Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Professional Summary
Highly motivated information management professional with superior communication and networking skills. Adept at representing information into manageable insights and distilling complex data into easy-to-understand formats. Managing multiple tasks without compromising the quality of my work. Committed to providing high-quality support and creating a positive and productive atmosphere. Pursing a role in which to contribute my talents within a growing organization who values its clients and community.
Skills
Planning and Organizational Skills
Time Management
Accuracy and Attention to Detail
Tact and Discretion
Risk Evaluation
Problem Resolution
Critical thinking
Data entry
Filing
Process Management
Research Expertise
Account Supervision
Work History
06/2019 to CurrentAccount CoordinatorCambridge Isotope Laboratories, Inc. | Tewksbury, MA,
Maintained routine communication with clients to assess overall appraisal satisfaction, resolve complaints and promote new offerings
Analyze incoming order requests to ensure thorough and accurate information is present
Identify appraiser qualifications and negotiate appraisal fees and delivery times
Monitor several assignment queues while working quickly and sufficiently
Manage client approved appraiser list and appraiser credentials
Meet productivity requirements by conducting monthly analysis to produce customer reports
Contribute to monthly close out meetings
Escalated issues to appropriate channels as necessary
Closed 50+ daily accounts by contacting potential appraisers to educate them on property or service requirements
Drove fee negotiations and functional operational improvements that resulted in significant savings and improved profit margins
Led assign team in monthly close out meetings and developed solutions to meet timelines and work efficiency
Saved $1000 by researching and implementing monthly cost-saving initiatives and creating fresh new approaches
11/2017 to 06/2019Administrative Appeal CoordinatorAmplexor | Westminster, CO,
Research problem accounts which lack proper facility authorization, and maintained appeal logs, providing weekly data updates of account activity.
Received and processed inpatient authorizations, denials and additional patient information.
Tracked all pending authorizations to ensure timely resolution, avoiding revenue loss.
Reviewed authorization denials, drafted correspondence and clinical appeal rebuttal and disseminated materials to appropriate parties within timely filing guidelines.
Communicated verification and authorization status updates with finance department to facilitate decision-making for patient admissions and insurance coverage.
Communicated effectively with nursing staff regarding clinical rejections, and identified problems for immediate resolution.
Maintained confidentiality of patient records and finances.
Processed hundreds of invoices daily and mailed documentation to respective clients.
Developed team communications and information for weekly department meetings.
Developed and managed up to 50 administrative appeal cases quarterly.
Trained and managed new hires in best practices and protocols to ensure maximum productivity.
04/2016 to 11/2017Accounts Receivable SpecialistUniversal Health Services | Temple, TX,
Audited aging reports to identify delinquent accounts and initiate appropriate collection activity
Familiar with state and privatize healthcare insurance plans and regulations
Maintained high quality data entry and system processing
Processed accurate financial adjustments according to contract pay rates
Maintained knowledge of CPT, HCPCS and ICD-10 codes
Reviewed accounts on monthly basis to assess aging and pursue collection of funds
Tracked contracts, proposals and waivers to keep billing accurate and current
Contacted clients with past due accounts to formulate payment and restructuring options
Identified, researched and resolved billing variances to maintain system accuracy, applying more than 350 payments per week
Prevented impending loss and increased profitability by enforcing scheduled collection campaigns, consistently achieving targeted recovery rate
Prepared and mailed invoices to customers, processed payments and documented account updates
02/2015 to 04/2016Resolution SpecialistRock Connections | City, STATE,
Serviced 100+ inbound and outbound customer service calls. Handled member and provider insurance profiles for Michigan and Illinois
Managed member and provider profiles for Michigan and Illinois
Worked with customers to understand their requirements and provide exceptional service
Submitted formal grievances and documented detailed claim information
Informed parties of relevant laws, regulations and constraints for cases
Conducted interviews with members, liaisons and any additional relevant groups or individuals
Drove dispute resolutions using effective problem-solving and by guiding mutual understanding of opposing viewpoints
Developed team communications and information for monthly meetings
Resolved conflicts and negotiated agreements between parties to reach solutions to disagreements and clarify misunderstandings
Education
Expected in 2013Bachelor of Science | Saginaw Valley State University, Saginaw, MI, GPA:
Certifications
Universal Standards of Professional Appraisal Practice
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