Timothy Paton
Aurora,Colorado
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
Work History
Contact Representative
Department of Veterans Affairs
10.2012 - Current
- Contact Representative duties for the Input Team
- Process applications and associated documents identify any requirements that were not met and provide proper notification to the claimant with their appeal rights and Duty to Assist documentation
- Entry of the documentation into the CHAMPVA, FPMP, SB or CWVV eligibility database
- Excellent knowledge of the application process and eligibility as they pertain to the Community Care Programs
- In depth knowledge and experience of identifying when eligibility has not been met or the appropriate paperwork was received
- Assist individuals in developing required evidence and preparing required documents in resolving errors, delays, or other problems in obtaining benefits
- Provide information on benefits and rights
- Ability to explain pertinent legal provisions, regulations and how they are applied correctly to individual cases
- Review applications for any possible errors and act according to current operational policies
- Exercise judgement in resolution where policies may be vague or interpretation is required.
Program Assistant
VA Pacific Island Health Care System
06.2012 - 10.2012
- Program Support Assistant in Pharmacy Service
- Responsible for correspondence, office automation, secretarial and clerical activities
- Maintained appointment schedules and coordinated meetings
- Maintained the office and prescription filing system
- Initiated action9s) for disposal of material in accordance with confidentiality and legal requirements
- Maintained and tracked changes to regulations, manuals, directives and other artifacts such as circulars, bulletins, and interim issues thereby providing current reference material
- Received and screened all incoming mail and publications, and distributed to the appropriate personnel
- Timekeeper for all staff assigned to Pharmacy service
- Responsible for committee meetings and administrative correspondence
- Provided administrative support functions such as tracking personnel training, human resource documents, supplies, equipment, and services
- Coordinated orientation of new staff, students and volunteers.
ACCOUNTS RECEIVABLE TECHNICIAN
VA Pacific Island Health Care System
01.2012 - 06.2012
- Responsible for data entry into the Integrated Billing Software, ensuring all types of insurance coverage and pertinent information was collected and entered correctly into the Insurance File module of the Integrated Billing Software
- Review health plan benefits with Veterans
- Providing appropriate responses to customers and explaining the outcomes
- Responsible for establishing and maintaining current billing and Release of Information Manuals, correspondence files
- Validate and process insurance information entered by intake and other data entry using the insurance buffer file
- Billing of all types of cases
- Full knowledge of Release of Information requirements, ensuring proper consent form is obtained.
Compliance Technician
VA, Chief Business Office
06.2010 - 01.2012
- Working knowledge of the composite and enterprise risk management systems
- Assist in collecting evidence and documentation for divisional annual review process
- Collect evidence and documentation for URAC accreditation process
- Served on the facility Improper Payments Information Act (IPIA) review team and the Annual Risk Assessment Team
- Work with the Chief of Business Oversight to write ethics policies for the HAC ethics Program
- Develop checklist, training manuals and ethics review standards to ensure the success of the Ethics Program
- Alternate point of contact for reporting HAC information security issues
- Responsible for presenting the Information Security Briefing for New Employee Orientation as well as refresher training to the HAC divisions
- Working knowledge of IT Security Principles methods
- Certification as a Cyber Security Practitioner
- Extremely knowledgeable of the laws, regulations, policies and operating manuals that are relevant to Purchased care, ensuring all laws, regulations, policies, and operating manuals are adhered to.
Training Technician
VA Health Administration Center
05.2009 - 06.2010
- Responsible for reviewing and processing training requests/applications in accordance with procedural requirements
- Provided assistance to the Training Specialist(s) in planning and administering training programs for the organization
- Forecasted training needs related to mandatory training requirements, new hire training, refresher training and other organizational training as identified
- Developed training schedules and project plans using appropriate computer applications
- Served as the primary point-of-contact for responding to internal/external customer inquiries and issues
- Primary Administer for the VA's Learning Management System (LMS)
- Research and analyzed LMS training compliance/deficiencies
- Provide hands-on training and facilitate LMS workshops
- Utilize exceptional communication skills (oral and in writing) by developing training tutorials for LMS end users and provide HAC-wide support for LMS content issues
- Develop and maintain surveys related to training needs and customer satisfaction
- Performed logistical support work necessary to ensure effective operation of training programs and activities
- Provide support the Quality Management cell in record keeping, meeting minutes, correspondence and coordination efforts, Service Timekeeper and Purchase Card holder
- Managed fund control points and ensured that the services were processed out of the correct appropriations.
Education
Law Enforcement
US Army Military Police School
Ft McClellan, Alabama12.1979
High School Diploma -
Battle Creek Central High School
Battle Creek, MI06.1979
Skills
- Telephone Etiquette
- Goal Oriented
- Organizational Skills
- Cross-Cultural Sensitivity
- Analytical Thinking
- Teamwork and Collaboration
- Attention to Detail
- Adaptability and Flexibility
Timeline
Contact Representative
Department of Veterans Affairs
10.2012 - Current
Program Assistant
VA Pacific Island Health Care System
06.2012 - 10.2012
ACCOUNTS RECEIVABLE TECHNICIAN
VA Pacific Island Health Care System
01.2012 - 06.2012
Compliance Technician
VA, Chief Business Office
06.2010 - 01.2012
Training Technician
VA Health Administration Center
05.2009 - 06.2010
Law Enforcement
US Army Military Police School
High School Diploma -
Battle Creek Central High School