jack holland resume 11 2016
TRANSCRIPT
Jack Holland 1309 S. Lake Ridge Lane, Mustang, Oklahoma | M: 405-820-7189 | [email protected]
Professional Summary
2 Years’ experience with Healthcare Electronic Claims and Remittances. 2 Years’ Experience with Healthcare
Provider Enrollment. 9 Years' experience as Automotive Physical Damage Estimator and Licensed Insurance Adjuster. Previously Surety bonded in majority of the United States. Passed INS 21, 22 and AIC 33 State Insurance
Exams. I-Car Platinum Certified. 12 + years' Sales experience in Distribution, Retail and Capital Expenditure . Factory
Trained in Manual and Automatic Binks, Devilbiss, Nordson, Wagner and Graco Liquid and Powder Coating and fluid
transfer systems.
Licenses
Previously held State Insurance Adjusters License in the majority of the United States for 9 years.
Skill Highlights
Proficient with Microsoft Office Products
9 years of Management Experience
Small Business Ownership Experience
Sales Inside and Outside. Retail, Wholesale and Capital Expenditure
Healthcare Provider Enrollment
Healthcare Electronic Data Interchange
Auto Physical Damage Adjuster
I-Car Platinum Certified
Manufacturing Production
Manufacturing Systems Sales
Manufacturing Systems Engineering
Manufacturing Systems Construction
Corporate Trainer
Professional Experience
09/2015 – 07/2016 Revenue Management Solutions | Oklahoma City | Provider Enrollment Rep
Responsible for restructuring the entire process to provide stability and confidence for our
clients Cleaned up previous enrollments and provided a go forward path that included
transparency for our clients.
Responsible for all enrollments and communications to Implementations and Customer
Support Teams Worked with the largest banks in the nation to complete the enrollment
process for their clients.
Educated all team members about the process.
Provided an organized environment that helped the entire process handle additional
production with improved quality.
Built a Microsoft Access Database to keep all payer data and clearinghouse connection
information in one place.
Worked with and managed trading partner employees to help provide a path for success and stability in the process.
09/2014 – 09/2015 Trizetto Provider Solutions/Claim Logic | Oklahoma City | Provider Enrollment Rep
Complete online and paper forms for 835 ERA and 837 Professional and Institutional ansi 5010 transactions.
Complete large client implementation provider enrollments
Research payer requirements and forms for enrollment
Work with Hospital Directors to complete enrollments before turning them over to our Service Delivery Managers
11/2012 – 09/2014 Trizetto Provider Solutions/Claim Logic | Oklahoma City | Customer Service Representative
Enroll New Providers for to send electronic claims and receive 835 electronic remittance advice reports from payers.
Monitor clients files Troubleshoot claims rejection and missing era issues
Work with clients that send print image, 4010 and 5010 transactions
Work with payers to solve claims issues
Automated Reporting Team Help design new processes to automate reports Research and Develop process improvements Responsible for ranking and implementing process improvement ideas from staff
Provide return on investment report to management for process improvement project
Work with I.T. to research and develop new processes that require computer programming
Work with management to implement process improvements Communication Team Design notification/communication methods for our company to our clients Design
and automate outgoing emergency notification/communications to clients and staff Work with Management and to complete proper notification/communication messages to clients
Train new clients
Professional Experience (Continued)
07/2012 Farmers Insurance | Oklahoma City | DRP Auto Physical Damage Estimator
08/2003 – Review auto physical damage repair estimates prepared by approved direct repair
facilities
Approve or request changes based on company, industry best practices and state laws
Set rental expectation
Approve or deny payment requests from auto repair facilities
CCC estimating platform and portal
02/1995 – 12/2001 Industrial Finishing Systems / Industrial Installations | Mustang Oklahoma | Owner
Sell Manual Liquid and Powder Coating systems Represented Nordson Liquid and Powder Coating systems, InfraRed Technologies, Spray Booth
Systems and George Koch and Sons
Make sales calls with factory equipment and material reps
Call on over 500 Manufacturers in Oklahoma, Kansas, Missouri, Arkansas and Texas Work with Line Operators, Managers, Engineers, Plant Managers, Purchasing Agents, Vice
President and Presidents
Design small manual up to fully automated systems
Construct and maintain systems Designed Consulted and maintained systems for manufacturers like Boeing Aircraft, Cessna Aircraft,
Briggs and Stratton, General Motors, Kwikset, Sundowner Horse Trailer etc.
Education and Training
08/1978 –05/1982 Capitol Hill High School | Oklahoma City, OK
Additional Information
3 Company recognitions from Trizetto/Claimlogic
Farmers Platinum and Gold award for 3 consecutive months of perfect Quality Assurance
scores.
Farmers E-Kudos for individual 100% Quality Assurance Scores.
Nordson Distributer Achievement Award 1998, 1999 and 2000