Ronald Kramer
Pittsburgh,PA
Summary
Experienced in veterans benefits and services, with a strong advocacy skillset. Communicates complex information in a compassionate and patient manner. Proven track record of developing effective strategies for veteran assistance programs.
Overview
17
17
years of professional experience
Work History
Veterans Service Representative
Department of Veterans Affairs
10.2019 - Current
- Make determinations as to the eligibility for the type of benefit sought, including questions relating to adequacy of military service, medical evidence, and the evaluation of evidence of income, employability, dependence, and relationship.
- Request examinations, re-examinations, or opinions to evaluate disabilities resulting from diseases or injuries.
- Review claims cases to assure all issues have been addressed, applies, and interprets VA laws, including veterans' case law, existing statutes and procedures, precedent rulings, and state law in the adjudication process.
- Utilize various systems and processes, such as order processing and Salesforce.
- May conduct interviews in person or by phone with veterans, representatives, and advocates to explain the full range of VA benefits and related programs
- Prepare and release correspondence for use by other federal, state, and local agencies
- Utilize various electronic data processing (DEPP) systems to input data for processing claims and generating automated correspondence
- Interview providers and service coordinators, or other parties, to collect and evaluate relevant information and make decisions related to the investigation, provider actions, and contacts.
- Review medical records, service plans, assessments, and other collateral information to recommend follow-up actions needed to mitigate risk and prevent further incidents from occurring.
- Document findings in electronic systems and actively record all activities on open cases in a timely manner
- Provide incident summary responses, both orally and in writing, to various managers by request.
- Actively engage in discussions with peers, service coordinators, and supervisors in weekly Team Huddles, training needs, and quality improvement strategies.
- Report and investigate critical incidents reported to the health plan regarding participants in long term services and supports, including allegations of abuse, MST, and PTSD
Patient Access Services
St. Clair Hospital
Pittsburgh, PA
02.2015 - 02.2017
- Conduct patient interviews.
- Setting priorities and deadlines.
- Communicate any necessary adjustments to the supervisor for circumstances happening in the clinic.
- Verifying and updating demographics and insurance information.
- Develop and maintain effective and efficient communication with the patient, interdisciplinary team, and other management.
- Knowledge of medical terminology, insurance theory, ICD-9/ICD-10, and CPT coding.
- Ensured that the clinic set-up is closely monitored to effectively support the needs of the clinic.
- Participate in daily, weekly team meetings, providing input on problem-solving, operation issues, or procedures.
- Manage our insurance list for patient to verify and validate accuracy
- Adjust workflow and sequencing to meet team and patient needs
- When records are received, I ensure that all necessary health/administrative information are integrated into Patient records by sending the documents to be scanned
- Knowledge of health record documentation guidelines and industry standards
- Proficiency in using computer programs and software applications
- Schedule and pre-register/register appointments promptly with departments, patients, and/or ordering physicians' offices via telephone or fax
- Monitor pre-appointment requirements to assure readiness for the patient visit/procedures
- Manage patient systems to verify and validate accuracy and resolve issues
- $30,014.14 per year, full time – 40 hrs per week
Police Officer
St. Clair Hospital
Pittsburgh, PA
08.2012 - 02.2015
- Interpret and apply a complex body of pertinent laws, regulations, directives, and policies that relate to the administration of St Clair Hospital
- Checking property, suspicious persons, and all others suspicious or dangerous conditions
- Responded to calls or alarms involving crimes
- Reviewed reports of personnel investigations to identify the presence
- Questioning individuals and taking statements at scene
- Protecting evidence and witnesses at the scene of an incident
- Informing individuals about their rights as suspects and/or witnesses
- Reviewed the impact of various kinds of derogatory information on the granting, denying, or revoking of security clearances
- Investigating complaints and traffic accidents
- Provide professional leadership and guidance
- Assist with the review of requests for facility security clearances to assure that all required information is provided
- Assist with reviewing reports of personnel investigations to identify the presence or absence of derogatory information
- Reviewed requests for personnel or facility security clearances to assure that all required information is provided
- Fingerprinting of applicants/employees
- Interacting with visitors to identify and solve problems within the hospital grounds
- Enforcing traffic regulations or laws issuing citations
- Arresting violations caught in the act or who readily admit to guilt
- Preparing police reports or forms that describe events in a timely manner
- Making arrest and conducting interrogation
- Questioning and taking statements from victims, customers, witnesses, and complainants
- Applying all correct rules of search and seizure
- $31,075.20 per year, full time – 40 hrs per week
Executive Assistant
Victory Security
Carnegie, PA
08.2007 - 08.2012
- Responsible for all administrative support duties pertaining to the office of the CEO.
- Organize and maintain files and documentation that relate to the work of the business.
- Responsible for scheduling meetings and maintaining calendars.
- Manage key processes, including distribution of information and reports, and scheduling/oversight of functional and executive level.
- Prioritize communication and maintain ongoing contact with the CEO.
- Organize Monthly Team Meetings - organize, attend, and manage agenda and action items for these meetings, manage meeting logistics, and publish upcoming agenda topics and action items.
- Work independently by monitoring, compiling, tracking, and editing work schedules, call-offs, and vacation time.
- Develop, recommend, and implement annual sales plans; identify and execute opportunities.
- Respect and maintain confidentiality of staff records.
- Maintain accurate records of customer interactions, sales activities.
- Ability to make independent decisions regarding planning, organizing, and scheduling work.
- Ability to learn new technologies and adjust to other technologies.
- Ability to work independently and collaboratively on various projects simultaneously, while handling daily administrative tasks.
- Use dairy market knowledge and trends to maximize transaction profitability and achieve volume, profit, and administrative targets.
- Identify and act on new sales, business opportunities.
- Manage key regional customer relationships and develop new business.
- Proficiency with Microsoft Office software packages, including Word, Excel, and PowerPoint.
- Made travel arrangements to provide executives seamless and travel policy-approved business trips.
Education
Bachelor's Degree - Criminal Justice
California University of Pennsylvania
California, PA05.2012
Associate Degree - Liberal Arts and Science
Community College of Allegheny South Campus
West Mifflin, PA12.2008
Skills
- Regulations knowledge
- Claims Processing
- Benefits Administration
- Interviewing techniques
- Personal Counseling
- Clerical Support
- Medical software
- Teamwork and Collaboration
- Team building
- Conflict Resolution
Timeline
Veterans Service Representative
Department of Veterans Affairs
10.2019 - Current
Patient Access Services
St. Clair Hospital
02.2015 - 02.2017
Police Officer
St. Clair Hospital
08.2012 - 02.2015
Executive Assistant
Victory Security
08.2007 - 08.2012
Bachelor's Degree - Criminal Justice
California University of Pennsylvania
Associate Degree - Liberal Arts and Science
Community College of Allegheny South Campus
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