PAULA BUGGAGE
Washington,DC
Summary
Meticulous Enrollment Specialist with a comprehensive background in Provider Enrollment Specialist. Exceptional abilities in accurate recordkeeping and maintaining customer confidentiality. Outstanding evaluation, billing and accounting expertise.
Overview
19
19
years of professional experience
1
1
Certification
Work History
PROVIDER ENROLLMENT SPECIALIST
TDB COMMUNICATIONS/GAINWELL TECHNOLOGIES
02.2022 - Current
- Effectively analyzed provider enrollment applications and documents utilizing database systems: ServiceNow, NPI registry and NJ Division of Consumer Affairs systems; ensuring quality, integrity and qualifications while meeting daily expectations
- Ensure quality assurance of application and supporting documents, verifying personal and professional information, research potential violations through Remote Desktop database
- Establish contact with providers requesting additional information required for completion of application; process and track response related to outcome within 10 days’ time frame
- Provide additional support on special projects as assigned.
- Consistently met or exceeded departmental performance targets through diligent management of individual workload and effective collaboration with team members;
- Audited provider information regularly to ensure accuracy and completeness of documentation, reducing potential risks associated with noncompliance
- Reduced errors in provider applications with meticulous attention to detail and thorough review procedures
UNEMPLOYMENT CLAIMS SPECIALIST
TDB COMMUNICATIONS/DEPARTMENT OF UNEMPLOYMENT SERVICES
02.2021 - 02.2022
- Consistently exceeded daily goals by efficiently processing average of fifty unemployment claims per day in remote environment
- Conducted thorough claim investigations, identifying and rectifying errors and omissions promptly through Salesforce program.
- Played key role in reducing claim processing backlogs and ensuring timely benefits for claimants.
PARISH ADMINISTRATOR
ST. THOMAS' PARISH EPISCOPAL CHURCH
05.2018 - 12.2019
- Created and published weekly church bulletin, prayer listing, update online membership, weekly and monthly reports through the Realm database system
- Processed weekly financial donations, created weekly and monthly reports: audited invoices improving billing accuracies by 30% monthly
- Implemented efficient financial reporting processes, including PayPal and QuickBooks, leading to accurate and timely financial statements.
OUTREACH SUPPORT
SOUTHEAST WHITE HOUSE
04.2005 - 12.2019
- Food bank volunteer distributing food weekly to community members with strong and diverse personalities, supplying seasonal assistance for 200+ children and adults per year; increasing support each year by 25%.
- Participate in building partnerships with related organizations to develop support and gain greater attention for critical issues and strength relationships.
CUSTOMER SERVICE ADMINISTRATOR
BETHANY'S WOMEN'S CENTER/N STREET VILLAGE
12.2016 - 02.2018
- Answered and directed incoming calls and emails from current clients and asking open-ended questions to determine needs; immediately brought critical issues to customer service manager for resolution
- Managed office inventory by restocking supplies and placing purchase orders promptly
- Welcomed all clients through Women's center, sorting and distributing over 150 pieces of mail per week.
BOARD ADMINISTRATIVE ASSISTANT
KEYS TO CANAAN
06.2008 - 10.2016
- Provide sensitivity, discretion, and confidentiality to Executive Director while processing documents and policies; distribute board governance practices within time set by board of director.
- Organized weekly staff meetings, logged minutes for corporate records, distributed copies of minutes and action to members after meetings.
Education
Bachelor of Science in Criminal Justice -
University of Phoenix
Washington DC10.2010
Skills
- Medicare
- Healthcare Regulations Understanding
- HIPAA Compliance Awareness
- ServiceNow
- Salesforce
- Customer Service
- Microsoft Office Suite
- Document Management
- Research and Resolution
- Analytical Skills
- Financial Eligibility Processes
- Organizational Skills
Certification
- HIPAA Crash Course
- Microsoft SharePoint 2013 Certification
- Medicare's General Compliance and Fraud Waste and Abuse
- Outlook: Time Management with Calendar and Task
- Customer Service Foundation
- Excel: Advanced Formatting Techniques
Additional Information
- NORRELL CORPORATION - 2005-2010 Finance Administrator/Contracts and Billing
- Managed corporation's largest account: totaling $3m per month using Microsoft Access Program.
- Reduced collection delinquency from $3.6m to $136K within five months for clients over 60 days past due.
Timeline
PROVIDER ENROLLMENT SPECIALIST
TDB COMMUNICATIONS/GAINWELL TECHNOLOGIES
02.2022 - Current
UNEMPLOYMENT CLAIMS SPECIALIST
TDB COMMUNICATIONS/DEPARTMENT OF UNEMPLOYMENT SERVICES
02.2021 - 02.2022
PARISH ADMINISTRATOR
ST. THOMAS' PARISH EPISCOPAL CHURCH
05.2018 - 12.2019
CUSTOMER SERVICE ADMINISTRATOR
BETHANY'S WOMEN'S CENTER/N STREET VILLAGE
12.2016 - 02.2018
BOARD ADMINISTRATIVE ASSISTANT
KEYS TO CANAAN
06.2008 - 10.2016
OUTREACH SUPPORT
SOUTHEAST WHITE HOUSE
04.2005 - 12.2019
Bachelor of Science in Criminal Justice -
University of Phoenix
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