • Generate recurring and special financial reports using Excel.
  • Track, update, reconcile, and manage the Journal vouchers submitted to auditors.
  • Review Z-file data accuracy and completeness and place into Share drive in Customer Communication folders.
  • Generates expenditure reports for the US Treasury Army, Defense Agencies and DFAS sites.
  • Upload signed Journal voucher packets into the Corporate Electronic Document Management System (CEDMS).
  • Ensure timely submission of accounting to the U.S. Department of Treasury using Bones; a remote desktop connection.
  • Received, validates and consolidate expenditure data.
  • Monitor and update treasury log daily with new journal voucher entry numbers.
  • Complete CMR research and packets for Departmental Reporting using accounting principles, policies, and procedures.
  • Send journal vouchers to be reviewed and signed by management ensuring the validity, accuracy, and integrity of accounting processes.
  • Monitors internal controls to identify problem areas including suspense items.
  • Performs analysis and research for treasury submission using HQARS application, Access and Excel.
  • Prepare year-end financial reports for revenue and expenses and variance analysis.
  • Provide ongoing assistance to auditors as well as during the monthly Treasury Tape process.
  • Compile Delmar 302 and Interfund 1061 data from all sources within DFAS-IN network into HQARS.
  • Record all uploads into the HCJ25A and Treasury logs.
  • Identify issues related to closed appropriations.
  • Processed over $230 million expenditure adjustments to reconcile to the Central Accounting Reporting Systems (CARS) and HQARS in FY21.

Fiduciary Service Rep

Veterans Benefit Administration
Indianapolis
02.2016 - 06.2021
  • Research and analyze continuous changes of the proposed ratings versus final ratings in the Knowledge Management Manuel (KM).
  • Awarding various disability and death compensation and pension benefits.
  • Adhere to directives and policies in making decisions for final ratings and releasing retroactive funds.
  • Substantial knowledge of the Estate Limitation Law, Brady Bill Rights and delegation of authority.
  • Monitor legal activities that may be delegated to Veterans Service Center Attorneys by Regional Counsel.
  • Protect the rights of beneficiaries and dependents from loss or diversion.
  • Coordinate with the Board of Appeals to assist Veterans and other beneficiaries who appeal the incompetency decision.
  • Compile and analyze financial data during the finalization of incompetency process to address outstanding retroactive funds in accordance with VA regulations.
  • Identify any irregularities in contractual agreements such as bonds, fee agreements and incompetency waivers and communicate findings to management.
  • Prepare and respond to congressional requests per laws and regulations.
  • Review proposal of incompetency letters received from the Pension Management Center to evaluate for completeness and accuracy prior to finalizing the rating.
  • Investigating and determining when misuse of beneficiary's VA funds is alleged or suspected.
  • Used both targeted interview questions and strong listening skills to gather and assimilate information quickly, often under sensitive conditions.
  • Generate award payments due to Veterans and beneficiaries for Pension and compensation once fiduciary is appointed.
  • Suspend, resume, or terminate benefits to prevent over payments.
  • Authorizing, auditing and assigning work to newer Fiduciary Service Reps on the team to ensure quality work is processed using VBMS.
  • Calculating retroactive payments due to Veterans and beneficiaries.
  • Formulating a variety of financial management reports based on evaluation and analysis of accounting records and systems.
  • Assisting management in applying financial data and recommending alternatives to resolve difficult problems.
  • Reconciling financial data and discrepancies by collecting and documenting transactional or account information.
  • Mentor and train new and current employees.
  • Analyze the Beneficiary Fiduciary Field Financial (BFFS) and VBMS user requirements by testing software releases and solving system problems.
  • Communicate risks/issues related to test execution to developers in accordance with project timelines.
  • Maintain artifacts and test metrics within Jira to support test and overall Project Management reporting.
  • Support Test Leads with preparation and execution of UAT following data validation completion.
  • Support UAT testers and developers by addressing data questions and supporting test management activities in Jira (e.g., raising defects).
  • Serve as subject matter expert (SME) with respect to system issues finalizing ratings and authorizing awards.
  • Utilizing operational processes and test scripts to verify the functionality of VBMS systems.
  • Contact beneficiaries by phone and mail to inform them of the Brady Bill and Hearing Rights.
  • Assist Veterans and beneficiaries with hearing requests and notice of disagreements of incompetency.
  • Prepare written correspondence including briefs, letters of intent, replies, affidavits, beneficiary letters, and memorandum.
  • Prepared and performed filings with courts and government agencies and responds to congressional inquiries per laws and regulations.
  • Served as Change Ambassador of the Fiduciary Hub.
  • Commended for releasing retroactive payments for expedite and hardship cases ahead of expected time frame.
  • Received a Quality Step Increase (QSI) for exceeding productivity of processing an average of 12 ratings daily.
  • Recognized for achieving the highest number of final ratings (out of 10 colleagues) in 2017.
  • Surpassed goal by averaging 11 points daily (10% above quota).
  • Received monetary bonus for assisting in improving work processes and quality for reduction of errors and overall helping employees meet goals.

