Program Coordinator Resume Example Company Name

PROGRAM COORDINATOR

Professional Summary

Recently graduated in Heath Information Technology with deep expertise in data warehousing, process validation and business needs analysis. Proven ability to understand customer requirements and translate into actionable project plans. Dedicated and hard-working with passion for Big Data.

Skills

Process Improvement
Data oversight
Medical Insurance & Reimbursements
Project Management
Process Mapping
Data collection and analysis
Data integrity
Understanding of medical terms
Data Entry
Customer Service

Problem Resolution
Regulatory Compliance
Patient contact
Insurance claims analysis
ICD & CPT/HCPCS Coding
Computer Experience (MS Office Suite, Health Information Systems, Electronic Medical Records Systems, Encoder)
Case Management
Payment collection
Medical information release
Medical billing and coding

Work History

Program Coordinator08/2016 to Current
Company Name, City, State

Performed tasks necessary to promote member compliance such as verifying appointments, obtaining lab results, assess and monitor inpatient census.
Fostered professional networks and relationships with service and resource providers to promote continuity and quality of care for clients.
Orchestrated smooth and efficient program development by collaborating cross-functionally across departments.
Reduced costs and improved operational performance without sacrificing quality by developing and implementing diverse approaches.
Maintained tight production timetables and quality standards to give audiences exceptional offerings.
Assessed current trends to assist with decision making.
Developed and organized routine and special programming by factoring in slot timing, demographics and other important parameters.
Determined customer needs and developed program initiatives according to preferences.
Assist in ensuring that all health metrics are met and are in compliance with state and federal guidelines.
Work collaboratively with other LHCC support team members, including case managers, peer support specialists, housing specialists, and SDOH coordinators.

Revenue Cycle Collections Specialist01/2015 to 08/2016
Company Name, City, State

Prepared and processed various insurance claims
Drove operational improvements which resulted in savings and improved profit margins.
Increased customer satisfaction by resolving claim issues.
Followed up with insured individuals regarding premium and deductibles payments.
Evaluated accuracy and quality of data entered into agency management system.
Review accounts receivable on a daily basis and performs follow-up on delinquent accounts according to established policies and procedures.
Research any error claims and make the necessary corrections for clean claim production and submission on an as needed basis.
Coordinated quality monitoring processes for claims including data collection, data analysis, and trend reporting.
Development and implementation of action plans for process improvement
Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
Resolved conflicts and negotiated mutually beneficial agreements between parties.

Cash Posting Specialist01/2014 to 01/2015
Company Name, City, State

Reconciled account information and reported figures in general ledger by comparing to bank account statement each month.
Strengthened financial operations by conducting bank reconciliations and financial reporting.
Proactively identified all accounting errors by developing cross-referencing databases.
Managed and responded to all correspondence and inquiries from customers and vendors.
Entered financial data into company accounting database for verification and reconciliation, maintaining accurate and current accounts at all times.
Analyzed financial data derived from multiple reporting systems to develop recommendations for operational and performance improvements.
Implemented new accounting processes to decrease spending and work flow downtime.
Verified postings to ledgers to confirm accurate entry and account balances.
Performed end of month reconciliation by comparing accounts receivable report to collections journal; amount remittance advice amount and deposited amount.
Research charge backs and make final decision for write off.

Financial Intake Eligibility Specialist 07/2012 to 01/2014
Company Name, City, State

Communicated directly with individuals and families to provide information about eligibility requirements, application details, payment methods and applicants' legal rights during intake assessment.
Answered phone calls and provided new clients with required paperwork to initiate service.
Completed and filed financial documentation for accounting purposes.
Resolved conflicts and negotiated mutually beneficial agreements between parties.
Verified insurance eligibility and benefits for different payers to determined coverage on an in and out of network statuses on a daily basis in an accurate manner.
Interacted kindly with insurance providers via phone, email and written correspondence to obtain necessary documents to complete registration.
Assessed information gleaned from interviews, educational, and medical records, consultation with other professionals and diagnostic evaluations to identify clients' abilities, needs and eligibility for services.

Education

Associate of Science: : Health Information Technology, 04/2020

Remington College - City, State

Medical Assistant Program , 05/2009

Remington College - City

Resume Overview

School Attended

Remington College

Job Titles Held:

Program Coordinator
Revenue Cycle Collections Specialist
Cash Posting Specialist
Financial Intake Eligibility Specialist

Degrees

Associate of Science : Health Information Technology , 04/2020
Medical Assistant Program , 05/2009

Program Coordinator Resume Example

Resume Score: 80%

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