Resume

Email

smandell@sapphyre.org

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