Falicia Newsome
Riverview,FL
Summary
Dedicated leader skilled in claim eligibility analysis and records management. Excellent communication and interpersonal skills. Familiar with industry standards and requirements. Managing duties to facilitate smooth workflow and operational efficiency.
Overview
13
13
years of professional experience
Work History
Dispute Resolution Specialist
MultiPlan
06.2023 - Current
- Researched and analyzed individual provider's, and entities positions to understand dispute background.
- Worked well in a team setting, providing support and guidance.
- Self-motivated, with a strong sense of personal responsibility.
- Formulated focused and individualized resolutions aimed to peacefully settle disputes.
- Reviewed CMS Initiation forms to determine potential conflicts and disputes.
- Advised parties on dispute resolution processes, policies and procedures, helping disputants make informed choices.
Intake Coordinator II
MultiPlan
06.2022 - 06.2023
- Provided mentorship to new hires to get them prepared to handle scheduled work
load. - Meets and consistently maintained quality and productivity standards as defined by
the Management. - Corresponded with delegated entity as needed to obtain appropriate records or
payment information. - Processed/Adjudicated CMS Intake forms according to departmental procedures.
- Conducted all pertinent research in order to respond and process incoming provider
appeals and disputes in accordance with all established contractual and
departmental guidelines . - Prepared and assist with departmental reports as needed.
Senior Tax Manager
Newsome Notary & Professional Tax Services
12.2010 - 05.2021
- Accounts Payable/Receivable
- Virtual Assistant Services for payroll
- Accurately prepared and filed federal and state tax returns in a timely manner
- Developed tax strategies to assist clients in being tax compliant
- Identified tax problems and developed solutions
- Completed responses and schedules in preparation for income tax audits
- Monitored developments in tax legislation
- Reviewed tax returns
- Informed staff of developments in tax legislation
- Supervised members of the tax team to ensure that tax returns were completed correctly
- Processed Payroll
- Recruited Tax Professionals for upcoming Tax Season
- Classified assets correctly to properly account for depreciation on routine filings
Technical Support Analyst
Charter Communications, Time Warner Cable
07.2010 - 09.2017
- Took inbound support calls averaging 50 - 100 calls per day in call center environment; also communicate with internal users via email
- Setting up remote internal users to VPN system to company network access
- Responsible for Exchange/Outlook support to internal users including password resets and updates, and troubleshooting issues with receiving and sending emails
- Supported new hardware and software deployments, providing supporting processes
- Identified and contributes to process improvements
- Monitored and respond to all e-mails
- Attended training as provided
- Worked various shifts and on-call support as assigned
- Performed other duties as assigned.
- Collaborated with vendors to locate replacement components and resolve advanced problems.
Education
Bachelor's - Communications
University of Phoenix-Online
Phoenix, AZ06.2021
Associate - Business Fundamentals
University of Phoenix
Tempe, AZ11.2016
Skills
- Process Research
- Communications Strategies
- Operations Management
- Creative Solutions
- Customer Satisfaction
- Dispute Management
Timeline
Dispute Resolution Specialist
MultiPlan
06.2023 - Current
Intake Coordinator II
MultiPlan
06.2022 - 06.2023
Senior Tax Manager
Newsome Notary & Professional Tax Services
12.2010 - 05.2021
Technical Support Analyst
Charter Communications, Time Warner Cable
07.2010 - 09.2017
Bachelor's - Communications
University of Phoenix-Online
Associate - Business Fundamentals
University of Phoenix
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