Education
University of North Texas, Denton, Texas
Bachelors of Arts, Radio Television Film
Skills
Attention to detail, excellent customer service skills, Proficiency in Microsoft Office Applications, Windows Operating System, Mac OS X , AppleWorks, Apple iWork,, Linear editing, Non-linear editing, Broadcast copy-writing, studio production, lighting design, set design, sound and light board operation, video switcher, TelePrompTer, set construction
Experience
Health Savings Account Claims Support Specialist and Spending Account Department Administrator, Highmark Blue Cross Blue Shield of Pennsylvania, Pittsburgh, PA
October 2012 to Present
As a claims processor I substantiate claims sent in for members flexible spending accounts. I must not only process the claims according to the members’ health plan rules but also the rules set aside by the IRS. The substantiation includes both reimbursement requests to the member and verification of a eligible expense being paid through the member’s debit card for their accounts. Health spending accounts include HSA (Health Saving Account), FSA (Flexible Spending Account) and HRA (Health Reimbursement Account) account and they vary based on plan set by both the member’s company and the IRS. This job uses extensive research skills to look up procedures to make sure they are eligible and also look in our claims system to verify if the corresponding claim is eligible based on the payment type (co-pay, deductible, coinsurance).
As administrator for the department I am in-charge of mailing letters and claims to our imaging company, overpayment letters to provider and members, ordering supplies, and keeping track of all theses items on easy to understand spreadsheets.
Clerk 4 Imaging Clerk and Spending Account Department Administrator, Highmark Blue Cross Blue Shield of Pennsylvania, Pittsburgh, PA
January 2010 to October 2012
As an image verification specialist I preform many duties. I am primarily responsible for the electronic verification of Highmark’s Medsave claims product line. By doing this I verify the information on an image so that it may be entered into our claims system for the adjudication by our claims administrators. In addition to verifying images I also run daily claims import reports for verification that the claims I verified were indeed imported into the system. I also work with our systems staff to resolve any issues that may arise with the import process. I am also on occasion called upon to prepare incoming mail for scanning into our claims system. In doing this I tape down receipts and other small pieces of claim documentation so that it can go through a scanner as smoothly as possible.
Image Verification Specialist, Employee Benefits Data Services (a Highmark Blue Cross Blue Shield Company), Pittsburgh, PA
June 2008 to January 2010
As an image verification specialist I preform many duties. I am primarily responsible for the electronic verification of EBDS’ Medsave claims product line. By doing this I verify the information on an image so that it may be entered into our claims system for the adjudication by our claims administrators. In addition to verifying images I also run daily claims import reports for verification that the claims I verified were indeed imported into the system. I also work with our systems staff to resolve any issues that may arise with the import process. I am also on occasion called upon to prepare incoming mail for scanning into our claims system. In doing this I tape down receipts and other small pieces of claim documentation so that it can go through a scanner as smoothly as possible.
Pittsburgh National Conference Worker, National Fraternal Congress of America, Pittsburgh, PA
September 6, 2007 and September 7, 2007 (as an assignment thru Stivers)
As a conference worker I assisted attendees with retrieval of their badges and conference event tickets. I also helped attendees with the selection of tables for the banquet at the end of the conference.
Temporary General Office Worker, Stivers Staffing Services (Temporary Agency)
May 2007 – May 2008
Chicago Title Insurance Company, Pittsburgh, PA March 26, 2007 – May 14, 2007
Continental Office Environments, Homestead, PA June 7, 2006 – June 15, 2007
Visit Pittsburgh, Pittsburgh, PA June 26, 2007
Stivers Staffing, Pittsburgh, PA July 2, 2007
Jack Horner Communications, Pittsburgh, PA July 12, 2007 to August 31, 2007
The Design Alliance, Pittsburgh, PA September 4, 2007, September 10, 2007 to January 30, 2008
Continental Office Environments, Homestead, PA February 5, 2008 to February 15, 2008
Employee Benefits Data Services (a Highmark Blue Cross Blue Shield Company), Pittsburgh, PA February 18, 2008 to May 31, 2009
As a receptionist I answered up to thirteen phone lines and kept track of up to 80 extensions, took phone messages, transferred phone calls, greeted guests and signed for packages. I also made calls for courier pickups, processed outgoing shipments, and separated incoming mail and packages to be delivered to different members of the company. I also did word processing for various different people or put together mailings as was requested. In addition to my administrative work, at Jack Horner Communications, I also assisted the accounting department with the printing of purchase orders, project budgets, and open project reports. I also assisted with the check run and the organizing and retrieval of invoices from various vendors. As part of my accounting assisting I used Creative Manager to look up project numbers invoices and vendor information.In addition to the accounts payable duties, I also helped file away invoices for customers plus the mailing of said invoices. I also was responsible for completing any promotional product orders that came my way.
District Manager, Body Basics; Tarentum, Pennsylvania
June 2005-September 2006
Customer Service Representative for DirecTV, Precision Response Corporation; West Mifflin, Pennsylvania
October 2004-February 2005
Market Research Associate, Engaged Market Research Services; West Mifflin, Pennsylvania
October 2003-October 2004
Retail Merchandiser, Archway Merchandising Services; Pittsburgh, Pennsylvania
June 2003-December 2003
Production Assistant/Head of Birthday Parties, Robot Club and Grille; North Huntingdon, Pennsylvania September 2002-April 2003
Bakery Associate, Panera Bakery Cafe; Denver Colorado
September 2001 to October 2001
Radio Board Operator, KKFN The Fan; Denver, Colorado
August 2001 to October 2001
Gift Consultant, Things Remembered; Denton, Texas
May 2001 to August 2001
Night Desk Clerk, University of North Texas Housing Mozart Hall; Denton, Texas
January 2001 to August 2001
Valet parking attendant, Preferred Parking; Dallas, Texas
September 2000 to May 2001
Intern, WFAA-TV Sports Department; Dallas, Texas
August 2000 to May 2001
Crew Member, Redline Productions; Arlington, Texas
September 2000 to October 2000
Temporary Promotional Crew, Firefly Records; Frisco, Texas
August 4, 2000 to August 7, 20000
Sales Associate, Ross Dress for Less; Lewisville, Texas
March 2000 to August 2000
Receptionist, University of North Texas College of Music; Denton, Texas
August 1998 to August 2000
Receptionist, University of North Texas English Department; Denton,Texas
June 1998 to August 1998
Hostess/Waitress, Rick’s American Grill; Denton, Texas
February 1998 to October 1998
Deli/Bakery Associate, Kroger Food Stores; Denton, Texas
August 1997 to November 1997
Waitress, Sioux Street Pub and Restaurant; El Paso, Texas
June 1997 to July 1997
Intramural Sports Official, University of North Texas Recreational Sports Department; Denton, Texas
September 1996 to May 1997