Experience

MedPOINT Management

• Medical Practices
• 200 - 300 Employee

• Claims Delegation Oversight Sr. Supervisor

  • Jul 2023 - Present

  United States Client relationship role for IPA/Hospital Clients and their health plan; regulators; and Claims Operational areas.

• Claims Operation, Project Manager

  • Jun 2019 - Jul 2023

  Provide project leadership, direction and support to ensure Claims project achieve stated goals and objectives. Responsible for all aspects of project management including project analysis, project planning, scheduling /timelines, milestones/deliverables, reporting tracking, risk/issue management, and delivery of assigned projects.

• Lead Claims Examiner

  • Oct 2017 - May 2019

  Woodland Hills, California

• Claims Examiner

  • Oct 2014 - Oct 2017

  Woodland Hills, California - Audit information billed on 1500 / UB provided is accurate - Verify member is eligible with IPA - Line of Business / Health plan - Use Medicare and Medi-Cal guidelines to ensure accurate billing, timely filing, and applicable reimbursement rate - Review disputes submitted by providers - Review 2nd Level appeals - Manage data manipulation software - Oversee vendor files for production



Bank of America

• United States
• Banking
• 700 & Above Employee

• Vendor Management Admin

  • Sep 2013 - Oct 2014

  simi valley, california Audited attorney submitted invoices in LPS Invoice Management to ensure proper billing for borrower. Created published procedures for line of business using Excel and MS Word required by audit team. Assisted with special projects such as creating reports and detailed research to ensure a timely foreclosure process. Trained associates in line of business procedures such as analyzing invoices, creating reports, and eviction procedures. Assisted associates and attorneys in escalated… Show more Audited attorney submitted invoices in LPS Invoice Management to ensure proper billing for borrower. Created published procedures for line of business using Excel and MS Word required by audit team. Assisted with special projects such as creating reports and detailed research to ensure a timely foreclosure process. Trained associates in line of business procedures such as analyzing invoices, creating reports, and eviction procedures. Assisted associates and attorneys in escalated invoices preventing management escalation. Exceed production goals while completing other tasks assigned to exceed expectations. Run daily reports for the team in order to streamline workflow to meet Service Level Agreement deadlines. Incorporated customer service core values to maintain a good relationship with attorneys.

• Foreclosure Specialist

  • May 2010 - Sep 2013

  simi valley, california Relayed updated information to team to ensure procedures and policies are met. Uncovered inaccuracies by auditing documents provided by attorneys prior to conveyance to ensure that claims are accurately filed to avoid unpaid claims from HUD. Audit files to ensure that all foreclosure documents are completed and that all items including dates, figures, claims and calculations are correct and have been met prior to conveyance. Assists in special projects such as Quality Control by… Show more Relayed updated information to team to ensure procedures and policies are met. Uncovered inaccuracies by auditing documents provided by attorneys prior to conveyance to ensure that claims are accurately filed to avoid unpaid claims from HUD. Audit files to ensure that all foreclosure documents are completed and that all items including dates, figures, claims and calculations are correct and have been met prior to conveyance. Assists in special projects such as Quality Control by reviewing files ensuring for clear title to convey property for claim to HUD. Generated reports for management use to assist in portfolio distribution. Analyzed and reviewed documentation from property preservation groups to confirm status of property. Observed and maintained HUD given timeframes so as to provide accurate reporting on claims and convey property on time and preventing delay of claim. Trained new associates in system procedures and processes to increase production flow.



Toys"R"Us

• United States
• Retail
• 700 & Above Employee

• Customer Service Representative

  • Oct 2009 - Apr 2010

  porter ranch, california Processed transactions in an efficient manner to prevent delay. Met daily sale goals in credit and product placement. Reconcile registers at end of day sale to prep for open next day. Offered exceptional customer service and addressed all clientele questions and needs. Whenever applicable, offered new products and services for the benefit of the customer while meeting production goal.



Zpizza

• Shift Leader

  • Feb 2009 - Sep 2009

  burbank, california Resolved difficult matters and escalated issues pertaining to customer satisfaction. Monitored employee scheduling. Managed employees and ensuring employees are taking breaks in proper manner Closed out daily registry and reconciled daily sales intake. Greet and assist needs of customers by offering company products to specific to customer request. Knowledge of ingredients to ensure health and welfare of customers with specific allergies. Opened site for daily business and… Show more Resolved difficult matters and escalated issues pertaining to customer satisfaction. Monitored employee scheduling. Managed employees and ensuring employees are taking breaks in proper manner Closed out daily registry and reconciled daily sales intake. Greet and assist needs of customers by offering company products to specific to customer request. Knowledge of ingredients to ensure health and welfare of customers with specific allergies. Opened site for daily business and ensuring products are stocked. Assisted with preparation work for different areas of work to prevent delay. Show less



Circuit City

• Technology, Information and Internet
• 700 & Above Employee

• Customer Service

  • Nov 2007 - Feb 2009

  glendale, california Opened site for daily business and distributed daily assignments throughout the floor. Helped to mediate any customer dissatisfaction and concerns preventing escalation to management. Assisted with customer inquiries concerning different products and recommending specific products to their needs. Worked with manager to help increase sale by promoting bundles. Advocate of customer service and promotion of the customer experience Reconciled cash drawers and close out at end of… Show more Opened site for daily business and distributed daily assignments throughout the floor. Helped to mediate any customer dissatisfaction and concerns preventing escalation to management. Assisted with customer inquiries concerning different products and recommending specific products to their needs. Worked with manager to help increase sale by promoting bundles. Advocate of customer service and promotion of the customer experience Reconciled cash drawers and close out at end of day. Audited credit transactions to ensure loss prevention. Show less



City of Burbank

• Student Intern

  • Sep 2005 - Aug 2006

  Burbank, California Resume preparation, CPR training Clerical duties: Confirming invoices. Filing and sorting time cards.