Shonda Anthony
Katy,Texas
Summary
An organized and motivated individual, eager to utilize time management and organizational skills across diverse settings. Seeking entry-level opportunities to enhance abilities while contributing to company growth.
Overview
11
11
years of professional experience
Work History
Payroll Specialist
Prime Flight Aviation Services
Sugarland , TX
2023.04 - 2024.07
- Responsible for the timely preparation and submission of weekly, biweekly, and semi-monthly payrolls, and answering employees’ payroll questions
- Works with co-workers and Payroll Supervisor on audits and reporting requests as needed
- Continuously exhibits and upholds Core Values of Integrity, Accountability, Communication, Teamwork, Innovation and Customer Service
- Handle Data Entry, salary changes, direct deposit, terminations, and other payroll issues
- Audits information and data flows into UltiPro by HR team members that may include salary changes, new hires, and terminations
- Calculates retro pay and gross ups, as needed; sets up wage garnishment and child support deductions; imports pay data files
- Work closely with Unions (Local 1877, SEIU Texas, and 32BJ) setting up member deductions into UKG, adding information to Union website, uploading reports, and paying Union fees
- Prepares weekly, bi-weekly, and semi-monthly payroll reports for the Payroll Supervisor’s review based on payroll schedule
- Once payrolls are approved, submit files to payroll provider (UKG) for processing and downloading final reports
- Review and enter timesheets for calculations and research discrepancies
- Distributes paychecks and funds pay cards as necessary in ADP
- Answers employee inquiries regarding payroll via email, phone, and the ticket system
- Computer proficiency and technical aptitude with the ability to utilize Microsoft Office with emphasis on Excel using VLOOKUP and Pivot Tables
- Working with the payroll supervisor reconciles accounts as necessary.
- Prepared quarterly reports for government agencies such as 941s, W-2s, 1099s.
- Coordinated with Human Resources staff on employee leaves of absence or termination paperwork.
- Created and maintained employee records, including new hires, terminations, salary changes, and tax withholding forms.
- Researched discrepancies in payroll data and provided corrective action when needed.
Network Operation Specialist I
Blue Cross Blue Shield of Louisiana
Baton Rouge , La
2020.04 - 2023.03
- Accurately setups providers in provider systems of record to ensure appropriate claims payment in accordance with contractual language
- Compiles, analyzes, and verifies the required information for provider credentialing, enrollment, contracts, and maintenance for completeness and accuracy, and enter it into the systems of record
- Communicates, orally and in writing, directly with providers and/or external credentialing verification representatives to resolve questions and issues regarding updates and changes in the systems of record
- Researches, responds to, analyzes, and resolves complex claims and/or provider credentialing issues related to provider setup and provider eligibility daily
- Creates resolution documents to address provider issues and increase provider satisfaction
- Utilizes probing and problem-solving methods to resolve all inquiries/requests
- Identifies, understands, and anticipates providers unexpressed needs and concerns
- Provides cross functional support and serves as subject matter resource or second tier resolution to internal and external provider teams (i.e., Contracting, Provider Relations, etc.)
- Manages timely responses to external provider inquiries and requests
- Evaluates new service and/or provider credentialing requests from providers to determine appropriate actions for recording into the systems of record.
Enrollment and Billing Specialist III (M&B)
Blue Cross Blue Shield of Louisiana
Baton Rouge , La
2016.01 - 2019.09
- Providing positive attitude, organizational cultural beliefs, company values, accuracy, and confidential information
- Knowledge of Facets, IPD, Benefit Focus Exceptions, EEnrollment, Common Query,834, GET, CMOD, ICD/10, Doc Creation application
- Knowledge of company guidelines, procedure, laws, ensure information is current and accurate
- Processes and maintains eligibility, delinquency, and reinstatement information to ensure complete, accurate and timely enrollment and billing transactions
- Processing and researched claims
- Process new enrollments and changes to existing contracts, completing customer service tasks, and processing letters.
Enrollment and Billing Specialist, I (BBS)
Blue Cross Blue Shield of Louisiana
Baton Rouge , La
2013.10 - 2016.01
- Utilize Facets, IPD, Common Query, Benefit Focus, Oracle, and Blue on a day-to-day basis
- Process new applications, benefit changes, and personal changes to existing applications (Medical, Dental, Life and Pharmacy)
- Communicate with group leaders, and account managers by phone and email
- Maintaining and updating accurate information on members
- Ensure production and quality standards are being met
- Order ID cards, send invoices to group leaders, Batching, and providing customer service to the group leaders, account managers, and customers daily
- Facets Testing, Update new groups and benefit changes
- Ensure production and quality standards are being met
- Maintaining and updating accurate information on members.
Education
BS Psychology -
University of Maryland
College Park, MD01.2002
A.A General Studies -
Montgomery College
Rockville, MD01.2001
Skills
- Knowledge of working in UKG, UltiPro, and ADP
- Experience with UKG formally Ultimate Software
- Detail-Oriented and able to prioritize responsibilities
- Knowledge of VLOOKUP and Pivot Tables
- Demonstrated knowledge of insurance services and operations
- Basic knowledge and understanding of the credentialing and provider enrollment process is preferred
- Facets, IPD, Provider Manager, Cactus, Benefit Focus, E-Enrollment
- Prior claims processing
- Strong analytical, organizational, critical thinking, and problem-solving skills
- Ability to multitask in a fast-paced production environment and work under pressure preferred
- Strong organizational skills/Time management preferred
- Data Reconciliation
- I-9 documentation
- New employee processing
- Microsoft applications
- Multi-state payroll
- Payroll Administration
- Payroll policies and procedures
- Telephone and email etiquette
- Meeting deadlines
- ADP
- Skilled in UKG and UKG UltiPro
- Transaction review
- Billing
- Analytical Skills
- Audit Support
- Policy Adherence
- Payroll Processing
- Report Preparation
- Daily payroll activities
- Employee File Maintenance
- Payroll Auditing
- Interpersonal and written communication
References
Available on Request
Timeline
Payroll Specialist
Prime Flight Aviation Services
2023.04 - 2024.07
Network Operation Specialist I
Blue Cross Blue Shield of Louisiana
2020.04 - 2023.03
Enrollment and Billing Specialist III (M&B)
Blue Cross Blue Shield of Louisiana
2016.01 - 2019.09
Enrollment and Billing Specialist, I (BBS)
Blue Cross Blue Shield of Louisiana
2013.10 - 2016.01
BS Psychology -
University of Maryland
A.A General Studies -
Montgomery College
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