Experience

US Imaging Network LLC

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Claims Representative

  • Jun 2023 - Present

  Tampa, Florida, United States • Contacting providers/billing departments regarding claims. • Confirming if scheduled exams have been performed. • Receiving and handling inbound calls from providers, members and/or clients. • Providing claim status information to providers, members and/or clients. • Providing accurate information on all inbound and outbound calls. • Assisting all callers with any claims related issues they may have. • Handling confidential information in accordance with HIPAA… Show more • Contacting providers/billing departments regarding claims. • Confirming if scheduled exams have been performed. • Receiving and handling inbound calls from providers, members and/or clients. • Providing claim status information to providers, members and/or clients. • Providing accurate information on all inbound and outbound calls. • Assisting all callers with any claims related issues they may have. • Handling confidential information in accordance with HIPAA requirements. • Providing exceptional customer service while facilitating effective communication on all calls. • Verifying member eligibility and reviewing member preauthorization(s). • Following up with providers/billing office regarding outstanding or unresolved issues. • Notating claims and referrals with pertinent details from inbound/outbound calls. • Utilizing all resources to verify benefits and ensure claims are processed accordingly. • Providing review of remittance advises for payment errors, denials and underpayments. • Generating, printing and mailing/forwarding EOBs and remittances to providers. • Generating, printing and mailing/forwarding claims forms to carrier and/or clients. • Tracking trends, providing Claims Management updates on non-compliant providers. • Working closely with the other teams in the department to resolve claims related issues. • Addressing issues, clearing obstacles, in order to secure claims are received. • Using Salesforce system Show less



University of South Florida

• United States
• Higher Education
• 700 & Above Employee

• Training Support Specialist

  • Aug 2022 - Feb 2023

  Wesley Chapel, Florida, United States



Hillsborough County

• United States
• Government Administration
• 700 & Above Employee

• Sr. Administrative Assistant

  • Jun 2021 - Aug 2022

  Guardian Ad Litem



Hillsborough County Public Schools

• Primary and Secondary Education
• 700 & Above Employee

• Secretary

  • Nov 2019 - Sep 2021



Sarasota County Schools

• United States
• Education Administration Programs
• 700 & Above Employee

• Paraprofessional Aide III

  • Sep 2019 - Jul 2020

  Wilkinson's Elementary School



School District of Manatee County

• United States
• Education Administration Programs
• 700 & Above Employee

• Transportation

  • Oct 2016 - Nov 2019

  Monitor the students

• Teacher Assistant

  • Dec 2017 - Sep 2019

  Bayshore High School



James B. Sanderlin Family Center

• Youth Worker

  • Oct 2018 - Sep 2019

  St. Petersburg, Fl



G4S Youth Services

• Youth Care Worker I

  • Sep 2015 - Aug 2016

  Tampa, Fl Administer security for all participants and provide mentorship to youth care. Organize workshop for small groups and assist departments to organize educational and clinical services. Monitor resident requirements and analyze all physical and emotional needs. Maintain work according to rules and policies and standard licenses. Administer all residents and monitor whereabouts for all and manage appropriate behavior. Manage medications and ensure appropriate usage as per… Show more Administer security for all participants and provide mentorship to youth care. Organize workshop for small groups and assist departments to organize educational and clinical services. Monitor resident requirements and analyze all physical and emotional needs. Maintain work according to rules and policies and standard licenses. Administer all residents and monitor whereabouts for all and manage appropriate behavior. Manage medications and ensure appropriate usage as per requirement. Monitor admission of all visitors into facility and ensure appropriate privacy for all resident and staff. Ensure neat and clean room and maintain optimal level of hygiene. Coordinate with group home team and supervise efficient work of all teams. Collaborate with various departments and develop and implement plans for various therapeutic activities for clients. Plan and supervise efficient recreational activities for residents. Perform session to educate residents to maintain and improve rooms and prepare meals. Maintain and update all resident files and prepare daily logs. Administer and process resident intake and discharge. Ensure appropriate first aid certifications for residents and staff. Show less



WALTER SANDERS

• United States

• Legal Assistant

  • Jan 2015 - Sep 2015

  Tampa, Florida



ALAW - Albertelli Law

• United States
• Law Practice
• 100 - 200 Employee

• Legal Assistant

  • Jan 2014 - Mar 2014

  Tampa, Florida Keeps cases organized by establishing and organizing files; monitoring calendars; meeting deadlines; documenting actions; inputting information into file database and case management software; confirming case status with attorney. Helps develop cases by maintaining contact with people involved in the case; scheduling depositions; preparing and forwarding summonses and subpoenas; drafting complaints; preparing and filing discovery requests; preparing responses to opposing counsel; generating… Show more Keeps cases organized by establishing and organizing files; monitoring calendars; meeting deadlines; documenting actions; inputting information into file database and case management software; confirming case status with attorney. Helps develop cases by maintaining contact with people involved in the case; scheduling depositions; preparing and forwarding summonses and subpoenas; drafting complaints; preparing and filing discovery requests; preparing responses to opposing counsel; generating status reports. Keeps clients informed by maintaining contact; communicating case progress. Maintains case costs by verifying outstanding balances with attorney, clients, and providers. Supports case preparation by preparing case summaries and materials for mediation conferences; preparing pleadings; monitoring and obtaining discovery responses; organizing materials for team case review. Enhances trial proceedings by organizing evidence; preparing exhibits; scheduling witnesses; ensuring that witnesses are ready when needed; taking courtroom notes. Updates job knowledge by participating in educational opportunities; reading professional publications. Accomplishes organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. Skills/Qualifications: Reporting Skills, Research Skills, Legal Administration Skills, Litigation, Client Relationships, Organization, Planning, Attention to Detail, Confidentiality, Dependability, Client Confidentiality Show less



Home

• Unemployed

  • Apr 2012 - May 2013



Hillsborough County Clerk of Courts

• Court ClerkI

  • Dec 2003 - May 2011

  Felony and Traffic Divisions Researching various defendants background(Drivers License/ Criminal Prepare, process and maintains legal records, court files, minutes, calendars, and dockets. Logs and scans batches of citations, service orders, atty letters, dispositions, etc. and all legal documents that pertained to a case, correspondence and checks. Batches hard copies in sequential order according to scan date or specific customer requirements. Monitors machine performance. Verifies… Show more Felony and Traffic Divisions Researching various defendants background(Drivers License/ Criminal Prepare, process and maintains legal records, court files, minutes, calendars, and dockets. Logs and scans batches of citations, service orders, atty letters, dispositions, etc. and all legal documents that pertained to a case, correspondence and checks. Batches hard copies in sequential order according to scan date or specific customer requirements. Monitors machine performance. Verifies all batches have been scanned and released for processing Prepare batches of documents for destruction. Maintains docket records and diary of transactions and create spreadsheets, Receives, verifies, and examines legal forms and court exhibits to ensure adherence to court procedures. Accepts or rejects bonds based on specified criteria. Issue receipts for materials and payments/research delinquent accounts. Processes and indexes a variety of reports and other materials according to established procedures. Provides general information about court procedures. Records case dispositions, court orders and arrangements for payment of court fees. Write correspondences, memoranda, and reports as necessary. Performs other related duties as required. Processing after court dockets sentencing info, jail time if any, probation, court costs, setting/changing court dates. Quality control, preparing, and processing. Show less