LiveCareer-Resume

administrative coordinator resume example with 6+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Skills
  • Valuation knowledge
  • Policy investigations
  • Medical terms and procedure knowledge
  • Personal, casualty and property loss
  • Insurance claims processing
  • Time management
  • MS Office
  • Risk management
  • Highly motivated
  • Advanced computer skills
Work History
Administrative Coordinator, 09/2014 - Current
Trinity Health Corporation Waterford, NY,
  • Monitored and directed incoming mail and prepared outgoing mail.
  • Made travel arrangements for staff members.
  • Collaborated in timely processing of billing and accounts receivables.
  • Coordinated travel itineraries, including flights, ground transportation and hotel accommodations.
  • Codified office structures and processes to promote teamwork and performance.
  • Assessed personnel performance and implemented incentives and team-building events to boost morale.
  • Improved office operations by automating client correspondence, record tracking and data communications.
  • Hired, managed, developed, and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff. Developed highly efficient administrative team through ongoing coaching and professional development opportunities.
Claims Representative, 04/2020 - 07/2021
C&S Wholesale Grocers York, PA,
  • Examined reports, accounts and evidence to determine integrity and accuracy of information.
  • Interviewed policyholders to verify information and obtain additional details.
  • Oversaw claim recoveries, including subrogation and salvage.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Proposed settlements for uncomplicated issues to resolve claims.
  • Evaluated accuracy and quality of data entered into agency management system.
  • Followed up with customers on unresolved issues.
  • Calculated adjustments, premiums, and refunds.
  • Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
  • Generated, posted and attached information to claim files.
Case Management Associate, 03/2018 - 03/2019
Fraser Maple Grove, MN,
  • Provided direct services to clients, including safety planning, crisis intervention, case management and advocacy.
  • Made appropriate referrals.
  • Collaborated with claims department and industry anti-fraud organizations to resolve claims.
  • Coordinated non-emergency medical transportation services.
  • Created well-written, effective care plans appropriately matching needs of clients following standards and guidelines of funders, contractors, and governmental regulations.
  • Provided service and supportive counseling in client's native language as needed, translating and interpreting between client, family and third-party entities as needed.
  • Coordinated community resources and secured referrals.
  • Handled caseload of more than 70 clients.
  • Assisted individuals with addressing disabilities and developing person centered care plans.
  • Worked with clients to improve life choices and maximize benefits of programs.
  • Identified service gaps and located needed resources for individuals, including housing, work placement and other support.
  • Submitted authorizations for DME, home health, and other patient specialty health services.
  • Coordinated referrals for specialty services.
  • Managed large volume of medical claims on a daily basis.
Provider Relations Representative, 07/2015 - 11/2017
Common Spirit Pendleton, OR,
  • Investigated and resolved accounting, service, and delivery concerns.
  • Provided primary provider support to internal and external customers in a fast-paced environment.
  • Responded to provider's requests for products, services, and company information.
  • Reduced process inconsistencies and effectively trained team members on best practices and protocols.
  • Optimized provider support by establishing a collaborative service environment.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Created non-clinical physical therapy prior authorizations.
  • Observed strict procedures to protect sensitive patient information, including medical records and payment data.
  • Cross-trained to assist members with locating community resources, scheduling doctors
  • Appointments, submitting non-clinical DME authorization requests, and scheduling transportation services.
  • Collaborated with the claims department and industry anti-fraud organizations to resolve claims.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
Education
Bachelor of Science: Health Sciences, Expected in 05/2023
-
Broward College - Fort Lauderdale, FL
GPA:
Status -

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Resume Overview

School Attended

  • Broward College

Job Titles Held:

  • Administrative Coordinator
  • Claims Representative
  • Case Management Associate
  • Provider Relations Representative

Degrees

  • Bachelor of Science

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