LiveCareer
LiveCareer
  • Dashboard
  • Jobs
  • Resumes
  • Cover Letters
  • Resumes
    • Resumes
    • Resume Builder
    • Resume Examples
      • Resume Examples
      • Nursing
      • Education
      • Administrative
      • Medical
      • Human Resources
      • View All
    • Resume Search
    • Resume Templates
      • Resume Templates
      • Nursing
      • Education
      • Medical
      • Human Resources
      • Customer Service
      • View All
    • Resume Services
    • Resume Formats
    • Resume Review
    • How to Write a Resume
    • CV Examples
    • CV Formats
    • CV Templates
    • Resume Objectives
  • Cover Letters
    • Cover Letters
    • Cover Letter Builder
    • Cover Letter Examples
      • Cover Letter Examples
      • Education
      • Medical
      • Human Resources
      • Customer Service
      • Business Operations
      • View All
    • Cover Letter Services
    • Cover Letter Templates
    • Cover Letter Formats
    • How to Write a Cover Letter
  • Jobs
    • Mobile App
    • Job Search
    • Job Apply Tool
    • Salary Calculator
    • Business Letters
    • Job Descriptions
  • Questions
  • Resources
  • About
  • Contact
  • 0Notifications
    • Notifications

      0 New
  • jane
    • Settings
    • Help & Support
    • Sign Out
  • Sign In
Member Login
  • LiveCareer
  • Resume Search
  • Disability Case Manager II
Please provide a type of job or location to search!
SEARCH

