Summary
Overview
Work History
Education
Skills
Websites
Languages
Timeline
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Jared Archie

Oklahoma City,United States

Summary

Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires, ad providing customized solutions to build loyalty. Detail-oriented, organized and meticulous employee. Works at fast pace to meet tight deadlines. Enthusiastic team player ready to contribute to company success.

Overview

6
6
years of professional experience

Work History

Hearings Customer Service Representative

Social Security Administration
04.2022 - 02.2023
  • Duties, Accomplishments and Related Skills:
  • Provided quasi legal and technical support to Administrative Law Judges and other technical and professional positions and processing of entitlement cases pursuant to Titles II, XVI, and XVIII of Social Security Act, as amended, at the administrative appeals level
  • Was responsible for developing and processing requests for hearing cases from their receipt in office to completion, independently performing wide ranges of case development actions, and processes more complex hearing cases where analysis of pertinent issues and interpretation of provisions regarding laws, regulations, rulings, precedents, policies, procedures and guidelines relative to all cases when necessary.
  • Assisted with legal hearings regarding disability benefits with attorneys, claimants, and law judges. Used empathy to follow ethical guidelines and procedures regarding lower income claimant applications.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Consulted with outside parties to resolve discrepancies and create expert solutions.
  • Managed accounts and client records of clients, observing confidentiality and extreme discretion.
  • Worked alongside attorneys, administrative assistants and fellow legal assistants on complex cases and legal processes.
  • Developed positive working relationship with courts, clients, law enforcement members and attorneys.
  • Organized key evidence exhibits to prepare for trials.
  • Prepared for trials, conducting legal research and drafting pleadings.
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
  • Organized and facilitated five department head meetings weekly, discussing current census, admissions and discharges and residents' Medicaid applications.

Administrative Program Officer

Oklahoma Employee Security Commission
08.2021 - 04.2022
  • Duties, Accomplishments and Related Skills:
  • Processing Specials Program Claims including, Combined Wage Claims, Pandemic Unemployment
  • Assistance Disaster Unemployment Assistance, Mass claims and Federal claims; assisting with scanning documents; pulling sensitive records; assist with child support requests processing; issue overpayments or supplemental payments from federal overpayment report; assist with unemployment insurance benefits.
  • Administration mailbox
  • Performing audits on fraud claims, ensuring compliance has been met
  • Upholding state and federal statutes
  • Staying in compliance with the Department of Justice, ensuring overpayments are minimum
  • Providing general office support, examine reports, and provides technical analysis.
  • Addressed emergency situations encountered following policies, procedures and strategies.

Senior Program Coordinator

Oklahoma Healthcare Authority
09.2019 - 11.2020
  • Keeping CMS guideline and procedures while investigating member eligibility to make sure member is within compliance and is eligible for the Insure Oklahoma program as well as SoonerCare
  • Initiated electronic requests and processed fees for medical coverage and services
  • Initiated credit card procurements for departmental needs
  • Research medical claims from providers office regarding date of service, services rendered, and eligibility of payment
  • Investigates members income regarding eligibility for Insure Oklahoma and SoonerCare
  • Verified providers were in compliance with TJC standards
  • Assisted providers with prior authorizations and billing for medical services rendered
  • Audited providers while verifying their referrals and billing procedures
  • Reviewed provider eligibility and verified their compliance with the Federation of State Medical Boards.
  • Assisted providers, nurses, and clients in denials or any questions by researching CPT codes and matching it with diagnosis cods.
  • Follows procedures regarding the Medicaid State Plan
  • Answers incoming tier II telephone inquiries from providers, nurses, members, vendors, county office, outside agencies, agency enrollment partners, and others
  • Requires individual research and interpretation of federal rules and procedures and agency policy and rules in relation to SoonerCare program and Eligibility Determinations including Insure Oklahoma.
  • Research that involved multiple PC screens which includes MMIS, DHS, Atlantes and other agency systems and requires use of document imaging software
  • Identified and reported system discrepancies via help desk ticket or email
  • Kept updated on constantly changing SoonerCare rule revisions, as well as SoonerCare Program and Eligibility
  • Determinations revisions in order to provide accurate, current information to providers, members, agency enrollment partners, OHCA employees and others in the health care community
  • Made sure referencing materials were always organized and accessible
  • Reviewed, analyzed and processed workflow documents
  • Aligned members with the appropriate provider and analyze provider file for accuracy
  • Reviewed and adhered to any policy or procedural changes with federal and state guidelines
  • Prepared reports and recommended regarding the general status and progress of each amendment request; present findings about relevant problems or issues; conduct extensive research of complicated federal mandates or pending concerns; develop strategies and options
  • Leading projects and coordinating with other teams to produce favorable business outcomes
  • Modeling and verifying the confidentiality, integrity and assurance of business data
  • Ensured consistency, reliability and quality of all standard reports
  • Conducted information gathering; conveying user perspective to technical people in technical language; using logic and analysis to identify the strengths and weaknesses of different approaches
  • Performs needs assessments on existing business process techniques, statistics; alternative delivery systems; information requirements analysis; design techniques, principles, tools and instruments
  • Monitors and reviews information to detect process defects
  • Made recommendations related to identifying, developing, preparing, and seeking federal approval of changes to SoonerCare program and related policy, procedures, and regulations for statewide implementation of major state and federal programs
  • Assisted OHCA staff in determination of appropriate policy decisions regarding Medicaid State Plan and 1115 demonstration waiver.
  • Provided ongoing direction and leadership for program operations.
  • Scheduled and supervised staff meetings to discuss new ideas and update participants on program details and milestones.
  • Organized and managed program development from conception through successful execution.
  • Addressed and resolved technical, financial and operational concerns by working with team members and directors.
  • Designed program implementation and maintenance plan.
  • Assisted with community resources for healthcare and mental health.
  • Developed and organized routine and special programming by factoring in slot timing, demographics and other important parameters.
  • Interpreted, audited and reconciled reports for accuracy or completeness.
  • Answered average of 50 calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.

