Took early retirement package as a Medicaid Insurance Analyst electing to pursue my part time job with CVS as full time status. Currently pursuing pharmacy education as technician with current active state license. Would like to combine my knowledge and continue my previous work with in the insurance industry. Being with CVS and Washington Regional for 10 years I am very much interested in a career with CVS and AETNA.
My previous tenures allowed me to possess the experience of working one on one, as well as working in a team effort to meet goals and deadlines.
My tenure at the Connector 2000 Association provided me an opportunity to be a member of a 3-person team responsible for implementing operations and set up for a $200 million dollar public/private partnership toll road project.
My previous position at SASA provided me the experience of working financially in a non-profit sector; as well as an introduction to proposal grant writing resulting in various award notices.
Dedicated Associate with extensive experience collaborating with clients, promptly identifying needs and recommending products and services to accomplish clients' goals. Strong communicator focused on delivering outstanding customer care.
Overview
40
40
years of professional experience
1
1
Certification
Work History
SHIFT MANAGER/RX ASSOCIATE
CVS
04.2015 - Current
Encouraged customers to make additional purchases by highlighting current deals and keeping lane well-stocked.
Ensured compliance with company policies and procedures while processing transactions efficiently.
Collaborated with team members to achieve sales targets and maintain a clean, well-stocked store environment.
Restocked and organized merchandise in front lanes.
Worked with floor team and managers to meet wide range of customer needs.
Mentored new employees on cashier duties and best practices, improving overall staff performance.
Provided backup support for other departments when needed, showcasing versatility within the retail environment.
Assisted customers with returns, refunds and resolving transaction issues.
Contributed to store success by maintaining high standards of cleanliness throughout the facility.
Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
Oversaw inventory and product stock to develop and maintain inventory controls resulting in cost savings and reduced overages.
Oversaw loading and unloading of packages in warehouse.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Served as a reliable backup when staffing shortages occurred in other areas of the pharmacy or store.
Reconciled cash drawer at start and end of each shift, accounting for errors, and resolving discrepancies.
Welcomed customers to pharmacy and answered questions relating to prescriptions and over-the-counter products.
Continuously expanded knowledge base through ongoing engagement in continuing education opportunities related to pharmaceuticals and best practices within the industry.
Insurance Analyst
Washington Regional Medical Center
03.2013 - 03.2023
Analyze, review and correct for submission and/or resubmission Arkansas, Oklahoma and Missouri Medicaid for professional and hospitalist claims
Verify patient Arkansas Medicaid eligibility, as well as Arkansas Health Exchange Policies if applicable
Research explanation of benefits and patient records for claims processing
Knowledge of CENTRICITY/ATHENA, STAR, CERNER, ALLSCRIPTS, GREENWAY, AUTHORIZE.NET, PES, and AHIN.
Identified key areas not performing well and implemented effective, new processes.
Effectively communicated complex policy information to clients, promoting understanding and confidence in coverage decisions.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Generated, posted and attached information to claim files.
Maintained strict confidentiality with all personal data as per company guidelines.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Skilled at working independently and collaboratively in a team environment.
Financial Analyst
Washington Regional Medical Center
03.2013 - 09.2014
Greet and assist patients and direct visitors
Assist patients regarding account balance, charges, and insurance processing
Coordinate with patient monthly budget account
Address/research billing and insurance errors for resolution to appropriate staff member
Review patient insurance processing, patient communications, and payment history to perform courtesy and pre collections regarding account balances
Perform automated telephone pre collection, and final notice communication for aging accounts
Perform insurance eligibility via appropriate website, including MCR and MCD
Update patient demographic information generated from returned mail
Process credit card and quick pay insurance payments
Daily credit card reconciliation
Collection agency communication and payment reporting.
Financial Coordinator
South Arkansas Substance Abuse
01.2008 - 11.2012
Initiate and process all payment/expense vouchers
Payroll processing
Financial adminstration of monies, record, maintain and deposit
Administer group and supplemental health benefits/COBRA
Maintain, and process employment applications
Arkansas new hire reporting processing
Maintain all employee sick, vacation and holiday paid time off
Federal and state semi-monthly, monthly and quarterly tax processing
Supervise Administrative Assistant and Facility Cook
Crisis Prevention Intervention Instructor
SafeServe certified and administrator
Initiate and process federal, state and drug court billing
Process Department of Justice Programs grant funds
Maintain related company files, employee files, expense files
Maintain extended living care rent
Administer and process SNAP applications
Collections department
Order and maintain office and facility supplies
Maintain company records and files
Provide administrative assistance to Clinical Supervisor
Grant writer and administration
Bank reconciliation
Facilitate yearly audit.
Administrative Manager and Human Resources
Connector 2000 Association, Inc.
01.2000 - 08.2007
Provide admin assistance to General Manager/Executive Vice President and Operations Manager
Initiate and process all payment/expense vouchers
Record, prepare and package quarterly Board minutes
Maintain employee uniform program
Maintain company records and files
Communicate and schedule facilities maintenance
Order and maintain office and facility supplies
Manage and monitor employee janitorial program
Assist as Customer Service Representative as needed
In addition to the job description above, in January of 2006, in an effort to consolidate and streamline the operation of human resources, I was assigned the duties of the Human Resource department
The company employs 38 employees with a benefits package including a health, dental, vision, and supplemental insurance options, as well as a 401k program.
Administrative Assistant
University of Arkansas
01.1984 - 01.1999
Served as Administrative Assistant to departmental Chair
Compiled annual budget report, and various confidential reports from Chair to college dean
Proof preliminary course schedules each semester
Maintained departmental budget, Scholarship/Foundation accounts-produced monthly budget report for Chair
Departmental payroll submission, requisitions, travel, reimbursements and leave time for faculty and graduate students
Prepare and produce course exams
Administer course overrides, schedule faculty advising
Create annual departmental newsletter
Assist in annual departmental symposium
Maintain student and faculty records
Supervise work study student.
Residence Life and Services
University of Arkansas
01.1986 - 01.1992
Assign residence hall for approximately 2000 applicants per academic year
Maintain women's campus housing files and records
Assist students and parent's concerning housing assignment and accounts
Assist students and parent's in freshman orientation regarding housing.
Registrar's Office
University of Arkansas
01.1984 - 01.1986
Maintained approximately 4,000 active student transcripts and student course schedules
Administer grade changes and adjustment of G.P.A
Quarterly audits on each transcript including inactive files
Distributed official transcript copies
Assisted walk-in and telephone inquiries concerning transcript.
Education
Skills
Arkansas Pharmacy Technician License
References
Available upon request
Certification
Arkansas State Board of Pharmacy/Pharmacy Technician License