jack holland resume 11 2016

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Page 1: Jack Holland Resume 11 2016

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

Page 2: Jack Holland Resume 11 2016

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

Page 3: Jack Holland Resume 11 2016

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