Accounting Assistant

Quentin M Caldwell

**** ********** ***** ********** *****, VA 23062 Phone: 804-***-****

****************@*****.***

Objective

My desired goal is to obtain employment where I will be an asset a company. With an interest of being a Entry Level accountant.

Ability Summary

●Data Entry, Typing and Computer skills in Microsoft Office (Word, PowerPoint, Excel, and Outlook)

●Basic knowledge of accounting

●Experienced in government documentation methods

●Customer Service Skills, Phone and Business Etiquette

●Expense reduction

●Analytical skills

●Familiar with QuickBooks

Employment History

Claims Analyst II

09/27/2021-Present Elevance Health

Paying GBD and Medicare Health with Dental claims that come in through a queue. Checking on benefits, checking on insurance, and determining if any claim should be processed as is or needs to be modified. Analyzing, researching and Utilizing Codes to process claims forms for payment ensuring all information is supplied before eligible payments are made. Worked in markets: Virginia VAMM, VA LTSS, Texas LTSS, Missouri and Wisconsin. While working in a market, I assisted with another market when assistance was needed. Recently received a reward for processing claims with accuracy and processing above production requirements. Have consistently met or exceeded my PPD (Downtime Tracker) requirements.

Claims Processor

08/2020-09/03/2021 WPS Solutions

Process all Military and Veterans Health (MVH) claims from receipt through resolution in accordance with MVH regulations, guidelines, and quality standards, with expertise in coordination of benefits (COB), eligibility, and claims development. Analyze claims to determine if eligibility requirements and claim filing requirements are met and make determinations. Calculate Other Health Insurance (OHI) COB amounts using the data from claims such as the EOB or prior payment information given. Identify when to pend to other departments based on guidelines. Process all claim types by determining corrective action to be taken on various types of errors pended by the system and resolving interactive edits. Translate, research, and verify claim information to determine if all requirements have been met. Review submitted claim information and select correct procedure code and diagnosis code using ICD-9, ICD-10, CPT4, and HCPCS manuals. Deal tactfully with people in a wide variety of situations to convey a favorable corporate image. Adjudicate specialty claims including, but not limited to, pharmacy, ambulatory surgery, skilled nursing, dental, anesthesia, medical assistance, reprocessed claims or duplicate claims.

Data Entry Clerk

01/2020 – 04/2020 Riverside Business Office

Sort the data and prepare it for transferring it to a computer system. Prioritize and decide which project to handle first. Use standard procedure to process documents and information. Handle data entry procedures and use different program techniques to transfer data into computer systems. Review, sort, delete and change data. Verify documents in correct typos and grammatical errors. Keep the confidentiality regarding the project and information handled and enter information into the computerized database.

Accounts Payable Coordinator

01/2019 – 04/2019 Ferguson Enterprises Newport News, VA Prepare vendor invoices for payment, identify, review and reconcile discrepant accounts payable times in a timely and expeditious manner, provide elevated levels of support to the branches at Month End as well as Mid-Year and Year-End, identify trends and recommend solutions to improve overall performance and efficiency within assigned locations, provide unparalleled customer service to both internal and external customers, organized and prioritized work, manage and analyzed large amounts of data.

Invoice Data Entry Clerk

04/2013 – 12/2018

C & F Enterprises Inc.

Newport News, VA

Routing, shipping and processing invoices for sales orders, transported shipping documents to and from warehouse and office, reviewed and verified freight bills, created direct bills for payments, addressed issues and concerns with the damage claims processing, generated shipping labels for accurate delivery of product, assisted sales team with order printing, processing and inventory control, utilizing and working with multiple computer systems, supported a safe working environment and safe work habits and assisted and conducted other duties, responsibilities and qualifications for other

assignments/needed help.

CSR/Assistant Manager

10/2009 - 12/2011

Domino's Pizza

Williamsburg, VA

Provide managerial assistance to the store's General Manager keeping sales rising, opening, closing the store, keeping account of inventory and the use of food, counting money for the end of the night for dropping off nightly cash deposits and running and implementing operating standards in the restaurant. Counted out driver’s cash receipts to log into the computer system. Handling customer complaints and

implementing a problem solving solution.

Education and Training

Completion Date

Issuing Institution

Location

Qualification

Course of Study

04/05/2013

Everest College

Newport News, VA

Associate's Degree

Accounting

11/23/2007

Gloucester High

VA

High School Diploma

General High School Curriculum

Honors & Activities

Have Obtained: Four Presidents List, Two Deans List, and Six Perfect In-Person Attendance Awards from Everest College.

Professional Traits

●Hardworking

●High Ethics, High Personal Standard

●High Work Ethic

●Job and Task Focused

●Highly Customer Service Oriented

●Professional in Appearance and Manner

●Leader/Trainer

●Accurate and Accountable

●Work with Integrity

●Always Professionally Developing

●Follow all rules, regulations, procedures, methods, policies, codes, instructions and laws.

Detailed References

Eddie M. Briley, Jr. **********@*****.*** 757-***-****

Carina Holligan ******.********@*****.*** 757-***-****

Bernard Everette **************@*****.*** 757-***-****

linkedin.com/in/bernard-everette-949035a0

Contact this candidate