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yyyyyy x. yyyyyy                                                                    

0000 xxxxxx xxxx , xxxx , xxxxx 00000

(xxx-xxx-xxxx

abc@xyz.com  

 

career objective                              

results-driven health care it specialist eager to contribute superior analytical, problem-solving, and customer service skills toward supporting the employer in optimizing operational and financial performance

profile                                                

ø  offer solid, progressive health care information technology experience, with expertise in project planning and implementation, systems development, issue resolution, and client relations

ø  successfully assess and respond to client-specific needs; define and document requirements, create and execute project work plans, complete systems testing, provide user training, and deliver solutions on time and within budget

ø  serve as subject matter expert on federal and state guidelines for medicare and medicaid claims and enrollment submission requirements; strong practical knowledge of ppo, pos, and hmo business lines

ø  effectively provide help desk assistance, as well as exceptional business development, sales, marketing, public relations, and operational support

ø  excellent record of boosting financial performance by improving efficiency, productivity, and accuracy; negotiate vendor contracts to increase corporate profitability

ø  dynamic communication, presentation, negotiation, and relationship management skills; demonstrated ability build and retain diverse client base

ø  proactive team player equally effective in independent and collaborative environments

ø  bilingual in english and italian with translation/interpreting experience

 

~ key achievements ~

  • played an integral role in automating health insurance claims appeals and grievances process resulting in increased efficiency and accuracy, as well as cost savings, for multiple lines of business with sungard; successfully designed processes to capture medical records, provider demographic data, contracts, and credentialing data
  • applied healthcare industry best practices and strong project management skills towards developing an automated medicare enrollment process for sungard
  • worked closely with access health systems providers to continually improve service levels and control costs; negotiated contracts and service terms, facilitated claims payment, investigated and resolved issues, and ensured procedural integrity
  • performed a range of operational functions for access; teamed with interdepartmental personnel to conduct contract reviews, prepared and submitted claims inventory and customer service activity reports, and reconciled client eligibility data
  • generated $239k in new revenue, acquired more than 40 new clients, maintained outstanding levels of customer satisfaction, and consistently achieved sales goals as an account executive with market wire

education                                           

master s certification in project management, villanova university, insert location     anticipated completion insert date  

 

bachelor of science, political science, florida state university, tallahassee, fl                                    2005 

  • study abroad program, florence, italy (2002 c 2003)

professional experience                

systems analyst, implementation team, sungard corporation, birmingham, al                                    7/08 c present

account manager, madrona corporation, san antonio, tx                                                                     9/06 c 6/08

account executive, market wire, tampa, fl                                                                                          7/05 c 9/06

provider relations representative, access health systems, nashville, tn                                             9/97 c 7/99

customer service representative, signature health plan, nashville, tn                                                  5/97 c 9/97

intern, united healthcare group, minneapolis, mn                                                                                  summer 1996   


 

yyyyyy x. yyyyyy                                                                    

0000 xxxxxx xxxx , xxxx , xxxxx 00000

(xxx-xxx-xxxx

abc@xyz.com 

 

date

 

 

 

hiring agent name

title

company name

address

city/state/zip code

 

dear__________________:

 

i am currently seeking a challenging new career opportunity as a insert job title and am submitting my resume for your review.  in advance, thank you for your time and consideration.

 

as demonstrated in the accompanying resume, my professional qualifications include numerous years of experience working in it and customer service capacities within the health care arena.  i excel at planning, installing, configuring, maintaining, monitoring, and troubleshooting specialized systems.  my dynamic communication skills along with my strong technical aptitude have consistently proven instrumental in my success at efficiently identifying and resolving potential issues, thereby minimizing downtime for critical networks.  additionally, i am highly effective at responding to client-specific needs and delivering cost-effective process improvements.  to complement this background, i am currently working towards my master s certification in project management.  

 

as an employee, you will find me to be a driven team player committed to supporting you in achieving your objectives through superior performance.  i am confident that i could be a valuable asset to your organization, and look forward to interviewing with you in the near future.

 

sincerely,

 

yyyyyy x. yyyyyy

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