Senior Coordinator

Oklahoma State Department Of Education
05.2018 - 09.2019
  • Duties, Accomplishments and Related Skills:
  • Gathered and organized materials to support operations.
  • Handled purchases and requisitions with state and federal guidelines
  • Maintained Medicaid policy and regulations while educating parents and teachers
  • Created requisitions and purchasing agreements for department
  • Investigated any formal complaint received from parents or teachers regarding Oklahoma and Federal special education program.
  • Received and responded to customer requests via letters, emails, telephone calls and in-person interactions.
  • Entered data, generated reports and produced tracking documents.
  • Maintained master schedule and set up appointments.
  • Oversaw technical, operational, clerical and customer service support activities.
  • Drove workflow improvements by streamlining processes.
  • Controlled expenditures and worked with accounting department to manage budgets.
  • Managed conference scheduling and travel arrangements for key personnel.
  • Interpreted management directives to define and document administrative staff processes.
  • Oversaw project logistics using industry expertise and independent judgment.
  • Devised and implemented improvements to reporting procedures.
  • Maintained policy and procedures within the IDEA federal guidelines
  • Educated parents and teachers regarding IEP policy in standardized classrooms
  • Maintained policy with emergency certification procedures for special education
  • Assisted Soonerstart with claims regarding provider eligibility to clients
  • Handled complaints against providers by clients regarding services
  • Improved communication efficiency as primary liaison for departments, clients and vendors
  • Strengthened operational efficiencies and traceability by developing organizational filing systems for confidential employee records and reports
  • Supported organizational activities effectively by managing executive travel itineraries and organizing events
  • Routed agreements, contracts and invoices through signature process
  • Set up, maintained, optimized and purged physical and electronic filing systems to keep records compliant and current.
  • Provided front-end website development using WordPress, Hubspot and other editing software.
  • Multi-tasked across multiple functions and roles to generate project results and meet deadlines and organizational expectations.
  • Implemented Google-based SEO and ad campaigns to meet budget specifications.
  • Prepared, rewrote and edited pieces to improve readability and impact.
  • Reviewed articles for grammar, spelling, punctuation, syntax, accuracy and compliance with quality standards.
  • Worked with graphic artists, post-production team members and other specialists to produce captivating and successful content.
  • Chose and prepared photos for use with feature pieces with Adobe by editing.
  • Distributed and created important web content, newsletters, and critical information to over 500 school districts in Oklahoma.

Senior Recovery Specialist

Account Management Services
07.2017 - 05.2018


  • Duties, Accomplishments and Related Skills:
  • Followed policy and procedure regarding collection activity within the federal guidelines for collection agencies
  • Assisted looking up Medicaid coverage to see if services rendered were covered
  • Explained explanation of benefits and services rendered from providers to clients and various medical insurance companies
  • Collected on medical accounts and reviewed and explained date of services to clients
  • Assisted clients in denials by researching the CPT code and matching it with the diagnosis code
  • Handled primary accounts and collected debts for OU Medical, St Anthony, OCCC, OSU- OKC, and multiple Oklahoma court judicial systems
  • Maintained confidential documents from clients and providers under HIPAA rules and regulations
  • Routed agreements, contracts and invoices through signature process
  • Responsible for the collection of past due accounts in a call center environment
  • Handle outbound calls to try and collect fees from consumers
  • Adhere to Hipaa guidelines and closing out accounts for various clients
  • Using customer service skills and selling techniques to resolve debts with consumers.
  • Performed skip tracing on all past due accounts to locate responsible individuals.
  • Set up drafts and processed immediate payments after conducting thorough research and analysis of account.
  • Collected payments by phone, set up wire transfers and initiated immediate plans for repayment.
  • Monitored accounts for compliance with established payment plans and flagged non-compliances.
  • Trained new team members on scripts, company services and collection strategies.
  • Upheld strict safety standards and achieved challenging schedule targets with smooth oversight of daily launches and landings.
  • Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.

Education

Associate of Arts - Marketing

University of Central Oklahoma
Edmond, OK
05.2024

Some College (No Degree) - Marketing

Oklahoma City Community College
Oklahoma City, OK

Skills

  • Customer Relations
  • Senior Leadership Support
  • Lotus Notes
  • Staff Training
  • Sales Expertise
  • Executive Management Support
  • Critical Thinking
  • Problem-Solving Ability
  • Training Development Aptitude
  • Written and Oral Communications
  • Project Management
  • Technical Support
  • SEO Techniques
  • Website Optimization

Languages

French
Elementary

Timeline

Hearings Customer Service Representative

Social Security Administration
04.2022 - 02.2023

Administrative Program Officer

Oklahoma Employee Security Commission
08.2021 - 04.2022

Senior Program Coordinator

Oklahoma Healthcare Authority
09.2019 - 11.2020

Senior Coordinator

Oklahoma State Department Of Education
05.2018 - 09.2019

Senior Recovery Specialist

Account Management Services
07.2017 - 05.2018

Associate of Arts - Marketing

University of Central Oklahoma

Some College (No Degree) - Marketing

Oklahoma City Community College

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Jared Archie