Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
21
21
years of professional experience
Work History
Budget Operational Support (BOS) Safety Administrator
Thermofisher
02.2021 - Current
Performs data entry into internal/external databases, tracking systems and PPD’s budget management system; performs system reconciliations to identify issues which may negatively impact project timelines
Interfaces with various internal and external parties to implement projects, prepare Confidentiality Disclosure Agreements, Letters of Intent and Member Agreements based on contractual considerations, reviewing all contractual documents for accuracy, and coordinating internal and external approvals
Oversees expenses and manages translations; ensuring budget parameters are not exceeded.
Medical Information Associate -I
PPD
12.2020 - 01.2021
Responds accurately and professionally to technical and medical information inquiries received via phone, email, internet, or mail in reference to pharmaceutical or device products
Processes fulfillments and provides clinical trial information or after-hours on call support
Analyzes caller’s questions to formulate an accurate and concise response using client-approved resources and records inquires and interactions in the appropriate databases following organizational, client and regulatory guidelines
Identifies, records and triages adverse events and product complaints according to organizational, client and regulatory guidelines and provides additional support (including follow up) as needed
Maintains knowledge of project and corporate policies and procedures including client products, SOPs, protocols, GCPs, and all applicable regulatory requirements
Works with internal and external client contacts to resolve inquiries
As needed, research medical literature and drafts responses for such inquiries
Provides administrative support as needed.
Claims Customer Service Rep I
Nationwide
01.2017 - 01.2018
Assisting members filing auto claims
Aid customers in reaching their adjusters as well as providing contact information to make for a smooth process
Proactively joined the team newsletter, to provide department with communication of upcoming events happening across the department
Adapting to a constantly changing environment and expectations set by leadership.
Insurance Follow-up Representative
Superior Medical Equipment, Inc.
01.2019 - 12.2020
Responsible for physician billing
Work with payers to resolve issues and prompt payment of claims
Verify eligibility and benefits to ensure coverage and eligibility prior to claims submission
Verify if precertification is required and if so, obtain the precertification for the item
Demonstrate knowledge of HIPPA Privacy and Security Regulations by appropriately handling patient information
Consistently ensured proper coding, sequencing of diagnoses and item codes
Inbound and outbound calls to patients to discuss billing, process payment, answer any questions the patient or another party may have regarding account, while following HIPPA privacy guidelines.
Claims Processor
Nationwide
01.2018 - 01.2019
Performs processing foundational and moderate functions relative to the coding and payment of claims in accordance with Claims Services Best Practices
Handles all volume related transactions (i.e
Towing, bulk bills and route mail)
Maintains accurate claims and tax information
Effectively uses all related systems such as Class, CPS, NAPS, FPS, Claim Center and others
Provides service via telephone, facsimile, e-mail and other correspondence to claims representatives, agents, policyholders and others.
Insurance Services Rep II
Nationwide
01.2018 - 01.2019
Assisting members filing auto and property claims
Aid customers in reaching their adjusters as well as providing contact information to make for a smooth process
Continue to be a part of the team newsletter, to provide department with communication of upcoming events happening across the department
Adapting to a constantly changing environment and expectations set by leadership.
Claims Examiner
CareWorksComp
01.2016 - 01.2017
Demonstrate excellent oral and written communication skills with both internal and external customers
Updating and educating employers on claim status and strategy
Build and maintain relationships with attorneys, MCO personnel, and BWC personnel
Maintain accurate records regarding details of customer contact including claim documentation
Investigate, coordinate and process claims to produce a plan of action that will yield the best financial outcome for the customer.
Medical Only Examiner
CareWorksComp
01.2015 - 01.2016
Responsible for maintaining current file documentation, which coincides with the progression of the file
Document and review all incoming medical reports for accuracy and consistency in relation to the employer’s report and the original body part that was injured
Review necessity of medical treatment, physical therapy and medications.
HIM Specialist
CareWorksComp
01.2014 - 10.2015
Sort documents and file accurately per established procedures, meeting productivity and quality standards
Create medical record files by logging First Report of Injury (FROI).
Direct Data Entry (DDE) Specialist
CareWorksComp
01.2014 - 01.2015
Proficient and accurate data entry and 10-key skills
Review information to ensure all data elements are complete and accurate prior to transmission of medical bills.
Customer Service Technician
Dish Network
01.2013 - 01.2014
Provide payment/billing assistance including self-serve payment solutions and explain charges on the bill
Explain and educate about product features such as assisting customers with pay-per-view orders, change programming packages, equipment upgrades, and general questions
Provide detailed and thorough technical Support.
Prepared Foods Manager
Giant Eagle
01.2011 - 01.2012
Assist in recruitment, training, retention, coaching & performance management of associates
Prepare, maintain and track records concerning inventories to calculate gross monthly profit.
Fresh Food Manager
Wawa, Inc.
01.2008 - 01.2011
Manage training, support the coaching and performance management of associates
Analyze food service and beverage results and trends and prepare action plans to leverage strengths and address areas of opportunity
Ensure execution of established safety, security, quality and store operations policies, procedures and practices
As well as 24/7 execution of all food service menus, programs and processes including proper ordering and product handling.
Assistant Restaurant Manager
IHOP
01.2005 - 01.2007
Develop & maintain professional functional working relationships with IHOP employees, Corporate and Regional employees, and guests
Implement craft training program for all restaurant hourly employees to improve unit operations & guest experiences
Assist in the recruitment, training & retention of employees
Assist in the execution of annual financial, local restaurant marketing, guest service and human resource objectives, strategies and tactics for assigned unit
Ensure safety and sanitation practices are maintained per federal, state, and local regulations.
Store Manager
McDonald's
01.2004 - 01.2005
Manage training, support the coaching and performance management of associates
Review and analyze store financial reports to improve performance in sales, profits, shrink, labor controls and reduction
Responsible for controlling expenses, administering payroll and quality inventory control.
Training Supervisor
McDonald's
01.2003 - 01.2004
Preparing Managers and Crew Trainers for Management classes for six restaurants
Making sure that all stores were up to date on current training materials.
Education
Human Resource Management -
Franklin University
Columbus, OH
05.2024
Human Resource Management -
Columbus State Community College
Columbus, OH
01.2017
Skills
Customer Relations
Expert Problem Solving
Documentation Management
Quality Assurance
Management collaboration
Quality Assessment
Data Analysis
Brand Statement
Detail oriented individual focused on developing efficient processes using knowledge of recruiting, employee relations, training and development, and auditing. Efficient and well established in administrative environments that are fast-paced and challenging. Currently pursuing Bachelor of Science Degree in Human Resource Management.
Timeline
Budget Operational Support (BOS) Safety Administrator