Julie Diaz
Americus,GA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
17
17
years of professional experience
Work History
Travel Clerk III
VTX VECTRUS (Government Contract)
01.2024 - Current
- Arrange travel typically involving two or more modes of transportation utilizing information on carries, modes and facilities for carriers servicing the area and coordinate schedules
- Verify travel orders to ensure costs, availability, and convenience of various types of carriers, selecting the most advantageous route and carrier
- Notify personnel of dates of travel, baggage limits, medical and Visa requirements, and ensures that all necessary clearances have been obtained
- Successfully performed data analysis and reconciled computer printouts with operating unit reports, guaranteeing accuracy and consistency
- Within general guidelines, select and apply appropriate travel guides, methods, techniques, and work sequences to effectively accomplish work
- Counsel and advise travels on entitlements, individually and in mass group settings
- Communicate professionally with customers and vendors, obtaining required supporting documentation to complete transactions for payment and reconciliation
- Strictly adhere to all DOD regulations including but not limited to Defense Bus Agreement (DBA), DOD 4900.R Defense Transportation Regulation (DTR), and the Joint Travel Regulation (JTR)
- Verify correct funding on travel orders such as Movement Designator Code (MDC) and Standard Document Number (SDN) for various branches and organizations
- Effectively performs scanning, filing, and other administrative functions, facilitating efficient office operations
- Assists accounting team with the Air Bill by verifying correct Lines of Accounting (LOA) on orders for reconciling accounts.
Sr Implementation Analyst
TSYS Total Systems
07.2022 - 09.2023
- Setup and configure locally connected and network attached hardware solutions
- Enable payment processing within 3rd party partner software
- Test, confirm and train on all integrated features
- Troubleshoot basic to medium difficulty computer, firewall, and networking errors related to software and hardware installation and networked device setup
- Train clients on how to use Global Payments Integrated reporting tool's including business analytics tools
- Clearly and concisely document all client interactions according to department procedure, keeping detailed, accurate notes.
GFEBS Analyst
DAWSON (Government Contract)
06.2021 - 07.2022
- Provide Real Property support by maintaining an accurate Real Property Inventory in the GFEBS database, performing detailed analyses of the Real Property records for accuracy
- Ensure existence, completeness, and accuracy of the GFEBS Real Property Inventory by conducting detailed reviews of property records and documentation and by performing inventories/inspections of Real Property assets
- Analyzes accounts receivable data and minimizes obligations following the year of expiration
- Develops consolidated fund or program budget(s) for various sub-commands
- Drafts statements justifying funding requests and verifies validity of such
- Certifies availability and correctness of funds on various financial documents within authority delegated by the Comptroller
- Interprets directives, regulations, and policies and provides guidance and assistance to managers regarding input and reconciliation of budget and accounting data
- Track and determine the impact of maintenance data entered in the GFEBS system
- Utilize GFEBS reports to conduct installation-wide analysis of work order occurrences and costs
- Maintain, prepare, and submit detailed data for Real Property work orders including Preventative Maintenance Orders, Demand Maintenance Orders, Project Work Orders, and Operations Work Orders
- Provide data entry and reconciliation to ensure all Real Property Inventory and work orders are maintained and managed in the GFEBS system.
Business Analyst III
Blue Cross Blue Shield of Georgia
04.2019 - 06.2021
- Analyzes complex end user needs to determine optimal means of meeting those needs
- Researches and responds to inquiries from various departments
- Determines specific business application software requirements to address complex business needs
- Works with programming staff to ensure requirements will be incorporated into system designs and testing
- Manages validations of a high volume of data inputs and outputs, including research and resolution or errors, issues and data
- Manages progress reporting and statistics to deliver program status to leadership.
Benefit Analyst II
Blue Cross Blue Shield of Georgia
08.2015 - 04.2019
- Performs testing and quality assurance of product developed
- Researches and responds to inquiries from various departments
- Performs testing for CS90 System
- Create and maintain issue log on appropriate tool, resolve defects based on knowledge and analysis of system functionality.
Customer Service Representative 1
Blue Cross Blue Shield of Georgia
06.2013 - 08.2015
- Handle inbound calls for the state of Georgia
- Handles files routed to the team queue daily
- Make outbound calls to members and providers to request additional information or provide status updates
- Engage the customer with appropriate telephone etiquette
- Provide customers with quotes for their benefits
- Fax and/or email provider listings or explanation of benefits to members.
Medical Review Analyst I
Blue Cross Blue Shield of Georgia
08.2010 - 05.2012
- Review documentation submitted with claim for completeness of information as required by established clinical and/or administrative policy; may request additional documentation from provider if required
- Organizes and documents necessary information to either approve a claim for payment or refer to a clinical reviewer when necessary
- Applies appropriate medical policy or benefit administration guidelines
- Maintaining accurate and detailed records of claim reviews
- Facilitates adjustment of claims if necessary
- Competent with application of clinical and administrative payment policies and members benefits
- Competent with health care coding methodologies
- Competent with detection of potential fraud and abuse issues on claims
- Understanding of products, services, and health insurance/managed care concepts.
Claims Representative II
Blue Cross Blue Shield
03.2009 - 08.2010
- Works with the WGS system to accurately process medical insurance claims
- Request medical records and information needed through the Blue Squared system
- Work on aged reports
- Handles emails in a timely manner
- Research prior claims to accurately process current claims.
Customer Service Representative II
Blue Cross Blue Shield
05.2007 - 04.2009
- Handle inbound calls for members on their claims using the CS90 system
- Process claims that require adjustment
- Key claims when a member calls in with a new claim
- Handles files routed to the team queue daily
- Make outbound calls to members and providers to request additional information or provide status updates
- Engage the customer with appropriate telephone etiquette
- Prices prescriptions for members' claims
- Handle ITS claims and generate/send ISIS letters
- Handle bilingual calls (Spanish) for both internal and external customers.
Education
High School Diploma -
Russell County High School
Seale, AL01.1998
Skills
- Knowledgeable in the medical/insurance field with 20 years’ experience
- Able to read/write/speak fluent Spanish
- Knowledgeable in Microsoft Office programs
- Able to type 60 WPM w/accuracy
- Proficiency in Microsoft Project and JIRA
- Customer Service
- Problem-Solving
- Critical Thinking
- Team Collaboration
- Creative Thinking
- Detail Oriented
Timeline
Travel Clerk III
VTX VECTRUS (Government Contract)
01.2024 - Current
Sr Implementation Analyst
TSYS Total Systems
07.2022 - 09.2023
GFEBS Analyst
DAWSON (Government Contract)
06.2021 - 07.2022
Business Analyst III
Blue Cross Blue Shield of Georgia
04.2019 - 06.2021
Benefit Analyst II
Blue Cross Blue Shield of Georgia
08.2015 - 04.2019
Customer Service Representative 1
Blue Cross Blue Shield of Georgia
06.2013 - 08.2015
Medical Review Analyst I
Blue Cross Blue Shield of Georgia
08.2010 - 05.2012
Claims Representative II
Blue Cross Blue Shield
03.2009 - 08.2010
Customer Service Representative II
Blue Cross Blue Shield
05.2007 - 04.2009
High School Diploma -
Russell County High School
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