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Insurance Coordination Manager Resume Example

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INSURANCE COORDINATION MANAGER
Professional Summary

Proficient Computer Skills - Billing - TIMMS - Type 60 WPM - HCSPCS Codes - ICD Codes

Professional Experience
Comprehensive Sleep Solutions August 2013 to October 2014 Insurance Coordination Manager
Phoenix, AZ

Customer Service (in person and on phone) Act as main source of contact for customers, patients, providers, and Hospitals

Manage initial and reoccurring Authorizations with multiple insurance companies

Maintain contact with customers for pending orders and Billing.

Responding in a timely manner, educating policy and procedures, resolving order issues and supply appropriate equipment.

Train new employees P&P along with book of business.
Life Care Solutions May 2011 to August 2014 Insurance Coordination Manager
San Diego, CA
  • Customer Service (in person and on phone) Act as main source of contact for customers, patients, providers, and hospitals.
  • Process high volume incoming orders via phone, email, and fax in a timely manner.
  • Maintain contact with customers regarding pending orders and Billing.
  • Responding in a timely manner, educating policy and procedures, resolving order issues and supply appropriate equipment.
  • Accurately maintain and update book of inventory and contracted hospitals and Insurance Plans Multi-Task in high paced environment while keeping up with deadlines.
E-Stop, LLC January 2006 to January 2011 Area Retail Manager
Phoenix, AZ
  • E-Stop, LLC owned and operated various businesses including retail gasoline/convenience stores and a petroleum wholesale division.
  • During my tenure at E-Stop, LLC my duties included marketing for the retail gasoline stations, and sales for the wholesale petroleum division.
  • Marketing consisted of print and radio media, customer loyalty programs, working with vendors, on site advertisement and promotions.
  • Sales consisted of working with existing customers and obtaining new customers via personal contact, email, and phone.
  • My responsibilities were to maintain customer satisfaction with our existing Customers following a matrix of customer service, recognition and problem solving resulting in the retention of the current customer base.
  • New sales consisted of setting appointments, client visits, facility tours, product description, and contract execution.
  • Awards included "Best Sales Person" of the year, each consecutive year of my employment and "Customer Service" award, also each consecutive year of my employment.
Western Medical DME November 2004 to November 2006 Customer Service Representative
Phoenix, AZ
  • Act as main source of contact for customers (patients/providers/hospitals).
  • Process incoming orders via phone and fax in a timely manner.
  • Maintain contact with customers regarding pending orders.
  • Providing a high level of customer service, responding in a timely manner, educating policy and procedures, resolving order issues and supply appropriate equipment.
  • Accurately maintain and update book of inventory and contracted hospitals.
  • Multi - Task in high pace environment while keeping up with deadlines.
Aetna Health Inc May 2002 to September 2004 Network Coordinator
Phoenix, AZ
  • Act as liaison for clientele.
  • Oversee billing for high dollar Claims, Directly work with CEO, CFO, and Hospital Rep.
  • Provide excellent customer service for contracted hospitals inquiries, contractual demographic information, and education on Health Plan changes.
  • Responding in a timely manner to inquiries and responding appropriately while demonstrating ability to secure accurate information from internal matrix partners to maintain the integrity of Book of Business.
  • Educate clientele regarding procedural changes that impact them and their plan.
  • Project management: working with high dollar claim problems and resolving escalated customer service and internal issues.
CIGNA January 1998 to April 2002 Internal Provider Relations Representative customer service
Phoenix, AZ
  • Internal phone service for providers, employer and customers inquires, contractual demographic education on health plan and changes.
  • Serve as resource to other member of department l allowing them to meet their objectives.
  • Providing high level of , responding in a timely manner, education of all procedures resolving claim issues and supply appropriate CIGNA material.
  • Respond to Internal Matrix Partners.
  • Status claims & Billing for providers and members, assist with appeals and grievances.
Education and Training
North Canyon H.S 1997 High School Diploma Phoenix, AZ GPA: GPA: 4.0 GPA: 4.0
Professional Affiliations
Accomplished, motivated professional with a record of success in Sales, Marketing, Contracting, Insurance, DME, Customer Service, Understanding the Book of Business for Multiple Insurance Carriers, SOP Placement of Orders Medical Supplies, Medicare. Having knowledge of ICD-9, and CPT Coding. Following workflow to complete requests in a high volume, high demand atmosphere in a timely and accurate manner. Excel in working with management and other associates to insure continued sales and customer service. Strong performance skills complemented by a hands on work style.
Skills
Billing, book, clientele, client, customer satisfaction, customer service, excellent customer service, Customer Service, email, fax, Insurance, inventory, marketing, excel, outlook, multitasking, problem solving, problem solving skills, Project management, radio, retail, Sales, team player, phone, type
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Resume Overview

Companies Worked For:

  • Comprehensive Sleep Solutions
  • Life Care Solutions
  • E-Stop, LLC
  • Western Medical DME
  • Aetna Health Inc
  • CIGNA

School Attended

  • North Canyon H.S

Job Titles Held:

  • Insurance Coordination Manager
  • Area Retail Manager
  • Customer Service Representative
  • Network Coordinator
  • Internal Provider Relations Representative customer service

Degrees

  • High School Diploma

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