HealthFirst TPA
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HealthFirst TPA Employees
Orange Business Services May 2014 - Present
BHP Billiton May 2014 - Present
MS Benbow & Associates 2012 - 2013
HealthFirst TPA 2007 - 2011
Arcata Associates 2005 - 2007
Skills
Cisco Certified, CCNA - R&S, CCNP - R&S, CCNA - Voice, CCNP - Voice, CCNA - Security, VPN, Cisco Technologies, Networking, Firewalls, Cisco IOS, Troubleshooting, Switches, LAN Switching, Cisco ASA, BGP, Computer Network..., Network Engineering, Cisco Routers, Cisco Security, Network Security, Routers, WAN, Cisco Call Manager, TCP/IP, OSPF, EIGRP, LAN-WAN, Routing, ASA, Cisco Nexus, VLAN, RIP, VoIP, Routing Protocols, IPSec, HSRP, DHCP, Catalyst Switches, Cisco VoIP, Spanning Tree, Cisco UCS, H.323, SIP, ISDN, Data Center, Ethernet, Switching, Frame Relay, CCNA
Education
ITT Technical Institute-Saint Rose 2003 — 2005
Associate of Science (AS), Computer Systems Networking and Telecommunications
Louisiana State University 2001 — 2003
Computer Science
BASHealth March 2015 - Present
n/a freelance December 2014 - March 2015
HealthFirst TPA September 2013 - June 2014
Boon-Chapman March 2011 - December 2013
Public Consulting Group July 2012 - September 2013
Boon-Chapman January 2010 - March 2011
Boon-Chapman January 2006 - January 2010
Boon-Chapman January 2003 - January 2006
Boon-Chapman June 2001 - January 2003
Skills
Microsoft Office, Financial Analysis, Process Improvement, Data Analysis, Insurance, System Administration, Sales Process, Healthcare, Data Modeling, Business Intelligence, Customer Service, Analysis, Management, Strategic Planning, Project Management, Business Analysis, Business Development, Account Reconciliation, HIPAA, Leadership, Accounting, Team Building, Strategy
Education
University of Texas 2015 — 2016
Master of Business Administration (MBA), Health/Health Care Administration/Management
Texas State University-San Marcos 2009 — 2011
BBA, Finance
Jos. A. Bank Clothiers October 2011 - Present
HealthFirst TPA June 2010 - August 2011
Sterling Life Insurance Company January 2009 - November 2009
Sterling Life Insurance Company October 2002 - January 2009
Sterling Life Insurance Company January 2002 - October 2002
Sterling Life Insurance Company April 2001 - January 2002
Tele-Touch Communications 1999 - 2001
East Texas Medicare Plan 1998 - 1999
New York Life Insurance Company 1996 - 1998
Skills
Microsoft Office Expert, Healthcare Compliance, Sales Management, Database Development, Medicare, Training, Sales, Leadership, Employee Benefits
Education
Carthage High School
Panola College
Associate - Business, Accounting
The University of Texas at Austin
Chemical Engineering
Centene Corporation May 2014 - Present
healthfirst tpa February 2011 - Present
Sterling Trust, Co December 2009 - February 2011
Skills
Insurance, Customer Service, Microsoft Office, Microsoft Excel, Strategic Planning, Risk Management, Project Management, Business Analysis, Microsoft Word, Health Insurance, Process Improvement, Change Management, PowerPoint, Team Building, Employee Benefits, New Business Development, Customer Satisfaction, Call Centers, Investments, Troubleshooting
Education
Tarrant County College
Wood Jr College
EPSI TPA March 2014 - Present
Lone Star TPA March 2014 - Present
Lone Star TPA August 2011 - March 2014
HealthFirst TPA March 2000 - August 2011
Zurich Kemper April 1999 - March 2000
Hinton and Associates 1993 - 1999
Skills
Excellent Communication, Attention To Detail, Hard Worker, Problem Solving, Employee Benefits, Customer Relations, Health Insurance, Microsoft Office, Account Management, Benefits, Limited Benefit Plans, COBRA, Enrollment Management, Benefits Design, Strategic Thinking, Brokers, Term Life Insurance, PPO, Life Insurance, Self-funded, Marketing, Health Care Reform, Healthcare, Benefits Administration, Open Enrollment, Reinsurance, Provider Relations, Employee Relations, Critical Illness, New Business Development, FSA, Disease Management, Disability Insurance, Customer Service, ERISA, Claim, Training, Health Savings Accounts, Workers Compensation, Underwriting, Long-term Care, Group Insurance, HMO, Medicare, Management, Managed Care
