Cynthia E Gordon's Resume
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CYNTHIA GORDON [email protected] http://cynthiagordon.blogspot.com 949-380-8426
Summary Focused, self-starter and team player with extensive experience in Health, COBRA, Flex and Life Insurance. Utilize Lean Six Sigma practices to improve processes and maintain excellent organizational skills in analyst, billing, support and proposal writing roles. Experience in various industries and roles including, underwriting, accounting, administrative and purchasing.
Skills and Qualifications • • • •
Complete tasks on a timely basis Efficient Resourceful Work well in a fast-paced environment
• • • •
Ability to work with all levels of management ICD-9 and CPT coding Medical Billing &Terms Audit/Reconciliation
Employment History CONEXIS, a division of Word & Brown
8/2005 - Present
Technical Support Specialist
• • • • • • • •
Improved productivity turn-around time for a nationally recognized COBRA & Flexible Spending TPA from 60 days to 60 minutes Perform detailed analysis of submitted Requests for Proposal with minimal supervision Drafted written documentation with step–by–step instruction guides for a vast array of functions Update Flexible Benefit Web site with Reimbursement Account information for accurate claims payout Audit COBRA and FSA Multi-Carrier Eligibility and Billing reconciliation Produce Plan Documents for Section 125 Plans with CONEXIS, building rates, plans, and carriers Build contracts, scanning and sending those contracts for signature to the Contracting Department Ran daily Excel and Access reports for management on multiple projects
Beech Street
10/03 - 2005
Research and Resolution Medical Claims Analyst
• • • •
Reviewed provider contracts, auditing claims paid for accuracy Medical Claims Adjuster and Administration of HMO, TPA, IPA and PPO and commercial indemnity Managed care contract administration, reinstatements, renewals, new business and research Network development, including assisting in negotiating direct provider and ancillary contracts
Creative Consultants
2002-10/2003
Self-employed Consultant
• • • • •
Perform detailed analysis of submitted Requests for Proposal with minimal supervision, writing documents while using proposal language databases and other relevant sources Rate Analysis, writing proposals for Brokers and Marketing Representatives to enable quotes to groups Eligibility Supervisor for 35 employees, overseeing various teams, training, writing performance reviews, coaching and counseling employees Manager Account Reconciliation, A/R, Billing & Cash Application of premiums for Group & Individual accts. Improving Client Satisfaction by 600% by streamlining processes
Universal Underwriters Group
6/2001 – 9/2002
Commercial Physical Damage Auto Claims Adjuster
Command Components
1998 - 2000
Purchasing/ Buyer of computer components for a Distributor
Pacific Mutual Life Insurance Company Policy and Cash Management Technician
1994 - 1998
Bankers Trust for 250,000 General Motors 401K and 401A
1993 - 1994
Account Management
1989 - 1993
FHP, Inc. Eligibility Senior Plan Administration Supervisor, Policy Issue Analyst
1987 - 1989
BEST Plans A/R, Billing, Eligibility, Prescription Drug Administrator
Communication Skills • • •
Computer liaison between programmers and end users, testing software updates Initiate original research and present findings at the regional and national convention levels Lecture on various topics to local community groups and educational institutions
• • • • • • •
RIMS Citrix SharePoint AS400 Caprice CK4 Filenet
Computer Program Skills • • • • • • •
Image Right Alis Palm Vantage Mac and PC proficient Microsoft Office Oracle
• • • • • •
MS Word Internet research PFS Write Quicken Proprietary software Database administrator
Education and Training • • • • •
Indiana State University M.A. in Industrial Psychology Arizona State University B.A. in Psychology and Business Administration Completed COBRA Certification courses while employed at CONEXIS o Achieved Company’s highest scores Industry specific coursework including LOMA, HIAA, Medical Terminology/Insurance Billing, ICD-9 & CPT coding Lean Six Sigma White Belt Training
Summary Focused, self-starter and team player with extensive experience in Health, COBRA, Flex and Life Insurance. Utilize Lean Six Sigma practices to improve processes and maintain excellent organizational skills in analyst, billing, support and proposal writing roles. Experience in various industries and roles including, underwriting, accounting, administrative and purchasing.
Skills and Qualifications • • • •
Complete tasks on a timely basis Efficient Resourceful Work well in a fast-paced environment
• • • •
Ability to work with all levels of management ICD-9 and CPT coding Medical Billing &Terms Audit/Reconciliation
Employment History CONEXIS, a division of Word & Brown
8/2005 - Present
Technical Support Specialist
• • • • • • • •
Improved productivity turn-around time for a nationally recognized COBRA & Flexible Spending TPA from 60 days to 60 minutes Perform detailed analysis of submitted Requests for Proposal with minimal supervision Drafted written documentation with step–by–step instruction guides for a vast array of functions Update Flexible Benefit Web site with Reimbursement Account information for accurate claims payout Audit COBRA and FSA Multi-Carrier Eligibility and Billing reconciliation Produce Plan Documents for Section 125 Plans with CONEXIS, building rates, plans, and carriers Build contracts, scanning and sending those contracts for signature to the Contracting Department Ran daily Excel and Access reports for management on multiple projects
Beech Street
10/03 - 2005
Research and Resolution Medical Claims Analyst
• • • •
Reviewed provider contracts, auditing claims paid for accuracy Medical Claims Adjuster and Administration of HMO, TPA, IPA and PPO and commercial indemnity Managed care contract administration, reinstatements, renewals, new business and research Network development, including assisting in negotiating direct provider and ancillary contracts
Creative Consultants
2002-10/2003
Self-employed Consultant
• • • • •
Perform detailed analysis of submitted Requests for Proposal with minimal supervision, writing documents while using proposal language databases and other relevant sources Rate Analysis, writing proposals for Brokers and Marketing Representatives to enable quotes to groups Eligibility Supervisor for 35 employees, overseeing various teams, training, writing performance reviews, coaching and counseling employees Manager Account Reconciliation, A/R, Billing & Cash Application of premiums for Group & Individual accts. Improving Client Satisfaction by 600% by streamlining processes
Universal Underwriters Group
6/2001 – 9/2002
Commercial Physical Damage Auto Claims Adjuster
Command Components
1998 - 2000
Purchasing/ Buyer of computer components for a Distributor
Pacific Mutual Life Insurance Company Policy and Cash Management Technician
1994 - 1998
Bankers Trust for 250,000 General Motors 401K and 401A
1993 - 1994
Account Management
1989 - 1993
FHP, Inc. Eligibility Senior Plan Administration Supervisor, Policy Issue Analyst
1987 - 1989
BEST Plans A/R, Billing, Eligibility, Prescription Drug Administrator
Communication Skills • • •
Computer liaison between programmers and end users, testing software updates Initiate original research and present findings at the regional and national convention levels Lecture on various topics to local community groups and educational institutions
• • • • • • •
RIMS Citrix SharePoint AS400 Caprice CK4 Filenet
Computer Program Skills • • • • • • •
Image Right Alis Palm Vantage Mac and PC proficient Microsoft Office Oracle
• • • • • •
MS Word Internet research PFS Write Quicken Proprietary software Database administrator
Education and Training • • • • •
Indiana State University M.A. in Industrial Psychology Arizona State University B.A. in Psychology and Business Administration Completed COBRA Certification courses while employed at CONEXIS o Achieved Company’s highest scores Industry specific coursework including LOMA, HIAA, Medical Terminology/Insurance Billing, ICD-9 & CPT coding Lean Six Sigma White Belt Training
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