Legal Instruments Examiner

Veteran Benefits Administration
Indianapolis
10.2012 - 02.2016
  • Made factual quasi-legal and subjective determinations involved in the administration of all types of beneficiary estates, the protection of their benefit right, the routine handling of legal matters, and the identification of legal questions.
  • Advised District/Probate Court appropriately.
  • Analyzed Investments and advised Attorneys, Conservators, Trust Officers, Legal Custodians, and the Court.
  • Determined appropriateness of assets and direct release and liquidation of bonds, certificates, and funds on deposit in banks, savings and loan institutions and brokerage houses held by Conservators, and Legal Custodians.
  • Adjusted funds allowances and approved expenditures for awards.
  • Initiated contact with Fiduciaries and Beneficiaries.
  • Served as department's timekeeper using VISTA computer program to enter employee's annual leave and sick leave.
  • Maintain adequate records of Family Medical Leave taken.
  • Utilized interview techniques to obtain and gather information by telephone and writing.
  • Drafted legal documents for fiduciaries such as surety bond and accounting requests.
  • Prepared written documentation for Regional Counsel to further investigate misuse cases.
  • Provided fiduciaries with information and guidance about custodial bank account rules, regulations, and procedures.
  • Utilized strong organization skills to manage workflow to ensure the most expeditious handling of assigned accounting documents.
  • Utilized the Beneficiary Financial Field System (BFFS) extensively for research.
  • Address beneficiary and family's phone inquiries in a timely fashion.
  • Properly directed inbound calls in phone queues to improve call flow.
  • Gave accurate information to answer questions, troubleshoot and resolve complaints.
  • Requested conference rooms from GSA to scheduling team meetings.
  • As a Legal Instruments Technologist, performed audits on accounting for custodial bank accounts to identify misuse or fraud.
  • Reviewed and analyzed accounting documents and financial reports to assure activities meet operational, legislative, and VA regulatory requirements.
  • Responded to and resolved inquiries on a wide range of accounting issues, including delinquency and account adjustments.
  • Provided support to a diverse group of internal and external customers utilizing knowledge of accounting systems and accounting practices.
  • Leveraged strong interpersonal skills to communicate clearly and effectively with beneficiaries and fiduciaries on accounting preparation, related schedules and documentation as well as their rights as defined in the Veterans Benefit Administration (VBA) guidelines.
  • Provided final approval of accounts received from Conservators, Attorneys, Legal Custodians, or Chief Officers of State Institutions, except those showing major account deficiencies.
  • Independently applied analytical and evaluative methods and techniques to evaluate and interpret accounting information, financial statements and reports received from fiduciaries.
  • Establish and monitor internal controls to identify areas where action is required, and to determine the integrity of the financial and accounting data.
  • Controls are also put in place to monitor the effectiveness of the program.
  • Interpreted laws, regulations, and procedures over the phone and by written correspondence to ensure the duties of a fiduciary are carried out per the law.
  • Commended by management for handling high inbound call volumes, 80/120 calls per day on average, on a consistent basis while displaying team work as needed to accomplish daily tasks.
  • Selected by supervisor to assist with resolving complex claims-processing issues; and monitoring status updates.
  • Recognized for assisting in decreasing the number of days that Veterans are waiting for benefits from 1 year to 6 months.
  • Increased production of closing out field exam reports by 20% from 2012 to 2013 and was given a performance award.

