Accountant

• Jul 2020 - Present

Provider/Pricing Analyst

• Mar 2013 - Jun 2020

• Add/maintain/term providers in the database to ensure most up to date information is available for members and providers.• Update networks and agreements for providers and facilities, for correct processing of claims to avoid re-work• Diligently searching and find new process improvements for staff to use that would help bring inventory down, while keeping the integrity of the provider file.• Used my Six Sigma training and certification to update processes and create guideline to get a faster process for departmental work and help raise accuracy above 98%.• Handle and monitor the 1099 issues and returns for all of WPS. I am solely responsible for recreating 1099's for WPS, Epic, Arise, Veterans Affairs, Aspirus Arise, and Family Care lines of business when there have been inaccuracies.• Assisted the refunds department with handling past and overdue policy premiums by collating and sending these policy’s to collections and working with the members to get their accounts back in good standing while following state and federal collections guidelines.• Trained employees in other departments to add/maintain/term providers to assist in the department’s high volume of inventory. Show less

Customer Service Representative

• Jun 2011 - Mar 2013

• Answered member and provider calls for benefits, eligibility and claim status while ensuring company’s reputation of high customer satisfaction.• Created test plans for migrating claims from Legacy to Facets, and fulfilled other test plans created by client support to ensure 100 % accuracy of data being migrated from Legacy to Facets.• Assigned, audited, and assisted with writing benefit summaries built by customer service reps working in S2, to guarantee that it is user friendly for members and contact center. Show less

Manager

• Aug 2007 - May 2011

• Assisted general manager in marketing of new promotional ideas to expand customer base. • Supervised staff to ensure safety compliance, increased productivity, and efficiency. • Balanced drawers with a hundred percent accuracy and made bank deposits. • Assisted general manager in marketing of new promotional ideas to expand customer base. • Supervised staff to ensure safety compliance, increased productivity, and efficiency. • Balanced drawers with a hundred percent accuracy and made bank deposits.