Education
Tyler Junior College 1998 — 2003
Psychology
Robert E. Lee High School 1990 — 1994
HealthFirst TPA July 2001 - Present
Skills
Claim, Management, Process Improvement, Auditing, Insurance, Leadership, Health Insurance, Training, Business Analysis, Healthcare, Analysis
Education
LeTourneau University 2009 — 2011
Elementary Education and Teaching
HealthFirst TPA January 2015 - Present
Mercer June 2005 - April 2008
SBPA System March 2002 - June 2005
Skills
Health Insurance, Disability Insurance, Benefits Administration, Employee Benefits, Health Savings Accounts, Insurance, Underwriting, COBRA, Healthcare Information..., Managed Care, Life Insurance, Medicare, Brokers, Claim, Workers Compensation
Education
Sam Houston State University 1997 — 1998
BBA, Business Management
Stephen F. Austin State University
HealthFirst TPA December 2006 - Present
Education
The University of Texas at Austin 1990 — 1993
Bachelor’s Degree, Registered Nursing/Registered Nurse
Whitehouse High School 1985 — 1989
HealthFirst TPA May 2010 - Present
HealthFirst TPA May 2010 - March 2012
Bank of America February 2004 - August 2008
Education
University of Texas at Tyler 2004 — 2010
Bachelors in Business Administration, Marketing
Texas Tech University 2003 — 2004
Associates, General Studies
The University of Texas at Tyler May 2010
Bachelor, Business Administration; Marketing
Century Industrial Coatings June 2015 - Present
HealthFirst TPA June 2013 - June 2015
Lamar Advertising April 2010 - May 2013
Bill Hudson and Associates March 2007 - April 2010
AutoZone Liberty Bowl August 2006 - January 2007
Skills
Social Media, Marketing Communications, New Business Development, Strategic Planning, Email Marketing, Negotiation, Selling, Budgets, Customer Service, Contract Negotiation, Sales Management, Salesforce.com, B2B, Management, Direct Sales, Leadership, Human Resources, Press Releases, Business Development, Market Research, Retail, Online Marketing, Team Building, PowerPoint, Small Business, Microsoft Excel, Product Marketing, Training, Social Networking, Public Speaking, Microsoft Office, Outlook, Marketing, Marketing Strategy, Sales
Education
The University of Memphis 2004 — 2006
Sport Marketing, Marketing
University of Mississippi 1999 — 2001
Accounting
TK GORMAN 1991 — 1999
Employer Plan Services Inc January 2015 - Present
Lone Star TPA September 2011 - December 2014
HealthFirst TPA August 2010 - September 2011
HealthFirst TPA March 2010 - September 2010
HealthFirst TPA September 2003 - June 2010
Service Group Insurance July 2001 - July 2003
Service Group Insurance August 1999 - July 2001
Skills
Insurance, Claim, Customer Service, Employee Benefits, HIPAA, Human Resources, Underwriting, Management, Personnel Management, Claims Management, Health Insurance, Leadership, Benefits Administration, Marketing, Team Building, Healthcare, Workers Compensation, New Hire Orientations, Medicare, COBRA
Education
Texas Tech University 1995 — 1999
Bachelor of Arts (B.A.), Sociology and Anthropology
Texas Tech University 1994 — 1999
B.A, Anthropology; Minor Sociology
Employer Plan Services Inc. April 2013 - Present
Parallon Business Solutions December 2012 - April 2013
CVS Pharmacy October 2012 - November 2012
HealthFirst TPA June 2008 - October 2011
Coventry Health Care May 2007 - June 2008
Aon Hewitt January 2005 - January 2007
Eckerd 1999 - 2002
Skills
Pharmacology, Medical Terminology, Managed Care, Microsoft Office, Medicare/Medicaid..., Medicare Advantage, Medicare Part D, Microsoft Word, Microsoft Excel, HIPAA, Benefits Administration, Pharmacy Benefit..., Health Insurance, COBRA, ICD-9, Claims Resolution, Eligibility, Prescription Drugs, Prescription, Call Center, Customer Service, Prior Authorization, Healthcare