Financial Accounts Technician

US Dept of Veterans Affairs/NECPAC
Lebanon
02.2012 - 10.2012
  • Utilized various insurance web sites including Medicare, BCBS, Cigna, and UHC to research policy information.
  • Reviewed, researched and analyzed all accounts receivable records and documentation, to ensure all data maintained was accurate, current and correct based on Agency regulations, policies, Federal Laws and Directives.
  • Detailed and returned discrepant information to the requester for clarification.
  • Performed required follow-up action to ensure proper debt collections procedures were adhered to, followed-up phone calls and letters and ensured proper due process rights in accordance with Federal Laws and Agency Policies.
  • Mailed letters to patients for accurate information on coordination of benefits (COB) issues.
  • Printed and mailed UB04 and 1500 claim forms to primary and secondary insurance payers to ensure clean claims are submitted.
  • Coded radiology procedures (ICD-9) needing pre-authorization from diagnosis on Computerized Patient Record Systems. (CPRS).
  • Communicated with billing, Accounts Management and Utilization nurses on issues related to services.
  • Used judgment and experience to reconstruct incomplete files, devised more efficient methods for procedural processing, gathered and organized information for inquiries and resolved a variety of problems.
  • Track, manage and monitor claims.
  • Systems used to research incorrect insurance information included Stockamp, quics and Ontrac.
  • Reviewed and analyzed case information, remittance statements from the third-party payer or and others, and the accounts receivable record relating to the debt, the Debtor, for making a recovery determination which protects the interest of the Government.
  • Interviewed beneficiaries and insurance representatives by telephone to obtain sufficient information to process a case.
  • Recommended and obtained proper signature authority for termination of collection action after all collection efforts had failed and based on guidelines outlined in VHA Financial Policy, Volume XII.
  • Audited bill of collection and billing documents for error, omissions, duplication inconsistencies.
  • Maintained account receivable supporting documentation.
  • Maintained a superior quality rating of 94% in file handling and claims resolution, exceeding the 85% departmental goal and was awarded a monetary bonus.
  • Recognized for assisting in and provided evidence leading to the recovery of thousands of dollars in insurance over payments.
  • Awarded by management for successfully getting over 90% of denied claims paid in a 3-month period.
  • Established good working relationships with customers/clients and management.

Medical Reimbursement Tech

US Dept of Veterans Affairs/MCSPAC
Murfreesboro
03.2011 - 02.2012
  • Utilized various insurance web sites including Medicare, BCBS, Cigna, and UHC to research policy information.
  • Worked in Stockamp and quics in Ontrac computer system to resolve inaccurate insurance information.
  • Loaded new insurance, Pharmacy and mental health insurance information in Insurance Capture Buffer(ICB)and VISTA.
  • Investigated Veteran's decease status on Passport computer system.
  • Mailed letters to patients for accurate information on coordination of benefits (COB) issues.
  • Verified deceased beneficiaries using Passport computer system.
  • Coded radiology procedures (ICD-9) needing pre- authorization from diagnosis on Computerized Patient Record Systems. (CPRS).
  • Communicated with billing, Accounts Management and Utilization nurses on issues related to services.
  • Prepared, analyze, organize, and process reports and data.
  • Excellent personal computer skills in developing and utilizing spreadsheets, databases, and professional documents to improve operational readiness, manage and organize files, and research information.
  • Excellent utilization of computer software, such as Microsoft Office (Excel, Word, and Outlook) and an electronic account database; exceptional handling of office equipment, such as fax machines, copiers, scanners, printers.
  • Excellent communication skills while dealing with a variety of individuals to resolve issues in correcting insurance files.
  • Individuals ranged from Veterans and family members, various insurance companies, office personnel, members of the billing team, and other VA representatives.
  • Provided information or assistance and attempt to resolve issues ranging from coordination of benefits (COB), insurance premiums, and payments.
  • Recognized for handling heavy flow of daily paperwork and data entry.
  • Loaded over 75 third party insurances daily.
  • Commended for producing above the production level of loaded insurance within 30 days.
  • Utilized a variety of learning materials, resources and technology methods to improve my professional skills.

