Bio
Experience
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United States
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Software Development
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200 - 300 Employee
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Compliance Specialist
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May 2023 - Present
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Quality Control Specialist
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Jan 2022 - Jun 2023
Analyze and audit loans to ensure that FNMA and FHLMC guidelines are met. Strategically work with internal departments to improve process controls.
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Emkav Consulting
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Arizona, United States
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Professional Liason
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Jan 2018 - Present
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Arizona, United States
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Mr. Cooper
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Phoenix, Arizona, United States
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Mortgage loan Service specialist
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Jan 2021 - Jan 2023
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Phoenix, Arizona, United States
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Butler County Educational Service Center
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Butler County, Ohio, United States
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Certified Teacher
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Dec 2010 - May 2017
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Butler County, Ohio, United States
Develop and lead lesson plans for classes K-12. Improved the English Language skills for ESL classes by using adaptive instructional techniques
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Skilled Care Pharmacy
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Mason, Ohio
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Facility Reimbursement Coordinator
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Feb 2009 - Dec 2010
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Mason, Ohio
- Responsible for handling and processing pharmacy billing statements valued at $30M on an annual basis- Analyzed EOB’s, Insurance verification such as pre-certifications, denials and re-submitted and/or appealed as appropriate- Establish contact points/relationships with payers to optimize claims/appeals process- Effectively negotiated pricing for medical bills, write offs between insurance companies and end customer resulting in $7K of savings for end customer- Assisted Social Workers and Nursing Office Managers on enrolling patients in specific Medicare programs
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Wellpoint Anthem
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Cincinnati, Ohio Area
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Benefits Advisor
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2006 - 2008
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Cincinnati, Ohio Area
- Educated members and providers on how to file insurance claims properly while simultaneously coordinating benefits and ensuring that updated information is correct. Resulted in 30% first time yield improvement- Handled benefits, claims, EOB’s, prior authorization and medical necessity processes, pricing plans etc.- Was selected from a group of candidates to Test Pilot new programs, complete complex health-insurance projects and train ~40 new employees.
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Anthem, Skilled Care Pharmacy, Marsh & McLennan
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Des Moines, Iowa Area
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Benefits Administrator, Underwriting Technician
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2005 - 2006
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Des Moines, Iowa Area
- Answer queries regarding current and prospective client’s professional insurance coverage by aggressively working with client and assigned Underwriter to complete work order- Worked with Underwriters to generate terms and conditions for new insurance contracts- Provided timely response to customer RFQs to increase business penetration which resulted in 3 additional accounts valued at $8M/year
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Education
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Florida Metropolitan University
Bachelor’s Degree, Business, Management, Marketing, and Related Support Services
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