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president ceo resume example with 7+ 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
  • :
Professional Summary
SAMS, SPSS, NCSS, Emdeon program/software, PACE software, Integimatch (for State Medicaid eligibility), Social Security eligibility, and ECARE (healthcare and Medicaid/Medicare insurance verification), CRM info and eligibility program, TruCare info and eligibility program, and MEDI State Medicare/Medicaid files eligibility program. Expert knowledge with Microsoft office (Word, Access, Excel, Power Point etc.) and will learn any computer software/ programs easily Mental health counseling/ Case management / Substance abuse counseling and Life Coach Property management, financial management/ health administration/ marketing/consulting/networking / business development, promotion and negotiation
Skill Highlights
  • Guest services
  • Inventory control procedures
  • Merchandising expertise
  • Loss prevention
  • Cash register operations
  • Product promotions
Professional Experience
President/CEO, 05/2013 to 12/2014
United Way Of AmericaJackson, MS,
  • Self-Employment Developed a strategic plan to advance the company's mission and objectives Promoted revenue, consult and negotiate with potential investors to help maintain profitability as well as growth for the company Completed SEC filing documents to sell shares of the company Developed new products, and oversee company operations to insure production efficiency, quality, service, and cost-effective management of resources are operating accordingly Developed and maintain quarterly reports for internal revenue purposes.
Medicare/ Medicaid Dual Program Coordinator, 01/2014 to 10/2014
Sherburne CountyElk River, MN,
  • Initiated authorization requests for output or input of services Managed program census and database for Medicaid /Medicare Dual members Liaison between team members and management Completed and documented Health Risk Screens and Health Risk Assessments into Trucare electronic data program.
  • Assigned and monitored inpatient/outpatient, waiver and discharge census.
  • Screened for eligibility and benefits.
  • Identify members without a PCP and refer to Member Services.
  • Assigned and referred members to appropriate case management level of care.
  • Coordinated services with community based organizations.
  • Attends marketing and outreach meetings as directed to represent IlliniCare Health.
  • Educated members and families about services/requirement and ensures member involvement in plan of care Authorized and coordinated referrals for services Monitored members care and condition, pharmacy utilization and prescription patterns (assist with medication transition fills) Transferred LTSS files to other Managed Care Organizations in order to further client's health care needs.
Eligibility Specialist, 12/2012 to 11/2013
Brookfield Properties - OfficeDenver, CO,
  • Assisted recipients with Medicare/Medicaid eligibility (91, 92, 93, 94, and 96 cases).
  • Worked on long term care and spend down cases.
  • Assisted the State of Illinois with recommendations to determine if recipients will have a Continuation of services, cancellation from the Medicaid program, or if the recipient will have a change in services to a new Medicaid/Medicare program.
  • Assisted call center representatives in maintaining the frequency of high call volumes.
Health Care Representative, 01/2011 to 03/2012
Chamberlin Edmonds- Cook County Stroger HospitalCity, STATE,
  • Assisted patients who did not have medical insurance to obtain assistance to cover hospital cost Adjusted financial records for spend down cases Interviewed patients for new or (cases in process of becoming denied) Medicaid eligibility (Completed MANG and AABD applications) and Social Security benefit eligibility (Completed T2, T16, T18 applications and IPRO's) Gathered additional information needed to complete claim eligibility for patients Reviewed medical records with clear understanding of medical terminology, disease and other healthcare concerns in order to further assist patients with eligibility requirements and expedition of benefits Maintained ongoing communications with the State and Federal agencies regarding the status of claims for patients benefits Searched through the ECARE insurance system to verify patient's healthcare or TPL insurance and Medicaid or Medicare verification status, provided updates and assistance to hospital personnel and other Chamberlin Edmonds staff regarding patient's application process and approval or non-approval status.
M. I Homeless Case Manager, 01/2011 to 01/2011
Bobby E. Wright Comprehensive Behavioral HealthCity, STATE,
  • Provided intensive case management for homeless, mentally ill, and substance abuse individuals Assisted homeless individuals in finding permanent housing, transitional housing, and vocational services Assisted homeless individuals with medical, and psychiatric doctor appointments Completed psychosocial assessments and treatment plans, assisted individuals with financial management Provided homeless outreach assistance for individuals living in shelters and on the streets of Chicago Prepared documents (such as medical, Psychological, nursing and counseling documents) to assist individuals with Social Security benefit claims, also advocated for individuals in Medicaid and Social Security hearings.
Property Manager, 12/2008 to 08/2010
James Real EstateCity, STATE,
  • Managed rental properties and payments for occupants, maintained property billing accounts (payable/ receivable) for 17 properties, organized and documented financial files for tax/audit purposes, hired and terminated employees, interviewed and evaluated tenants for occupancy.
MISA Program Case Manager, 02/2006 to 08/2008
Family Guidance Centers, IncCity, STATE,
  • Counseled individuals with substance abuse and mental health issues, assisted individuals with job, housing, and aftercare referrals, responsible for tracking billable hours, facilitated educational groups, activities and lectures geared towards patient's treatment and life goals.
  • Managed patient's case coordination, appointments, prescriptions and medication.
  • Networked with other social service agencies, reported to psychiatrist, supervisor, managers, and Vice Presidents of any changes in patients behavior and care.
Work History
, to
Finance Department,
Education and Training
MPH: , Expected in 2016 to Argosy University - Chicago, IL
GPA:
MBA: Finance, Expected in 2010 to Illinois School of Professional Psychology - Chicago, IL
GPA:
Finance
BA: Psychology, Expected in 2007 to Harold Washington College - Chicago, IL
GPA:
Psychology
Addiction Studies Certificate Awarded in 2005 AA - Social Science Awarded in 2001: , Expected in to - ,
GPA:
Languages
Research and analysis, beginner's knowledge of speaking and writing Spanish
Skills
benefits, billing, call center, counseling, client, database, filing, financial, financial management, insurance, marketing, medical terminology, meetings, mental health, nursing, personnel, speaking, quality, requirement, Research, Spanish, strategic, supervisor, tax

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Resume Overview

School Attended

  • Argosy University
  • Illinois School of Professional Psychology
  • Harold Washington College

Job Titles Held:

Degrees

  • MPH
  • MBA
  • BA
  • Addiction Studies Certificate Awarded in 2005 AA - Social Science Awarded in 2001

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