Name of Advisory Board/Committee: Applying For: First Name: Middle Initial: Last Name: Suffix: Address: City: Zip Code: Address: Home Phone:

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1 Alachua County Board of Commissioners Advisory Board Coordinator PO Box 2877 Gainesville, FL Telephone: , FAX: Confirmation #:3766 Name of Advisory Board/Committee: CHOICES Advisory Board Applying For: Citizen-at-Large First Name: Lisa Middle Initial: Last Name: Julseth Suffix: Address: 4723 NW 30th Ave City: Gainesville Zip Code: Address: Home Phone: (386) Work Phone: Ext: Occupation: Staff Specialist Place of Employment City of Gainesville Page 1 of 3

2 Education: Professional Organizations: Age (60 and over): Optional - Check the Race/Ethnic Group with which you identify: White Are you a resident of Alachua County? If yes, how long? 2 years If no, what county? Are you currently serving or have you ever served on an Alachua County advisory board? No If yes, please list board(s): Civic and Professional Accomplishments/Honors: Training or Experience Related to the Appointment: I have work with Health Insurance on both sides of the industry. Insurance company as a claims analyst and Insurance billing What contributions do you feel you could make if you were selected for this board? Some of the boards and committees appointed by the County Commission are required to comply with Chapter 112, Florida Statutes, the Financial Disclosure Law. If applicable, would you be willing to file the required financial statement? Appointees to advisory board/committees are required to attend scheduled meetings as specified in the "Guidelines for Citizen Advisory Boards and Committees". Do you affirm that your personal and business (if applicable) affairs within Alachua County are in substantial compliance with all county regulatory and taxing authorities rules and regulations? Page 2 of 3

3 I understand that this completed application is the property of Alachua County and I hereby certify that the statements made on this application are true and correct. Checked Page 3 of 3

4 Lisa Julseth 4723 NW 30th Ave Gainesville, Fl Cell (386) EMPLOYMENT HISTORY City of Gainesville, Gainesville, Florida Staff Specialist February, 2008 to Present -Human Resource Liaison for Division -Account Payable -Timekeeper - Payroll Specialist -Prepare and manage division correspondence ACG Therapy Center, Inc, Gainesville, Florida Billing Coordinator June, 2006 to December, Medicaid Electronic Billing -Other Insurance Billing (Medical Software Medisoft) -Patient Billing -Insurance Verification and Authorization -Accounts Receivable follow-up and collections Southside Baptist Church, Lake City, Florida Office Manager February, 2001 to June, A/R, A/P, and payroll -Budget Reporting -Receptionist -Weekly and Monthly Publications -Other various tasks Healthcore, Inc., Lake City, Florida Insurance/Billing Coordinator November, 1998 to February, Medicare and Medicaid Electronic Billing -Other Insurance Billing (Medical Software-PTOS) -Patient Billing -Insurance Verification and Authorization

5 -Accounts Receivable follow-up and collections Pan American Life Insurance, Atlanta, Georgia Group Health Insurance Claims Analyst March to December, Adjust and pay Medical/Dental claims -Short Term Disabilities Claims -Customer Service Representative for six major accounts -Investigate pre-existing health conditions on claimants -Knowledge of the following medical manuals, CPT Codes, ICD-9, PDR Transamerica Insurance Group, Atlanta, Georgia Workers Compensation Claims Processor March, 1987 to March, Investigate work related injuries -Adjust and pay medical claims Administrative -Receptionist -Proofreading of Polices -Customer Service Representative -Claims data entry Memphis Net & Twine, Inc., Memphis, Tennessee Customer Service Representative April, 1985 to November, Shipping & Receiving Clerk -Data entry of customer orders -Other administrative duties as required References available a upon request