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Click here or scroll down to respond to this candidateCandidate's Name
EMAIL AVAILABLEStreet Address Wynne Grove Dr.Cordova, TN Street Address
PHONE NUMBER AVAILABLEI am tremendously excited and interested in a career with your establishment. A notice on the web informed me that you are seeking qualified individuals for this position. Therefore, my discovery encouraged me to forward my credentials to you. I am confident that my combination of practical work and education has prepared me for making an immediate contribution to your company. Being self-motivated, dedicated, and reliable brings passion and a strong sense of success in whatever my endeavors in life may be.I comprehend the level of professionalism and commitment required for long term- success in this field. My background and professional approach to education will provide your business with a highly productive and humble employee. Please take the time review my resume, as I am available for an interview at any time. Thank you for your time and deliberation. I look forward to meeting you in the future. Sincerely,Candidate's Name
DESCRIPTIONA devoted & skilled professional with various practices in all characteristics of management and character.OBJECTIVETo obtain a position that will allow me to further develop the skills and expertise at an optimum level.Work Experience12/06/16 Present United Health Group Brentwood, TN Manage the requests for NOA / NOE letters Prepare letters for audit review Identify gaps in compliance with letters and ensure letter corrections are made within regulatory timeframes Maintain extensive knowledge of regulatory and accreditation requirements Proficient in interpreting benefits, contracts, and medical policy Maintain knowledge of State rules, contracts, and Federal legislation / regulations as well as UHG guidelines Demonstrate flexibility, availability, and dependability to conform to position responsibilities02/02/2015- 12/01/16 Anthem, Inc Nashville, TN Customer Care Representative Respond to customer questions via telephone regarding insurance benefits, provider contracts, enrollment, claims, pharmacy benefits, initiate and complete emergent inpatient authorizations, OB notifications, Observation authorizations Document inquiry outcomes for accurate tracking and analysis Use computerized systems for tracking information and trouble shooting Perform in depth research for customer benefits, products, and authorizations Meet department goals06/16/2014-12/31/2014 United Heath Group- Optum Nashville, TN OFFICETEAM- TEMP Schedule appointments for Nurse Practitioner Use computer systems to accurately map and route NP Outbound/inbound call and accomplish daily metrics Use salesforce calendars to link programs and appointments 02/3/2014- 05/30/2014 Waste Management Nashville, TN OFFICETEAM- TEMP Customer Service Representative Took inbound commercial phone call Review and resolve customer issues in a professional and timely manner Post and manage payments for accounts Sold company services to commercial businesses Created and managed excel files Gained expertise on company portals and software programs 6/1/2013-12/1/2013 The Mentor Network Charlotte, NC Enter billing for inpatient/outpatient services Checked insurance eligibility twice a month Design and implement office policies Establish standards and procedures Organize office operations and procedures Supervise office staff Monitor and record long distance phone calls Prepare time sheets Control correspondences Review and approve supply requisitions Liaise with other agencies, organizations and groups Update organizational memberships (Medical Records) Education2018 Vattorot Community College- Dental assistant graduate 2013 Kirby High SchoolMemphis, TNHigh School Diploma Volunteer Work*Ministry Leader: Childrens Church Global Empowerment Tabernacle Church Murfreesboro, TN.Praise and Worship Leader: Global Empowerment Church DexterityMicrosoft OfficeMicrosoft ExcelNCTRACKSSchedulingMedicalRecordsALPHAPowerPointKRONOSAVATARPersonal/Achievements/AwardsCaptain of Volleyball at City University Of Liberal Arts FBLA (Future Business Leaders of America)Outstanding Vocal Ability from STAX Music Academy 2007/2008 Certified CPR License*References Upon Request* |