Education
Houston Community College 2010 — 2012
Associate in Arts, Business Administration and Management, General, 3.87
EES Allied Health Careers 1995 — 1995
Pharmacy Technology Certificate, Pharmacy Technology
Stephen F. Austin State University 1990 — 1993
Accounting and Business/Management
JI Companies May 2013 - Present
JI Companies March 2013 - April 2013
JI Companies February 2012 - March 2013
Healthfirst TPA July 2009 - January 2012
Skills
Customer Relations, Outlook, Call Center, Telephone Skills, Microsoft Office, Word, PowerPoint, Benefits Administration, Data Entry, Insurance, Employee Benefits, Workers Compensation, Call Centers, Claims Management, Claim Investigation, Health Insurance, Medicare
Education
Mississippi State University 1991 — 1995
Bachelors of Science, Psychology
HealthFirst TPA April 1985 - Present
HealthFirst TPA 2011 - 2014
Acordia Benefits of Texas- Anthem January 1985 - January 1996
Skills
Certified Patient..., Licensed Agent for..., Health Insurance, Insurance, Employee Benefits, PPO, Life Insurance, Health Care Reform, HIPAA, General Insurance, Reinsurance, Healthcare Industry, Managed Care, Healthcare, Strategic Planning, Health Savings Accounts, Disability Insurance, Customer Service
Education
Trinity Valley Community College 1977 — 1979
LaPoynor High School 1965 — 1977
HealthFirst TPA October 2013 - Present
HealthFirst TPA March 2013 - October 2013
HealthFirst TPA October 2011 - March 2013
Claims Administrative Services, Inc. October 2003 - August 2011
Aetna April 1997 - October 2003
Aetna October 1993 - April 1997
Skills
Health Insurance, Claims, Customer Service, Excel, Microsoft Office, Word, Call Center, Insurance, PowerPoint, Outlook, Data Entry, Telephone Skills, Mentoring, Teamwork, Billing, Accounts Receivable, Documentation, Negotiation, Quickbooks, Retail, Invoicing, Spreadsheets, Workers Compensation, Medical Cost Containment, Client Liason, Microsoft Excel, Claim, Microsoft Word, Software Documentation, Call Centers, QuickBooks, Claims Handling, Training, Claim Investigation, Workers' Compensation..., Reinsurance, Claims Resolution, PPO, Medicare, General Insurance, Liability, Casualty, Subrogation, Legal Liability, Claims Management, Medical Billing, Property Damage, Managed Care, Employee Benefits, Management
Education
Tyler Junior College 1983 — 1991
Accounting
The Outsourse Group May 2012 - September 2014
HealthFirst TPA 2007 - October 2012
HealthFirst TPA 2001 - 2007
Skills
Insurance, General Insurance, General Lines Agent..., Adjuster All Lines..., Customer Service, Health Insurance, Claims Processing, Auditing, Team Building, Budgets, Leadership Development, Event Planning, Event Management, Editing, Inventory Management, Leadership, Team Leadership, Microsoft Office, Public Speaking, PowerPoint, Photoshop, Quality Assurance, Training, Volunteer Management, Youth Development, Claim
Education
Unversity of Houston 1981 — 1983
BA
New Mexico Military Institute 1979 — 1981
AA
HealthFirst TPA September 2006 - Present
Aetna March 1985 - June 1995
Education
LeTourneau University 2009 — 2011
HealthFirst TPA November 2014 - Present
Centene Corporation May 2013 - November 2014
Skills
Healthcare, Public Speaking, Nursing, Microsoft Excel, Supervisory Skills, Microsoft Word, Hospitals, PowerPoint, Clinical Research, Research, Data Entry, Healthcare Management, Cpr Certified, Medicaid, Medical Terminology, Healthcare Information..., HIPAA, Medicare, Medical Billing, Insurance, Health Insurance, Access, Claim, Medical Coding, ICD-9, Analysis, Employee Benefits, Outlook, CPT, Strategic Planning, Managed Care, Customer Service, Process Improvement, Data Analysis, Software Documentation, Call Centers, Provider Relations, Program Management, Medical Records
Education
Tyler Junior College 2006 — 2009
Nursing Science
Gregory-Portland High School