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lead case management coordinator resume example with 20+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Summary

Administrative support professional with 20 years of experience in Executive Office Management, Business Management, Case Management and Social Services and Support services. Ready for new position that involves successfully handling various tasks in fast-paced settings. Skilled and smart leader that remains calm in stressful environments. Motivated professional that adds value to any organization in need of great collaboration, interpersonal, and multitasking abilities. Meets tight deadlines every time.

Skills
  • Skills and Competencies
  • Epic ∙ MIDAS ∙ Microsoft Office ∙ Microsoft Word ∙ Microsoft Excel /Outlook /Power Point
  • Project Management ∙ Data Integration ∙ Staff Training/Optimization ∙ Budget Management
  • Resource Planning ∙ Written and Oral Communication skills ∙ Detailed orientated
  • Customer support and assistance
  • Effective customer communication
  • Training & Development
  • Clerical
  • Data Management
  • Critical thinking
Experience
11/2019 to Current
Lead Case Management Coordinator Res-Care, Inc. Covington, TN,
  • Participates in reimbursement/certification and authorization-related activities as directed
  • Documents approvals and authorization numbers from payors
  • Logs communications and provides information to social workers and case managers, business office/patient access, etc
  • On insurance/managed care benefits
  • Supports and assists with concurrent insurance denials and appeals process
  • Send utilization reviews to insurance payors and document authorizations, denials, and approvals
  • Serves as a department resource for questions related to case management activities
  • Communicates in an active, positive and effective manner to all interprofessional health care team members and reports pertinent patient care and family data in a comprehensive and unbiased manner
  • Answers telephones, troubleshoots and directs call to appropriate individuals, listens and responds to others
  • Assists with clerical and clinical functions for patients, physicians and staff
  • Provides administrative support as needed, including scheduling follow-up appointments
  • Communicate with care coordinators and social workers to prioritize placement requests
  • Self-motivated to independently manage time effectively and prioritize daily tasks
  • Provides input into the department resource utilization including capital and operational budget needs as appropriate.
12/2014 to 12/2018
Case Management Rep Amerit Fleet Solutions Wilmington, NC,
  • Timely faxing of clinical to payer
  • Performing accurate reporting/logging of denials to appropriate party
  • Screens telephone calls, receive and direct visitors, resolve routine inquiries
  • Delivers documents to other departments for signature and arrange pickup
  • Answers telephones, troubleshoots, and directed calls to the appropriate person in a professional manner
  • Files, fax, photocopy, mail and maintain department filing system
  • Type various correspondence, including letters, memos, and various other department communications
  • Assist with delivery and retrieval of records, as needed, throughout the Hospital
  • Perform routine duties associated with specific department core functions/services
  • Solid Experience using Midas and Epic to complete daily task
  • Demonstrates the ICARE values in the course of carrying out responsibilities
12/2002 to 12/2014
Administrative Assistant First Atlantic Health Care Biddeford, ME,
  • Organized daily work assignments; provided leadership and mentored clerical staff
  • Maintained timelines for follow up and prioritization of department projects and tasks
  • Organized and maintained department files, manuals and records to assure ready access to information
  • Promoted excellent teamwork and departmental communication
  • Responsible for the completion of administrative duties and projects as assigned
  • Ensured quality and timely completion of deliverables
  • Answered telephones, troubleshoots and direct calls to the appropriate person in a professional manner
  • Filed, faxed, photocopied, mailed and maintained department filing system
  • Typed various correspondence including letters, memos, reports, minutes and various other department communications
  • Organized meetings, schedules meetings, prepares meeting materials, and coordinates department activities
  • Demonstrated the components of the ICARE values statement
  • Followed all safety rules while on the job
  • Completed all hospital required and job-related in-services and applies the information as needed
  • Performs other duties as assigned.
12/1998 to 12/2002
Unit Secretary Memorial Hermann Hospital City, STATE,
  • Greeted visitors, answered telephones and patient intercoms, relayed messages or requests to appropriate personnel;
  • Transcribed doctor’s orders
  • Distributed and post daily schedule of cases for designated area
  • Compiled statistics and data for reporting purposes and maintains census reports
  • Assembled/Disassembled patient records and admit packs, checked charts for/filing doctor’s orders/nurses records
  • Scheduling of patient procedures
  • Prepared, filled, and reconciled supply orders; entered charges for services and supplies into computer system for patient record; performed inventory; ordered office supplies; processed medication orders
  • Demonstrated professionalism by greeting visitors, answering telephones and patient intercoms
  • Transcribed approximately 30 doctor’s orders daily
  • Distributed and posted daily schedule of approximately 100 cases for designated area.
Education and Training
Expected in 12/2009 to to
Bachelor’s of Business Administration: Management
Texas Southern University - Houston, TX
GPA:
Activities and Honors
  • Member, Alumni Association of Texas Southern University

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Resume Overview

School Attended

  • Texas Southern University

Job Titles Held:

  • Lead Case Management Coordinator
  • Case Management Rep
  • Administrative Assistant
  • Unit Secretary

Degrees

  • Bachelor’s of Business Administration

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