| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name
ETeams, Nashville TN HEDIS CoordinatorJan Street Address - May 2023Initiates outreach cycle and documents in electronic record and/or member referral status.Facilitates member engagement.Collaborates with Care Managers in assisting members who are hard to reach, refuse or disenrolling.Responds to and triages requests in Care Management mailbox.Assigns cases to care management team.PHONE NUMBER AVAILABLEEMAIL AVAILABLEETeams, Nashville TN Medical Records RepNov 2021 - Sept 2022responsible and accountable for the maintenance of health records.Ensures all medical records filing is up to date.Pull and file medical records daily as needed. Prepare and type reports/correspondence as requested by supervisors. Answer telephone, relay messages, and transfer calls as appropriate.Bench Mark, Nashville TN Medical Records RepOct 2020 - Nov 2021responsible and accountable for the maintenance of health records.Ensures all medical records filing is up to date.Pull and file medical records daily as needed. Prepare and type reports/correspondence as requested by supervisors. Answer telephone, relay messages, and transfer calls as appropriate.Missionside, N ashville TN CSR LeadJan 2020- Oct 2020Responsible for receiving routed customer calls, utilizing company policies and procedures to assist solving customer issues.Provide excellent customer service assisting inbound and outbound to provide a complete and accurate questionnaire.Monitor agent & provided guidance and support to each agent. Insured each agent is performing and meeting companies each expectations. Have group & one on one meetings.UnitedHealth Group, Nashville TN Associate Clinical administrator coordinate/ claims leadMay 2018- Jan 2020Administrative intake of members or managing the admission/ discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network service and transferring member as appropriate to clinical staff.Supervised agents on floor. Had weekly meetings to make sure everyone was meeting quota. Had bi weekly one on one meetings to ensure each agent is reaching their potentialExamines and processes paper claims and electronic claims. Determines whether to return, pend, deny or pay claims, within policies. Determines steps necessary for adjudication.Follows established departmental policies and procedures operating memos and corporate policies to resolve claims and claim issue as to obtaining personal information and medical records from facilities or doctors' offices.Faneuil (Tenncare), Nashville TN Customer Service Rep May 2014 - May 2018Help assist customers with insurance and correct information into interchange.Took 50-75 inbound and outbound calls per day. Data entry, transferring documents, and updating service recordsMedical recordsQualificationsMicrosoft excelMicrosoft PowerPointMicrosoft outlookMicrosoft wordMicrosoft accessEDUCATIONAntioch High School, Antioch TN - diplomaAug 2010 - May 2014 |