Patient Balance Team Lead

HCA-Physician Services
Brentwood
09.2010 - 03.2011
  • Were responsible for managing and coordinating the workload of the patient balance staff working collection accounts.
  • Prepared monthly actual to budget variance reports to support practice management using pivot tables in Excel.
  • Prepared and managed accounts receivable aging reports using Excel.
  • Created and analyzed patient financials by reviewing the patient's place of employment, tax returns, credit bureau report, potential for filing bankruptcy, and other details to determine the collectability of the file.
  • Provided support to upper management regarding the recruitment and placement of staff members to meet employment requirements.
  • Approved/disapproved time-off requests from staff.
  • Conducted staff meetings to improve the collection process.
  • Achieved the highest collection in over 1000 patient collection accounts.
  • Spoke with patients to work towards a settlement agreement for payment of debt, either through a lump sum or a payment schedule.
  • Reviewed financial information of the patients, such as filed tax returns, bank statements, pay stubs, and other asset searches, to determine the current and future ability to repay the debt and attempted to persuade patients to reach a mutually acceptable settlement.
  • Provided recommendations to management on complex settlement accounts.
  • Prepared, analyze, organize, and process reports and patient data.
  • Provided excellent personal computer skills in developing and utilizing spreadsheets, databases, and professional documents to improve operational readiness, manage and organize files, and research information.
  • Excellent with utilization of computer software, such as Microsoft Office (Excel, Word, and Outlook) and an electronic account database and exceptional handling of office equipment, such as fax machines, copiers, scanners, printers, and multi-line telephone systems.
  • Achieved record collection totals in my department in the year 2012 and surpassed the collection total goal set by upper management.
  • Upper management set a department goal of $4.90 million for total patient balances and my department exceeded the goal by collecting $6.80 million.
  • I was able to collect $2.05 million solely through my team accounts.

Education

Associate of Arts - Accounting Certificate

Ashworth College
Norcross, GA
12-2019

MBA - Business Management

Ferris State University
Big Rapids, MI
02-2011

Bachelor of Science - Health Care Administration

Baker College
Flint, MI
06-2007

Associate of Science - Computer Science

Grand Rapids Community College
Grand Rapids, MI
06-2003

Skills

  • Claims processing
  • Case management
  • Transplant coordination
  • Insurance verification
  • Regulatory compliance
  • Data analysis
  • Financial reporting

Timeline

STOP LOSS SPECIALIST-TRANSPLANT COORDINATOR

IMAGINE360/EBMS
02.2024 - Current

Accountant

Defense Finance and Accounting Systems
06.2021 - 01.2023

Fiduciary Service Rep

Veterans Benefit Administration
02.2016 - 06.2021

XRAY IMAGING ASSISTANT/EMERGENCY ROOM REGISTRATION SPECIALIST

ST VINCENT HOSPITAL
09.2014 - Current

Legal Instruments Examiner

Veteran Benefits Administration
10.2012 - 02.2016

Financial Accounts Technician

US Dept of Veterans Affairs/NECPAC
02.2012 - 10.2012

Medical Reimbursement Tech

US Dept of Veterans Affairs/MCSPAC
03.2011 - 02.2012

Patient Balance Team Lead

HCA-Physician Services
09.2010 - 03.2011

Associate of Arts - Accounting Certificate

Ashworth College

MBA - Business Management

Ferris State University

Bachelor of Science - Health Care Administration

Baker College

Associate of Science - Computer Science

Grand Rapids Community College

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