Office Manager who answers a high volume of incoming calls while handling in-person inquiries from clients and medical colleagues. Flexible and hardworking with the drive to succeed. Dedicated and focused medical records analyst who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve quality patient care. Seeking a role of increased responsibility and authority to further improve a long term career.
Bilingual and experience in translating. Prepare and monitor the monthly financial statements, AP and AR. Ensuring all financial information is complete and accurate for all internal and external reporting. Prepare month/quarter/year end financial statements/reconciliation and analysis. Collect and process payment of invoices make weekly deposit and cash flow reports. processed weekly Payroll management and procedures with missing time clocks, PTO, Sick Leave, wage differential from either time or job, wage deductions, wage garnishments due to child support, and employee traveling for work time.
As liaison between clinical reviewers and providers/ members, responsible for obtaining all necessary documentation required to process request for medical services. PCP documents are categorized by type of medical request. Some services require to contact specialist, medical facilities or other medical providers and obtain all necessary medical documents. In order to authorize request and send determination notices I would prepare all correspondence and maintenance of documents related to forward to reviewer. Answer high volume of of electronic faxes, outlook emails and phone calls. Process authorization request within a timely manner with organizations of prioritizing urgent and non urgent request. Working with deadlines and continuously changing time standards do to new work priority coming in. Access to local hospitals patient document portals in order to review concurrent Cencal members inpatient visits. Accurately prepare, edit and sometimes translate while finalizing written determination notices to providers and members. Collaborate and communicate with other health plan departments with eligibility, provider changes or dispute and claims department for billing. Adhere to authorization guidelines of Federal and State Agencies that govern health plan operations including HIPPA.
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.
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
Job Titles Held: