JAMES T. SIPARY JR.

 Revenue Cycle Specialist I, Southcentral Foundation
February 2023 - October 2024
I have been working with the computer programs nThrive and Cerner processing Past Due and
At-Risk Claims with non-bens and beneficiary patients. Verifying insurance for patients using
Availity and other websites for CIGNA, EMBS, GEHA, Medicaid, Meritain and VSP. Processing
payments and coordination of benefit to determine sequence of payers. Transfer payment
balances from payers to correct payer if need be based on the EOB or the insurance provider
website. Call insurance providers to get more information to why the insurance claim was
rejected, denied and resubmit the corrected claims.
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Revenue Cycle Technician II, Southcentral Foundation

December 2021 - February 2023
I have been working with the computer programs nThrive processing secondary claims with
Explanation Of Benefits (EOB) and Electronic Remittance Advice (ERA), electronically filing most
Medicaid, Medicare and Medicaid Optum claims. With Cerner it is processing Cerner Edits in our
queues and scanning in Optometry superbills and billing VSP for eye exams, contact fitting and
exams, also contact lenses. If need be check for private insurance using Availity, Jarvis and Cigna
websites.
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Admin Support, Southcentral Foundation
July 2021 - December 2021
Was responsible for managing a variety of administrative and entry level tasks within revenue
cycle. I was creating encounters for Coding and 99 zeroing out Behavioral Health and CHAP visit
that were wrongly charged to medicare and private insurance, creating encounters, processing
discount fees, manual claims submission, and ordering supplies, making purchase orders
through Coupa. Helping out to at Recovery with scanning superbill to encounters for the
Anchorage Optometry date of service batches.

Provide customer service, direct customers to products, answer questions about goods, assist in
purchase decisions.

Conduct interviews for clients who are applying for Temporary Assistance services and
recertifications for existing clients. Maintain files make sure the files have copies of birth
certificates, social security cards, photo id for adults and current application or recertification.
Use computer, copier, fax machine, calculator and telephone. Process applications and recertifications and issue benefits in a timely manner and meet deadline's. Make files for new applicants and meet with or talk with irrate clients.

Directly supervise and guide day-to-day activities of Shareholder Records staff including assisting the Shareholder Records Manager to ensure that all staff are trained and
cross-trained to fully utilize the Granite system to conduct shareholder records management
activities and are given ongoing guidance to address difficulties and complex problems and
resolve complaints or disputes. Consult with Shareholder Records Manager and Legal Counsel
to ensure legal compliance for unique stock transfer cases. Delegated authority as Granite
Administration for user management and custom searches. Generate Standard and Adhoc reports and extracts from Granite. Assist the Shareholder Records Manager to ensure that all
qualified and non-qualified shares and Shareholders are appropriately categorized for voting and distributions. Act on behalf of the Shareholder Records Manager with delegated authority in her absence. Lead by example. Display confidence, competency and enthusiasm through work
and communication. Learn, document, retain and provide detailed information about the new Shareholder Services program. Provide high levels of customer service. Represent Calista Corporation in a positive and professional manner. Maintain strict confidentiality of Shareholder
and company information. Travel to locations throughout Alaska for up to a week at least four
times per year by car, plane, boat or ATV to perform job related tasks as requested. Work in a
constant state of alertness and in a safe manner.

Collect and document the evidence of fraudulent activity and prepare and process case notes for
Intentional Program Violation (IPV) for TANF/LIHEAP. Meet with clients to discuss, present and
complete the IPV packets by explaining and obtaining the necessary notarized signatures on
legal documents. In effort to document and audit case decisions, complete home visits as
needed with clients to gather additional information. Gather evidence necessary to complete the IPV disqualification files for administrative hearing and prepare documentation for criminal
prosecution. Conduct meeting with clients to complete fraud disqualification investigation and
make final report to the TANF and/or Social Services Director.

Conduct interviews for clients who are applying for Temporary Assistance services and
recertifications for existing clients. Maintain files make sure the files have copies of birth
certificates, social security cards, photo id for adults and current application or recertification.
Use computer, copier, fax machine, calculator and telephone. Process applications and recertifications and issue benefits in a timely manner and meet deadline's. Make files for new applicants and meet with or talk with irrate clients.

Provide customer service to customers, complete cash count before and after work shift, stock
product to shelves and refrigerator.

Supervise and evaluate staff of 9
people, assign villages to Occupancy Specilist. Ensure homebuyers are recertified on annual basis and are in compliance with homebuyer agreements, statutes, regualtions and policies.
Coordinate and manage the Ayalpik, Bethel Low Rent, Lulu Heron and Hooper Bay Apartments. Coordiante with Maintenance department, Intake Division and Department of Facilities for all home buyer homes and tenant apartments. Prepare work orders, reports and other required documents.

Check on air monitor, take water samples, talk to home owners about mildew and mold build up. Monitor air and water quality, change air filter, enter data into so data and send data report to
SOA-DEC.

Loaded, unloaded, and moved material to and from storage and production areas. Expanded skill set through continuous learning of new techniques, tools, and equipment related to laborer tasks. Improved worksite efficiency by maintaining clean and organized work areas. Performed general housekeeping and cleaning tasks.

Follow BIA Housing Guidelines. Make Budget. Supervise 10 staff. Fill out applications for
program requirements. Make reports to BIA Housing and AVCP-RHA. Process applications for
service done by possible clientele.

Scheduled and supervised staff meetings to discuss new ideas and update participants on program details and milestones. Recruited and trained staff and volunteers to upgrade collective team skills. Mentored team members for professional development, resulting in increased productivity and job satisfaction. Provided ongoing direction and leadership for program operations.