Colleen Barkley
Canton,New York
Summary
Policy and business operations specialist with five years of federal government experience delivering training on regulatory and compliance matters. Seeking to transition into higher education as an Adjunct Business Professor, guiding students in understanding public-sector business and administrative processes.
Overview
9
9
years of professional experience
Work History
Claims Specialist/Customer Service Representative
Social Security Administration
08.2020 - Current
- Successfully manage and adjudicate Social Security claims, ensuring compliance with federal and state laws and policies, demonstrating strong attention to detail and regulatory knowledge.
- Offer training and informal mentorship to colleagues on processing procedures, software systems, and best practices, contributing to enhanced team effectiveness and skill development.
- Expertly resolve intricate customer disputes promptly, consistently maintaining high levels of customer satisfaction and fostering positive relationships.
- Effectively manage a substantial volume of claims, adeptly prioritizing workloads to guarantee efficient and timely processing, showcasing exceptional organizational skills.
- Cultivate and sustain robust relationships with key internal and external stakeholders, including claimants, medical providers, and legal counsel, facilitating smooth and efficient claim resolutions.
- Develop and execute comprehensive claim investigations, diligently collecting and analyzing evidence from diverse sources to accurately establish entitlement validity and prevent fraudulent payouts.
- Provide comprehensive assistance in the appeals process, thoroughly informing claimants of their legal rights and responsibilities, and facilitating the seamless filing of administrative appeals.
- Collaborate with leadership teams to design and deliver strategic training programs that address upcoming regulatory shifts, ensuring the team remains up to date and compliant.
- Utilize strong analytical skills to assess complex cases, interpret regulations, and apply critical thinking to determine eligibility and prevent improper payments.
- Conduct quality assurance check on daily check remittances to verify accuracy, mitigating the risk of incorrect postings.
- Demonstrate adaptability by staying current with evolving policies and procedures, ensuring accurate claim processing and adherence to legal requirements.
- Manage and process a diverse range of post-entitlement actions, including check adjustments, overpayments, underpayments, pension offsets, and Medicare billing issues.
- Conduct thorough investigations into potential payment discrepancies, utilizing analytical skills to reconcile issues and safeguard the continuity of beneficiary payments.
Billing Clerk/Accounts Payable Clerk
Cerebral Palsy Association of the North Country
09.2018 - 08.2020
- Streamlined invoice processing by meticulously reviewing documentation and approvals, ensuring accuracy and compliance with organizational policies.
- Enhanced financial data management through precise coding and entry of invoices into the G/L distribution system, leveraging Fund EZ software to maintain data integrity.
- Managed weekly and monthly check runs, ensuring timely and accurate distribution of payments to vendors and independent contractors.
- Proactively reconciled vendor statements, identified discrepancies, and facilitated effective communication with vendors and internal departments to resolve issues promptly.
- Served as a key liaison between organizational departments and vendors, fostering improved communication and collaboration to streamline financial operations.
- Efficiently prepared daily remittances and addressed billing issues, contributing to the accuracy and reliability of financial reporting.
- Proficiently executed Medicaid and managed billing processes through both automated imports and manual data entry, ensuring accurate and timely claim submissions.
- Reconciled accounts of individuals served and diligently addressed claim denials, demonstrating a commitment to maximizing revenue and minimizing financial losses.
- Provided technical training to staff members, enhancing their time management skills and overall proficiency in billing and accounts payable procedures.
- Developed ten comprehensive billing clerk procedures, enhancing operational consistency and ensuring adherence to best practices in financial administration.
Logistic Specialist
Parker’s Real Maple
10.2016 - 01.2017
- Performed process analysis and made recommendations to management
- Serviced customer accounts
- Developed effective strategies to market goods to consumers
- Prepared, initiated, and released ACH and wire funds for payroll and garnishments
- Implemented a new software system that digitally tracked inventory and improved proficiency by 30%.
- Managed customer feedback and helped resolve order issues and concerns.
- Implemented a training process for new staff, which reduced turnover by 25%.
- Evaluated employee engagement to ensure they were satisfied and involved, improving morale by 15%.
Education
Bachelor of Business Administration -
State University of New York at Canton
Canton, NY05.2017
Skills
- Conflict Resolution and Mentorship
- Client Education on Benefits and Rights
- Cross-cultural collaboration
- Communication and Presentation Skills
- Documentation & Record-keeping
Timeline
Claims Specialist/Customer Service Representative
Social Security Administration
08.2020 - Current
Billing Clerk/Accounts Payable Clerk
Cerebral Palsy Association of the North Country
09.2018 - 08.2020
Logistic Specialist
Parker’s Real Maple
10.2016 - 01.2017
Bachelor of Business Administration -
State University of New York at Canton