Disability Case Manager II Resume Example

Resume Score: 80%

Love this resume?Build Your Own Now
DISABILITY CASE MANAGER II
Summary
Skills
  • CAREER FOCUS: HEALTHCARE & BUSINESS ADMINISTRATION
  • An ambitious and results-driven professional seeking a challenging position that will leverage cross-functional experience and strong background in efficiently managing multiple priorities and patient demands in a busy healthcare setting. Committed to pursuing a long-term career as a training and development and providing value to your organization.
  • PROFILE
  • Highly motivated administrative team leader with rich experience supervising operations for a busy medical office and driving business by effectively managing schedules for healthcare practitioners and ensuring excellent patient care.
  • Expertise in handling confidential mental nervous documents, maintaining patient records, preparing correspondence on behalf of healthcare staff, processing bills and claims and managing inter/intra departmental communication.
  • CPR certified with solid knowledge of first aid and safety rules; considerable understanding of government and regulatory standards, co-insurance, workers' compensation insurance and benefits, healthcare regulations and clinical policies and operating processes.
  • Experienced in conducting interviews, recruiting and onboarding new employees; proven abilities in training and development and allocating resources for ensuring successful delivery of healthcare services and career development
  • An active team player with excellent problem-solving, organizational and presentation skills; strong abilities in developing and implementing action plans that ensure smooth functioning of the healthcare facility and support accomplishment of business goals.
  • AREAS OF EXPERTISE
  • Patient Care and Education
  • Cash Management/Financial Reporting
  • Liaison with Insurance Companies
  • Inventory Management/Stationary
  • Human Resource Administrative Support
  • Training & Development
  • Resource Allocation
  • Networking & Relationship Building
  • Process Development & Implementation
  • Community Engagement Projects
  • MS-Office, EMR/HER-NextGen, M
  • Modal, Care Connect, Acesis and InteliChart
  • Administrative, FOCUS, Organizational, Training programs
  • Administrative Support, Front office, Page, Workflow
  • Benefits, Functional, Patient Care
  • Budgets, Government, Physical therapy
  • BUSINESS ADMINISTRATION, Human Resource, Policies
  • Case management, Human resources, Presentation skills
  • Cash flow, HR, Problem-solving
  • Cash Management, Insurance, Process Development
  • Coaching, Inventory Management, Processes
  • CPR certified, Team leader, Recruiting
  • CPR, Letters, Rehabilitation
  • Client, Managing, Relationship Building
  • Clients, Marketing, Risk management
  • Delivery, Meetings, Safety
  • Detail-oriented, Mentoring, Sales management
  • Driving, Office, Staff development
  • Financial Reporting, MS-Office, Supervising
  • Prepare financial statements, Networking, Team player
  • First aid, Next, Telephone
Experience
March 2019 to Current
Lincoln Financial GroupCharlotte, NCDisability Case Manager II
  • Manages high caseloads of claim 200 cases with efficiency in case management.
  • Conducts client assessment needs including mental nervous and high-risk clients via telephone interviews.
  • Coordinates community programs and vocational rehabilitation efforts in transitioning employees to alternate occupations.
  • Develops and establishes appropriate return to work goals with employees and employers and provides support for the return to work process.
  • Maintains a high level of confidentiality with medical records and high- risk and mental nervous clients.
  • Creates training communications and administer training programs for career development within the facility.
  • Serves as subject matter expert (SME) within case management within policy and procedures.
  • Serves a liaison to all medical, human resources, and other health experts in claim assessment.
  • Develops excellent relations with Employees, Employers, external HR and stakeholders.
  • Provides coaching and mentoring to new case managers after formal training.
  • Continued on next page Continued on next page Utilizes MDA guidelines in assisting with assessing ongoing disability claims while ensuring appropriate payments are distributed to employees.
  • Accomplishments.
  • Significantly increased revenue for the facility through workflow improvements, and detail-oriented process changes with a key focus on employer satisfaction and case management.
  • Created and implemented a proficient training manual and procedure used for all new hires.
May 2012 to Current
YMCARock Hill, SCProgram Coordinator/Lead Member Services Associate
  • 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.
  • Perform transactions using ActiveNet Software and process fees for registration and memberships.
April 2017 to March 2019
Carolina Neurosurgery and Spine AssociatesCharlotte, NCOffice Coordinator
  • Part of 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.
  • Managed prior authorization for physical therapy benefits and worker's compensation; create letters and process medical records requests for patients; collect co-payments as well as payments from patients upon arrival.
  • Served as a liaison between patients, medical staff and physicians, prepare reports on patient encounters and make recommendations for change.
  • Oversee daily cash flow, post payments, prepare financial statements and bank deposits, and maintain adequate cash supply for routine activities.
  • Assisted in conducting interviews for front desk executive staff and front desk physical therapy staff.
  • Onboard new employees, supervise 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 and maintain licensing and CPR compliance records.
  • Accomplishments.
  • Significantly increased revenue for the clinic through workflow improvements, and detail-oriented process changes with a key focus on patient satisfaction.
  • Created and implemented an efficient process flow for patient care for front desk representatives.
  • 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.
September 2015 to April 2017
Flexogenix Medical ClinicCharlotte, NCFront Office Coordinator/Insurance Specialist
  • Managed front office operations and all aspects of patient communication.
  • 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.
  • Successfully increased revenue by 25% as a result of validating and submitting corrected claims and appeals.
Education and Training
December 2018
Colorado Technical University
Healthcare Management
MBA
2014
Lander University
Greenwood, SC
Exercise Science, Dance
Bachelor of Science
Graduated with Lander's Golden L Honors, GPA: 3.31
Build Your Own Now

DISCLAIMER

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • Lincoln Financial Group
  • YMCA
  • Carolina Neurosurgery and Spine Associates
  • Flexogenix Medical Clinic

School Attended

  • Colorado Technical University
  • Lander University

Job Titles Held:

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

Degrees

  • Healthcare Management MBA
    Exercise Science, Dance Bachelor of Science

Create a job alert for [job role title] at [location].

×

Advertisement

Similar Resumes

View All
Integrated-Disability-Case-Manager-II-resume-sample

Integrated Disability Case Manager II

Liberty Mutual

Berwick, Maine

Complex-Disability-Case-Manager-II-resume-sample

Complex Disability Case Manager II

Rock Hill, South Carolina

Senior-Disability-Case-Manager-resume-sample

Senior Disability Case Manager

Fort Lauderdale, Florida

About
  • About Us
  • Privacy Policy
  • Terms of Use
  • Sitemap
Help & Support
  • Work Here
  • Contact Us
  • FAQs
Languages
  • EN
  • UK
  • ES
  • FR
  • IT
  • DE
  • NL
  • PT
  • PL
Customer Service
customerservice@livecareer.com
800-652-8430 Mon- Fri 8am - 8pm CST
Sat 8am - 5pm CST, Sun 10am - 6pm CST
  • Stay in touch with us
Site jabber winner award

© 2021, Bold Limited. All rights reserved.