Experience

Virtual Business Office Associates
• United States
• Human Resources Services
• 100 - 200 Employee
• Tax Analyst

  • Nov 2014 - Present

SC Department of Revenue
• Tax Auditor

  • Dec 2013 - Nov 2014


BlueCross BlueShield of South Carolina

• United States
• Insurance
• 700 & Above Employee

• Customer Service Advocate II

  • Dec 2012 - Dec 2013

  • Assist providers with all coding and billing issues related to CMS 1500 and UB04 claim forms, so that they are able to accurately file claims to South Carolina Medicaid which has decreased the volume of rejected claims for South Carolina Medicaid. • Use the Medicaid Management Information System (MMIS) to assist providers with payment inquiries and EFT information. • Organize, review, and supervise the work of subordinates which increases daily stats and decreases open call rate. • Train new Customer Service Advocates to accurately answer provider calls related to eligibility, prior authorization, claim denials, and claims status, which has increased daily stats for the Provider Service Center. • Ensure effective customer relations by providing prompt, accurate, thorough, and courteous responses to all Medicaid providers’ telephone and email inquiries, which have increased the Provider Service Center overall performance. • Perform research as needed to resolve complex inquiries. • Assist with complex emails and calls, which lowered the call volume for escalations and call backs. • Accurately document all inquiries so that each representative that handles the same provider can review notes for consistency. • Respond to all Customer Service Advocate I’s emails for assistance accurately and in a timely and manner which allowed the Coordinators and Managers to focus on their higher priority work load. • Distribute provider emails to staff throughout the day and generate daily spreadsheets for Coordinators and Managers, which cause daily report to be accurate and results in satisfied providers. Show less



Kelly Services

• Mexico
• 200 - 300 Employee

• Customer Service Advocate I

  • May 2012 - Dec 2012

  • Call third party insurance carriers to see how claims processed and seek reimbursement for Medicaid, which cause Medicaid to recoup money that is owed from the insurance carriers, providers, and beneficiaries. • Follow up on status of claims resubmitted for further processing which eliminated duplicate workflow. • Rebill CMS 1500 and request additional information needed from Providers, Insurance Carriers, and Beneficiaries. • Update Coordination of Benefits to ensure that MMIS (Medicaid Management Information System) was updated to reflect the correct information. Keeping the system updated results in claims being processed accurately for our beneficiaries. • Add versions on file whenever there was a major policy change, such as group name/number, supplements, HMO plans, premiums, etc. Show less



H&R Block

• Information Technology & Services
• 1 - 100 Employee

• Certified Tax Preparer

  • Dec 2010 - Dec 2012

  • Prepare individual and business returns • Develop and implement team work which results in increase company efficiency and productivity. • Manage incoming and outgoing calls for busy tax office which results in lower call back at the close of business • Schedule and confirm appointments for personal and office clients which results in an organized schedule. • Prepare individual and business returns • Develop and implement team work which results in increase company efficiency and productivity. • Manage incoming and outgoing calls for busy tax office which results in lower call back at the close of business • Schedule and confirm appointments for personal and office clients which results in an organized schedule.



T and T Tax Services

• United States
• Financial Services

• Accountant

  • Jan 2007 - Apr 2012

  • Balance bank accounts, send collection notices to clients, post payments received, and provide month end close out. • Maintain inventory of office supplies and order supplies when needed. Keeping the inventory ensures that the office is never out of stock of supplies needed to run the office efficiently • Attend meetings when necessary with management/staff which includes budget, staff, and operations. • Verify and approve timesheets which ensures accuracy and valid payouts to employees. • Distribute staff paychecks. • Responsible for all Accounts Payable and Accounts Receivable processes. • Receive and send secure documentation to clients who prefer drop off services instead of walk in services which results in faster tax preparation. • Assist customers in person and via telephone which allowed Office Manager to focus on higher priority tasks. • Train new employees by providing knowledge of specific task and policies, which cause our clients to trust us with their business. • Create employees schedules and also take into consideration of the budget of the office. Scheduling around the budget has increased the profit of the business. Show less



GIS

• Argentina
• Business Consulting and Services

• Investigative Reporter

  • Aug 2011 - Jan 2012

  • Work directly with employers and institutions to verify employment and education of individuals applying for a job. • Provide excellent customer service to applicants and clients to ensure proper handling and accuracy. • Work as a team member processing 250+ applications daily, which reduced work load for coworkers and shift managers. • Work directly with employers and institutions to verify employment and education of individuals applying for a job. • Provide excellent customer service to applicants and clients to ensure proper handling and accuracy. • Work as a team member processing 250+ applications daily, which reduced work load for coworkers and shift managers.

• Data Entry/Customer Service

  • Apr 2011 - Aug 2011

  • Work directly with employers and institutions to verify employment and education of individuals applying for a job. • Provide excellent customer service to applicants and clients to ensure proper handling and accuracy. • Work as a team member processing 250+ applications daily, which reduced work load for coworkers and shift • Work directly with employers and institutions to verify employment and education of individuals applying for a job. • Provide excellent customer service to applicants and clients to ensure proper handling and accuracy. • Work as a team member processing 250+ applications daily, which reduced work load for coworkers and shift