TSULTREM KUNSANG
Florence,USA
Summary
Dedicated professional with a strong background in medical billing and over 12 years of experience in administrative and project management roles. Proven track record of success in diverse organizational settings in the USA and India. Demonstrated ability to effectively manage projects, streamline operations, and drive efficiency to achieve business objectives. Results-oriented individual with a passion for delivering high-quality work and exceeding expectations.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Billing Advanced Contributor
Tempus Unlimited Inc.
West Springfield and Stoughton, MA
01.2022 - Current
- Billing of SCO and One Care program to the insurance companies in Massachusetts on a weekly basis.
- Billing of Pennsylvania Personal Care Services to the different partner agencies such as Amerihealth Caritas, Keystone First, Pennsylvania Health and Wellness and UPMC on a weekly basis.
- Prepare weekly billing reports and other periodic reports.
- Worked closely with Billing Manager and the Billing Supervisor on Accounts Receivables and denials.
- Researches on the Accounts receivable reports and communicate to provider insurance companies and partner agencies with claim issues including denials, underpayments and overpayments.
- Work closely with other departments including Payroll Management Department and Budget Management Department with their questions and requests.
- Periodic meetings with partner insurance companies to update on new policies and discuss current issues and follow up on pending issues.
- Train new staffs on basic billings and billing to specific insurance companies exclusively to United Health Care (UHC) and Commonwealth Care Alliance (CCA) and Billing to partners in Pennsylvania.
Billing Specialist
Stavros Center for Independent Living
Amherst, MA
10.2013 - 12.2021
- Billing SCO and One Care program to 7 different provider insurance companies such as CCA, UHC, SWH, Network Health, BMC, Tufts, Fallon Community Health and Mass Health.
- Prepare weekly billing reports and other periodic report to the Chief Financial Officer (CFO)
- Worked closely with CFO and Billing Manager on accounts receivables.
- Researched on the Accounts receivable reports and communicate to provider insurance companies with claim issues including denials, underpayments and overpayments.
- Work with bookkeepers with their questions and requests.
- Provide a cover for SCO and One Care program prior authorization data entries.
Self Employed
Gift Shop
Newport, RI
04.2011 - 10.2013
DUA Specialist
Stavros Center for Independent Living
Amherst, MA
06.2007 - 03.2011
- Responsibilities include all the Stavros consumer’s unemployment related work such as.
- Setting up unemployment accounts for all the new consumers
- Filing quarterly 0-returns and employer unemployment contribution to the state.
- Answer all the unemployment related questions from MA Division of Unemployment Assistance (DUA)
- Resolve all the IRS issues relating to the unemployment taxes.
Project Officer
Central Tibetan Administration (CTA)
Bangalore, Karnataka State, India
07.2001 - 10.2003
- Company Overview: Central Tibetan Administration is an exile based Tibetan struggle for freedom movement established in India in 1960 under the guidance of His Holiness the Dalai Lama. The administration’s main goal is to preserve and promote the distinct Tibetan culture, language and tradition which are in constant threat of extinction under the communist Chinese rule. The CTA act as a representative of Tibetans living in and out of Tibet with more than 100,000 Tibetans scattered all over the world. There were more than 40,000 of them reside in the state of Karnataka, India with their main source of livelihood as farming (Agricultural activities).
- Drafting and modifying project proposals submitted from local project officers and look for project investors (funding) especially in the form of foreign aid.
- Coordination between funding partners and the local grass root project beneficiaries.
- Manage implementation.
- Project evaluation and prepare report for all the stakeholders.
Education
Some college degree - Accounting and Business Management
Mysore University
Associate of Science - Accounting and Finance
Holyoke Community College
Holyoke, MA09.2024
Skills
- Financial analysis and reporting
- Financial planning
- Financial sheet balancing
- Accounting systems management
- Financial ledger management
- Proficient in MS Office
- Financial management accounting
- Financial management
- Accurate data entry
- Financial account reconciliation
- Cash flow management
- Community engagement
Accomplishments
- When my previous employer Stavros CIL was being merge with Tempus, I was able to settle huge outstanding accounts receivables from the payer company.
- Led team of 4 staff members at Stavros CIL
- Resolved product issue through consumer testing.
Affiliations
- Community organizing – Currently serving as a President of Regional Tibetan Association of Massachusetts (RTAM) based in Western Mass.
- Great passion for travelling, hiking and playing musical instruments.
Certification
- Certified Watershed Manangement, Milan City, Italy - March 2003.
- Watershed Management Training - 3 months in Italy
- Licensed Watershed Project Manager - 2001 - 2003
Languages
Hindi
Full Professional
English
Native or Bilingual
Tibetan
Native or Bilingual
Interests
- Volunteering
- Outdoor Recreation
- Music
- Getting involved in local advocacy groups to promote positive change in the community
- Youth Development Programs such as SEE (Social Emotional & Ethical) Learning
- Community Cleanup
- Woodworking
- Volunteering for community initiatives to give back to local communities and make a positive impact
- Crafting and DIY Projects
- I like working with my hands and fixing things
- I enjoy helping others and giving back to the community
- Offering time and support to shelters for the homeless, women, and animals
- DIY and Home Improvement
- Enjoy participating in mindfullness activities for overall physical and mental well-being
- Volunteering at local animal shelters and rescue organizations
- Fundraising Events
- Mindfulness Practices
- I participate in a variety of outdoor recreational activities
- Playing Sports
- Advocacy Campaigns
- Team Sports
- Reading
- Yoga
- Volunteering at community kitchens and food-related charities
- Volunteer Work
- Hiking
- Camping
- I enjoy cooking for friends and family gatherings
- Volunteering with youth sports programs as a coordinator
Timeline
Billing Advanced Contributor
Tempus Unlimited Inc.
01.2022 - Current
Billing Specialist
Stavros Center for Independent Living
10.2013 - 12.2021
Self Employed
Gift Shop
04.2011 - 10.2013
DUA Specialist
Stavros Center for Independent Living
06.2007 - 03.2011
Project Officer
Central Tibetan Administration (CTA)
07.2001 - 10.2003
Associate of Science - Accounting and Finance
Holyoke Community College
Some college degree - Accounting and Business Management
Mysore University