Experience

1199SEIU Benefit and Pension Funds

• Hospitals and Health Care
• 500 - 600 Employee

• Project Coordinator

  • Apr 2021 - Present

  Responsible for the onboarding of employers to the portal, ongoing implementation, continued employer training including employment events, monthly statement processing, add/drop file distribution, phone and email inquiries • Responsible for building and maintaining relationships with Human Resources, Payroll, Finance and Benefits staff and the contracted Payroll and Leave processing vendors at assigned high level employer accounts as well as the wider employer pool; and providing cross support to the NBF, Greater New Jersey and Home Care employers • Ensure all GNY employers are trained and on boarded to the employer portal (inclusive of non-benefit fund employers and Training and Upgrading Fund (TUF) regional employers); employers retrained regarding enhancements and changes; payrolls, employment events; new employers/member population updates are coordinated with appropriate departments and that all inquiries/issues are researched and brought to resolution • Identify future enhancements needed based on employer interaction • Coordinate Employment Events training, review and processing with the Employments Events Manager and Quality Assurance Analyst to ensure successful processing through the portal to V3 member records • Provide cross functional support to the HC/GNJ and NBF specialists to ensure there are no gaps in processing or service to employers • Research and resolve issues to ensure they are brought to closure and that potential gaps in processes are identified and reported. Review CBA compliance during on-boarding; evaluate monthly payroll reports and work with employers where necessary to bring into compliance; educate employers regarding Fund rules – including CBA and Eligibility compliance • Assist with daily Quality Control and data review of payroll and employment information loading from the Employer Portal, Employer Employment Events GUI and Employer Employment Events Import to V3. Show less



1199SEIU Benefit and Pension Funds

• Hospitals and Health Care
• 500 - 600 Employee

• Research Analyst

  • Aug 2019 - Mar 2020

  • Perform account balance and payroll reconciliations to ensure accurate reporting for bi-weekly/monthly reports • Process payroll, including updating employee wages, overtime wages, and hours • Prepare basis summaries for employer wages received • Entered adjustments in V3 system for regular and home care employers to ensure contributions were balanced per employee • Perform account balance and payroll reconciliations to ensure accurate reporting for bi-weekly/monthly reports • Process payroll, including updating employee wages, overtime wages, and hours • Prepare basis summaries for employer wages received • Entered adjustments in V3 system for regular and home care employers to ensure contributions were balanced per employee



VNS Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Reconciliation Analyst

  • Jul 2017 - Feb 2019

  • Conducted 100% review of all enrollments and disenrollments for MLTC, Medicare and FIDA• Reviewed and reconciled daily Maximus files, State Roster Files and DTRRs to confirm enrollment/disenrollment transactions and report changes to Visiting Nurse Service staff• Confirmed eligibility is correctly reflecting in all data systems according to State Plan Policies• Prepared financial reports by collecting, analyzing, and summarizing account information and trends• Calculated monthly commission payments for internal sales reps and sales managers • Created ad-hoc reporting, analyzed, and made recommendations regarding analysis to the sales team, management, and Vice President • Conducted internal audits for surplus related processes: invoices, welcome calls, and disenrollments due to non-payment of surplus• Reconciled Bank Statements and Payment Reports to confirm that patient and insurance payments are properly posted to support financial goals for the department• Acted as a liaison between The Visiting Nurse Service and external agencies involved in the enrollment/disenrollment reconciliation process (Maximus, HRA, and DSS) Show less

• Medicaid Recertification Coordinator

  • Dec 2015 - Jun 2017

  • Reviewed patient referrals and determined eligibility for Medicaid• Assisted members and/or primary caregivers in the completion of the Medicaid application• Submitted documentation to the Human Resource Administration (HRA) and Department of Social Services (LDSS) within specified time frame to assure Medicaid coverage for member• Ran daily and weekly invoice reports for customers using Oracle • Coordinated account escalation process for delinquent accounts, in conjunction with credit department and supervisory staff• Researched Medicaid through eMEDNY and EPACES• Monitored Medicaid re-certification time frame for each active Medicaid member• Assisted members with any inquiries regarding surplus payments and fee assessments when patient claimed hardship• Prepared weekly productivity and awaiting coverage reports for management to review• Sent out Medicaid Recert packets to members in preparation for their recertification• Submitted Stenson, Milestone, and PA applications to HRA for SSI members who have lost coverage Show less

• Enrollment Specialist

  • Aug 2015 - Nov 2015

  • Reviewed and processed new Medicare enrollment and plan change requests• Ensured that enrollment data is processed in accordance with CMS guidelines• Identified errors and discrepancies with application data and worked with sales team on resolutions• Provided support to internal and external sales staff in the area of enrollment eligibility, membership queries, and application processes• Prepared daily sales and enrollment reports for distribution to program staff to be used for financial planning and monitoring of internal/external sales reps progress• Ensured plan acknowledgment correspondence is sent to all applicants on a timely basis - Creating and distributing letters within specified timeframes Show less

• Member Services Representative

  • Feb 2013 - Jul 2015

  • Provided efficient and courteous customer service through telephone contact• Articulated general program information to the community and resolved customer grievances • Performed outbound calls to members for problem resolution• Activated OTC cards and provided resources to members in regards to OTC inquiries • Reinstated HHA services and worked in close liaison with care coordinators• Ordered supplies for members through the EOS system and OTC Network• Researched and resolved claim issues (medical billing)• Screened and distributed all incoming faxes and mail Show less



Frederick Goldman, Inc.

• United States
• Retail Luxury Goods and Jewelry
• 1 - 100 Employee

• Memo Control Assistant/Merchandising Assistant (MetStaff Temp)

  • Feb 2012 - Jan 2013

  • Review of memo sales reports and memo shipment confirmations • Memos verified for accuracy, sorted, logged and delivered to the appropriate departments • Issued invoices and monthly customer statements to customers • Processed credit memos and updated customer file changes into AS400 database • Printed jewelry tags and proofread the pricing, weight, karat size, and other information to match the AS400 database operating system • Data entry of merchandise into various excel spreadsheets • Quality control of samples to ensure the new merchandise matches the prototypes • Inventory management control and reconciling all styles periodically Show less



CGI

• Canada
• IT Services and IT Consulting
• 700 & Above Employee

• Accounts Receivable Specialist

  • Aug 2007 - Jan 2012

  • Provided administrative support for the payment department to include researching and responding to payment claims, credit balances, and system adjustments • Collected payments made for subway violations through cashier and lockbox, including preparing and recording all bank and safe deposits • Prepared and maintained customer account reconciliation schedules • Provided clerical support for the payment department to maintain department records • Maintained weekly 500+ report for overdue accounts • Provided customer service via telephone & in-person Show less