Methodical and versatile Human Resources Specialist with 14 years of hands-on experience in consulting Medical/Government-related organizations. Proficiency in Benefits and FMLA. In-depth knowledge of employee management, training program implementation and HR operational efficiency strategies.
Overview
28
28
years of professional experience
Work History
FMLA Specialist
USPS
Greensboro, NC
10.2014 - Current
Achieved departmental objectives by collaborating with staff to share and implement best practices.
Planned, monitored and appraised employee work results by training managers to coach and discipline employees.
Reviewed new files to determine current status of injury claim and to develop plan of action.
Implemented improvements in manual and electronic billing procedures.
Collected and tracked evidence in support of legal processes.
Conducted thorough property investigations to identify and classify damages for customer claims.
Reviewed 95% of questionable claims by conducting agent and claimant interviews to correct omissions and errors.
Followed up with assigned customers on unresolved issues.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Researched coverage and premium options and supplied clients with best coverage available for individual needs
Oversaw all regulatory and strategic initiatives to ensure accuracy of medical claims
Adjustment Specialist
United Healthcare Group
Greensboro, NC
03.2007 - 06.2014
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Assured timely verification of insurance benefits prior to at least 20 patient procedures or appointments per day.
Determined appropriateness of payers to protect organization and minimize risk.
Observed strict procedures to protect sensitive patient information, including medical records and payment data.
Performed resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Delivered exceptional level of service to each customer by listening to concerns and answering questions.
Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
Plant Operations Manager
Annie Penn Hospital/Moses Cone Healthcare
Reidsville, NC
05.1997 - 12.2006
Located and resolved problems with team production and performance to maintain consistent quality levels at 98%.
Created new training program with focus on staff safety, food safety and production quality to achieve reduced labor costs and tighter control points.
Reduced costs by 40% eliminating materials waste and unnecessary labor hours.
Organized and guided operations of production, processing and machinery according to business procedures and protocols.
Assessed logs and reports to identify inefficiencies, boost production levels and enhance safety.
Oversaw well-organized maintenance program for predictive and preventive actions.
Built and deepened connections with vendor, agency and community representatives.
Directed routine operations and emergency response, including plant shutdowns and restarts.