DAVONE BRIGGS

• Provides general financial management and budgetary support
• Performs program-specific analysis and certain liaison functions to support budget execution and financial reporting processes
• Advise and provide recommendations on data that should be included in the procurement request
• Perform cost/price analysis, including analysis of cost breakdowns to determine reasonableness and conformance to applicable regulations
• Played a key role in annual audits by preparing detailed schedules, supporting documentation, and assisting auditors throughout the process.
• Processed daily financial transactions in support of finance team objectives.
• Supported with fiscal closings, budget allocation and daily business operations.
• Supported executives by conducting research, reporting and documentation.
• Prepared reports used in making key decisions.
• Resolved discrepancies in financial data to increase accuracy and reduce potential backlogs.
• Processed new government contracts into system
• Pay monthly invoices on services or labor contracts

• Realigned agencies funds to stay on track with yearly budget allowed
• Maintained accurate records of customer payments.
• Analyzes data and trends to develop revenue and expense reports
• Reviews reprogramming requests of clients
• Review and process invoices for payment
• Assist with processing requests from business entities to allow for day-to-day operations
• Assist with preparing written materials to respond to requests and/or to provide information
• Participate in routine, ongoing communication and interaction with government coordinators about status of payment on invoices or MOA request.
• Researched and analyzed wage, salary and other industry trends.
• Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.

• Prepare files to be closed and routed to data department
• Reviews and evaluates data and information from multiple sources
• Assist with ensuring accountability and accuracy of Government fiscal records
• Assists with the preparation of financial documents such as deposit slips, obligation, transfer, and payment forms using provided templates
• Accurately enters required data into one or more databases, documents, or spreadsheets
• Assists with financial records maintenance
• Enters monetary asset and payment information into Fastrack
• Assists with monthly, quarterly, and annual reconciliation and inventory reports for cash and monetary instruments
• Assists with contacting individuals to obtain requirement documents to make payments
• Assists with reviewing seizure files prior to closing to ensure that monetary disposition has been properly accomplished and documented
• Assists with maintaining logs to track the movement of seized and forfeited monetary assets
• Keeps track of case file status in order to confirm compliance with established deadlines
• Manipulates, transfers, computes and prints information
• Provides accurate and timely status updates
• Audited and reviewed title documents for accuracy and compliance with state and federal regulations.

• Review medical accounts by using GE/EMT work view to ensure that all outstanding account balances are resolved in a timely manner and A/R indicator goals are met
• Contact worker comp and secondary insurances to verify patient eligibility
• Track missing and rejected payment by contacting payers
• Provide and obtain all supporting documentation that refer to the reimbursement agreement for resolution of nonpayment
• Prepare HCFA 1500 claims and send them out via mail or fax to patient insurance or worker comp
• Research and pursue all missing payment for medical claims and follow up on all denied claims by obtaining reason for denials as wells and contacting self-pay patient
• Contact insurance or WC to follow up on balance left on patient’s account
• Complete payment posting forms for missing checks and EFT S
• Mail claims with medical documentation to insurance for payment processing
• Process incoming mail and apply correspondences of information received to that account regarding the claim
• Process patient and insurance refunds that are overpayments left on account
• Train new Recovery Specialist in all aspects of the job.

• Reviews and analyzes various documents
• May act as a liaison between claim, systems, sales and underwriting to resolve issues
• Handles complex and/or multiple products as well as highly complex accounts
• Strong technical knowledge of related systems
• Responsible for performing validation audits and monitoring specific measures
• Reports on an on-going basis the performance of the audit or measure with thoughts and recommendations
• Provides support to the Pharmacy department by populating the results, numbers, of various Pharmacy Operations reports
• Assist in the review and update of system documentation, based on current process
• Uses software applications, such as MS Excel and PowerPoint to format data, create reports, and create presentations
• Participates in providing feedback to individuals or groups regarding performance of validation or specific measures
• Research and reviews basic claim issues, to identify root causes to resolve issues.
• Assisted in the preparation of audit reports, presenting findings clearly and concisely to senior management for review.

• Complete prior authorizations for patients with Medicare Part D coverage
• Maintains call center performance metrics including Average Handle Time, After Call Work, Quality and Scheduled Adherence
• Promote company by providing superior customer service
• Actively listens to customers, probes for clarification, and provides coverage determination and/or appeals guidance based upon customer’s individual needs
• Makes outbound calls and processing coverage determinations and/or appeals request
• Process intake claims forms as well and check final review to make sure other peers work have been completed correctly.
• Analyzed medical records and other documents to determine approval of requests for authorization.
• Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
• Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.

• Contact merchants about possible chargeback's and credits, in order to help mitigate fraud loss
• Track and maintain records related to chargeback and recovery opportunities on fraudulent transactions
• Work assigned fraud and dispute queues, emails, service requests and other item processing related to Spoof, Credit Card, ACH, IP Matches and other Fraud indicator queues on a daily basis
• Review customer accounts to determine the legitimacy of the account, the account holder and associated risk • Analyze account history and trends to make sure all appropriate restriction/dismissal decisions are made on each account reviewed
• Continually monitor cases and reports to identify trends and notify management of information gleaned from that activity

• Updates customer's information such as name, address, phone numbers, email, ect:
• Logs bankruptcy's into internal system • Consolidate account holders account
• Processes reapply and notice of fraud letters & mail to account holders
• Process death certificates in system to have account's closed

• Conducted regular quality reviews of business data and processes to identify discrepancies and formulate solutions.

• Provide support to Unit Managers, Sr. Analyst and all other team members
• Log incoming change and maintenance request forms on internal systems
• Open tracker work queue
• Scan confidential and legal documents
• Sort and distribute incoming correspondence
• Assign daily task to floor Reps
• Maintain an accurate filling system
• Prepare reports and other documents using word processing and spreadsheets.

• Created, prepared, and delivered reports to various departments.

• Identify both fraudulent and high-risk transactions
• Request supporting documentation where appropriate
• Provide assistance and authorizations to companies under the Global Payments Network Accounts
• Resolve disputes or issues regarding merchant accounts and payment transactions in a timely matter
• Maintain a daily goal of 150 chargeback's or 120 reversals a day

• Response to multi-line inquiries from customer on credit card issues
• Provide assistance to customers on fraudulent issues
• Complete reports on Visa ATM Gift Cards and Credit Cards transactions
• Contact potential customers to receive Visa credit services
• Blocked lost and stolen cards for customers who called in for such
• Activated new Visa cards for new and current card holders

• Trained new personnel regarding company operations, policies and services.

•Responded to customer requests, offering excellent support and tailored recommendations to address needs.

•Followed up with customers about resolved issues to maintain high standards of customer service.