Microsoft office
Mary Bush
PLAN BUILDER FOR SHASTA ADMINISTRATIVE SERVICES
Terrebonne,OR
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
32
32
years of professional experience
Work History
Plan Building Specialist/FSA Coordinator
Shasta Administrative Services
01.2021 - Current
- Followed all company policies and procedures to deliver quality work.
- Attended training programs to deepen professional skillset and assisted in training fellow store associates on existing and new training programs.
- Build FSA plans and process FSA reimbursement claims,
- Track medical, dental & vision claims that have refunds due. Submit past due refunds to collections.
- Build Client spreadsheets to track refunds and voided payments.
Subrogation Specialist
Shasta Administrative Services
01.2019 - 12.2020
- Evaluated liability determinations using critical thinking skills combined with industry knowledge, leading to accurate assessments of fault distribution.
- Implemented process improvements that enhanced workflow efficiency within the subrogation department.
- Negotiated settlements with responsible parties, securing favorable outcomes for clients.
Medical Claims Adjuster
Shasta Administrative Services
08.2006 - 12.2018
- Analyzed policy details along with supporting documents provided by healthcare providers to make informed decisions on claims approvals or denials.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations
Workers' Compensation Claims Assistant
Bend Millwork/JELD-WEN
01.2005 - 01.2006
- Checked documentation for accuracy and validity on updated systems.
- Verified client information by analyzing existing evidence on file.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Generated, posted and attached information to claim files.
Plan Secretary
Bend Millwork/JELD-WEN
01.1992 - 12.2004
- Contributed to the timely completion of projects by assisting with deadline tracking and progress reporting for plant management.
- Provided administrative support during audits, resulting in successful compliance reviews with minimal findings.
- Payroll entry for 300 + people
Education
Business Administration
Central Oregon Community College
Bend, ORHigh School Diploma -
Kelso High School
Kelso, WA05.1978
Skills
- Problem Solving
- Data Analysis
- Process Improvement
- Documentation Management
- Quality Assurance
- Microsoft Office
- Data Entry
- SharePoint
- Javelina operating system
- Business Processes and Procedures
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Work from home optionSoftware
Instant messaging
Video conferencing
Timeline
Plan Building Specialist/FSA Coordinator
Shasta Administrative Services
01.2021 - Current
Subrogation Specialist
Shasta Administrative Services
01.2019 - 12.2020
Medical Claims Adjuster
Shasta Administrative Services
08.2006 - 12.2018
Workers' Compensation Claims Assistant
Bend Millwork/JELD-WEN
01.2005 - 01.2006
Plan Secretary
Bend Millwork/JELD-WEN
01.1992 - 12.2004
Business Administration
Central Oregon Community College
High School Diploma -
Kelso High School
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