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yyyyyy x. yyyyyy
13013 oak terrace #0000 xxxxxx xxxx , xxxx , xxxxx 00000
xxx-xxx-xxxx • abc@xyz.com
versatile professional eager to contribute comprehensive background toward actively supporting the employer in optimizing performance.
profile
- talented professional offering over 19 years of solid and progressive army medical support experience, including expertise within administrative operations client/patient service capacities.
- in depth skills in cpt and icd-9 coding, insurance filling, data entry, and utilization management.
- consistently develop and maintain detailed administrative and procedural processes to reduce redundancy, improve accuracy and efficiency, and achieve organizational objectives.
- adept at blending strong decision-making abilities with outstanding organizational skills, solid leadership attributes, and successful interpersonal relationship-building techniques.
- apply sharp problem-solving proficiencies, intelligent business acumen, and cost-effective strategies, along with exceptional written and verbal communication skills, to any professional environment.
- demonstrate strong abilities in handling multiple projects simultaneously, meeting tight deadlines and working in a fast-paced professional environment.
- skilled at performing independently or within a team to exceed all operational goals and objectives.
professional experience
case management assistant army medical center 2005-2007
- skillfully update and maintain detailed patient records department of defense databases, from patient location to current health status.
- efficiently coordinated patient care during the return from iraq and afghanistan, ensuring a smooth transition through the medical evaluation process.
- responsible for scheduling all inpatient/outpatient procedures through collaboration with healthcare providers and staff.
health care finder humana military 2005
- tasked with triaging incoming authorizations, while also coordinating patient care with nurses.
- consistently ensured compliance with tricare guidelines of complexity requests, achieving 90% of authorizations within 1 day and 100% in 5 days.
- strategically identify beneficiaries for the most appropriate, cost-effective medical care services.
intake representative health net 1998-2004
- sharp business acumen and experienced in managing broad scope of operations, from handling high-volume phone calls and routing issues to appropriate personnel to coordinating appointments, processing authorizations and providing customer service.
- successfully educated patients on the benefit structure and authorization procedures.
- proficiently researched prior authorizations in response to client requests, while also preparing reports for internal/external distribution.
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