Benefits Coordinator Resume Example
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BENEFITS COORDINATOR
Professional Summary
Senior medical coder, benefit coordinator, authorization specialist and outstanding performer in ICD 10 Coding and authorization coordinator within healthcare. Proven success in leadership, operational excellence and organizational development with keen understanding of elements of health care business. Recognized for inspiring management team members to excel and encouraging creative work environments.
Work History
Caravel Autism Health - Benefits CoordinatorMountlake Terrace , WA10/2018 - Current
Monitored authorization reports, contacted insurance companies and requested authorization for services rendered. Accessed online provider portals to submit clinical information to complete requests.
- Edited letters and written material for correspondence.
- Resolved conflicts and negotiated agreements between parties in order to reach win-win solutions to disagreements and clarify misunderstandings.
- Controlled digital access, used confidential waste bins and shredders, and locked document storage cabinets to protect confidential files, reports and fiscal data.
- Managed and archived quality documentation and participated in internal and external quality audits.
Adventist Health System - Inpatient CoderBunnell , FL01/2017 - 12/2018
- Reviewed charts and flagged incomplete or inaccurate information.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Communicated effectively with staff, patients and insurance companies by email and telephone.
- Maintained accuracy, completeness and security for medical records and health information.
- Researched and compiled statistical data to support cost control and care improvement initiatives.
- Interacted and communicated easily with department personnel and public.
American Advanced Management, Inc - Administrative AssistantModesto , CA03/2018 - 10/2018
- Developed and updated spreadsheets and databases to track, analyze and report on performance and sales data.
- Provided logistical support for programs, meetings and events, including room reservations, agenda preparation and calendar maintenance.
- Identified and recommended changes to existing processes to improve accuracy, efficiency and quality service.
- Managed office inventory by restocking supplies and placing purchase orders to maintain adequate stock levels.
- Supported efficient meetings by organizing spaces and materials, documenting discussions and distributing meeting notes.
- Interacted with vendors, contractors and professional services personnel to receive orders, direct activities and communicate instructions.
- Composed internal memos and external correspondence for senior management and reviewed all documentation to eliminate errors.
- Drafted professional memos, letters and marketing copy to support business objectives and growth.
- Performed general office duties, including answering multi-line phones, routing calls and messages and greeting visitors.
- Organized weekly staff meetings and logged minutes for corporate records.
- Performed research to collect and record medical data.
- Offered departmental administrative support.
Wexford Health Sources Inc - Medical Records DirectorClayton , NM04/2001 - 12/2013
- Maintained accuracy, completeness and security for medical records and health information.
- Trained 10 direct reports on department procedures and policies to maximize department effectiveness.
- Communicated effectively with staff, patients and insurance companies by email and telephone.
- Utilized 3M encoder to manage and confirm patient data, such as insurance, demographic and medical history information.
- Identified new methods to optimize medical records management.
- Reviewed charts and flagged incomplete or inaccurate information.
- Researched and compiled statistical data to support cost control and care improvement initiatives.
- Managed system conversion and maintained minimal downtime during updates.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Kept accurate log of all requests for medical information and records.
- Identified and resolved process issues to encourage smoother procedures, more efficient workflow and overall business growth.
- Managed quality assurance program including on site evaluations, internal audits and customer surveys.
Skills
- Program management
- CPR+ and Sharepoint expertise
- Training proficiency
- Regulatory compliance
- Confidentiality
- Patient chart documentation
- Statement review
- Data analysis
- Settlement determinations
- Resolving discrepancies
- Customer relations
- Customer assistance
- Performance analysis
- Communications
- Systems monitoring
- Charting and clinical documentation
- Methodology implementation
- Data management
- Arbitration and litigation
- Medical chart documentation
- Coverage assessments
- Insurance billing
- Reporting
Education
05/1993Vincennes UniversityCity, StateAssociate of Science: Health Information Technology
05/1981West Union High SchoolCity, StateHigh School Diploma
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Resume Overview
School Attended
- Vincennes University
- West Union High School
Job Titles Held:
- Benefits Coordinator
- Inpatient Coder
- Administrative Assistant
- Medical Records Director
Degrees
- Associate of Science : Health Information Technology
High School Diploma
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