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complex disability case manager ii resume example with 9 years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Summary

Versatile, ambitious results and solutions-oriented healthcare professional and team leader offering 5 years of success in the healthcare environment. Strategic thinker with strong organization, training, processes and work flow proficiency. Offers proven ability to build effective teams and provide excellent customer service and patient care. Committed to identifying and leveraging opportunities for growth.

Skills
  • Mentor & Coaching
  • Leadership
  • Patient Care & Education
  • Process Development & Implementation
  • Training and Development
  • Customer Service & Relations
  • Operational improvement
  • Program Management
  • New Employee Onboarding
Experience
Complex Disability Case Manager II, 03/2019 to Current
Ashford UniversityChandler, AZ,
  • Expertise in handling confidential mental nervous claims/documents, maintaining patient records, preparing correspondence on behalf of healthcare staff, processing bills and claims and managing inter/intra departmental communication.
  • Coordinates community programs and vocational rehabilitation efforts in transitioning employees to alternate occupations.
  • Significantly increases revenue for the facility through workflow improvements, and detail-oriented process changes with a key focus on employer satisfaction and case management.
  • Develops and establishes appropriate return to work goals with employees and employers while providing support for the return to work process.
  • Creates training communications and administer training programs for career development within the company, while serving as the subject matter expert (SME) and mentor.
  • Consistently exceeds key performance indicators each month through gaining new.
  • Consistently being recognized by management for providing exceptional customer service.
  • Improve profit margins by streamlining operations and workflow and negotiating competitive vendor contracts.
Program Coordinator/Lead Member Services Associate, 05/2012 to Current
YMCACity, STATE,
  • Conduct interviews and recruit volunteer coaches for community events and performances, allocate staff resources to meet the growing needs of the facility.
  • Implements electronic data systems to utilized in sales management to ensure seamless transactions for customers.
  • Coordinate and maintain strong relations with the coaches, cheerleaders and administrative staff for successful execution of events.
  • Prepare and manage budgets, maintain marketing resources and implement policies and risk management procedures.
  • Develops robust marketing plans to increase awareness of programs.
  • Promotes Cheerleading and Annual Campaign programs by establishing professional relationships with community members.
Office Coordinator, 04/2017 to 03/2019
Carolina Neurosurgery And Spine AssociatesCity, STATE,
  • Cultivated a 15-member team, responsible for overseeing day-to-day operations of the clinic, providing confidential administrative services for all health care services and ensuring efficient flow of patient care services.
  • Oversaw daily cash flow, post payments, prepare financial statements and bank deposits, and maintain adequate cash supply for routine activities.
  • Experienced in conducting interviews, recruiting and onboarding new employees.
  • Supervised ongoing staff development by facilitating training and development sessions and improving job capabilities of employees.
  • Traveled regularly to different office locations to ensure appropriate staff coverage, coordinate monthly meetings for 12+ physicians.
  • Drove community projects including, donating clothes, school supplies for elementary schools in need.
  • Developed a price list for patients and educated them on upfront costs, co-benefits and insurance that reduced denied insurance claims by 25%.
  • Significantly increased revenue for the clinic through workflow improvements, and detail-oriented process changes with a key focus on patient satisfaction.
  • Seamlessly resolved conflicts promptly among physicians, nurses and other healthcare employees to keep workflows on task..
Front Office Coordinator/Insurance Specialist, 09/2015 to 04/2017
Flexogenix Medical ClinicCity, STATE,
  • Verified coverage and benefits for patients through insurance portals, advised self-pay patients about multiple payment options, and established monthly payment arrangements for patients with balances.
  • Processed authorizations for Durable Medical Equipment (DME) and injectables for insurance companies.
  • Educated clients, patients and customers on various offered programs (Platelet Rich Plasma & Viscosupplements) through oral communication and self-created handouts.
  • Successfully increased revenue by 25% as a result of validating and submitting corrected claims and appeals.
  • Exceeded specific team goals monthly and resolved issues by partnering with staff to share and implement workflow/training program initiatives.
Education and Training
Master of Business Administration: Healthcare Management, Expected in 2018 to Colorado Technical University - ,
GPA:
Bachelor of Science: Exercise Science, Dance, Expected in 2014 to Lander University - Greenwood, SC
GPA:
Graduated with Lander's Golden L Honors, GPA: 3.31

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Resume Overview

School Attended

  • Colorado Technical University
  • Lander University

Job Titles Held:

  • Complex Disability Case Manager II
  • Program Coordinator/Lead Member Services Associate
  • Office Coordinator
  • Front Office Coordinator/Insurance Specialist

Degrees

  • Master of Business Administration
  • Bachelor of Science

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