project manager consulting resume example with 3+ years of experience
JessicaClaire
, , 100 Montgomery St. 10th Floor(555) 432-1000, resumesample@example.com
Summary
Meticulous Coding Specialist with sound knowledge of billing systems for collecting, posting and managing account payments. In-depth expertise of analytical reviews submitting claims and following up with insurance companies. Partners and communicates with internal and external teams to align billing objectives. Understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules.
Skills
Verbal and Written Communication
Staff Management
Work Planning and Prioritization
Stakeholder Relations
Documentation and Reporting
Team Leadership
Complex Problem Solving
Quality Assurance
Detail Oriented
Team Collaboration
Client Relationships
Account Management
Microsoft Office
Project Management Software
Tableau
Data Management
Customer Service
Deadline Driven
Project Management
Project Analysis
Analytical Thinking
Project Leadership
JavaScript WHM, Cpanel, WordPress Customization
Business Planning
Experience
04/2022 to CurrentProject Manager/ ConsultingR.A. Resource Center, LLC | City, STATE,
Managed and implement projects regarding the development of (Geographical Information System) GIS Maps , tool kits, strategies for contract proposals, manages, prepare project and budgets and team documentation
Designed and develop data reporting tools systems using geographic information system GIS for cervical cancer in Florida
Used Geospatial tools and data for mapping and download of cancer statistics, risk factors related to geographic disparities in cancer
Virtual meeting planner
Data Analysts
12/2020 to 06/2022Biological Scientist IV /EpidemiologistFlorida Department, Health Orange County, DOH | City, STATE,
Served as Disease Investigation Specialist by conducting over 100+ case investigations per day for contract tracing of COVID 19 patients in discovery of unreported cases, verify or gather information, patient monitoring and follow up
Reviews over 100+ lab reports daily while performing system-wide data entry to optimize medical history-based patient information
Contacts over 30+ health care providers daily for inquiries regarding missing information or verifications of patient medical history
Educates and counsels over 50+ COVID 19 patients on transmission and reduction of future COVID 19 infections
Prepares weekly reports and ad-hoc correspondence for over 20+ patients and 5 other epidemiology team members
Serves as an advisor by conducting over 100+ case investigations per day for contract tracing of COVID 19 patients in discovery of unreported cases, verify or gather information, patient monitoring and follow up based on state and local health departments then accurately documenting follow up actions
10/2019 to 12/2021Claims Processor/ Customer Service Representative IIWPS Health Solution Insurance, Tricare | City, STATE,
Educated 100+ providers on billing obligations to decrease potential claims disputes
Communicate Health Laws and Policies efficiently based on insurance benefits
Analyzed over 300+ claims data to determine recurring issues
Managed and processed over 50+ insurance claims a day
Researched insurance policies to help improve cost-effectiveness by 20%
Analyzed operating procedures and completed risk management duties and review, and process over 50+ incoming insurance claims a day
Managed 80+ ER Claims weekly and obtained necessary authorization
Collected and recorded data for customer service records and computer analysis
Process 80+ weekly claims and verify patient account information against insurance program specifications, analyze surgical procedures and diagnoses using CPT-4 and ICD-9 codes
Process high volume claims requests with a 95% or greater accuracy rate.
Responded to queries, solved or referred problems and followed up with clients to increase satisfaction.
Education and Training
Expected in 11/2022 to to Master of Public Health (MPH) | Walden University, , GPA: Health Program Planning and Evaluation
Biostatistics & Epidemiology
Administration and Leadership in Public Health
Public Health Policy and Practice
Qualitative and Quantitative Analysis
Expected in 12/2010 to to Bachelor of Science | Health ScienceKeiser University, , GPA:
Medical Terminology Health Policy & Management Health Systems & Structure
Accomplishments
Writing for the Public: The Building BRIDGES Approach 06/20/22
Leadership
Walden National Society of Leadership and Success (NSLS) Member Date Spring 2021- Present
Humanitarian Services
Poinciana SDA Church, Kissimmee, FL Pathfinder Youth Director January 2007 – Present
Youth director of a nonprofit faith base organization assists 25 + young people in learning outdoor skills; developing spiritual values (which of course is of prime importance to us as a church) and serving in ways which could be beneficial in saving lives in their communities
Responsible for recruiting staff more than 10+ to help with club activities and leadership roles
Pathfinder Club is a faith-based community outreach ministry focused on faith enrichment, community engagement, and enhancing the lives of our youth within the surrounding areas
Orlando VA Medical Center, Lake Nona, FL Red Coat Ambassador Volunteer 12/2022 – Present
Provided customer service to ensure patients had a pleasant experience
Certifications
American Red Cross CPR certified Issued 01/23/2020 Expired 01/24/2022
Emergency Management Institute FEMA Introduction to Incident Command System, ICS-100 Issued 02/01/2022
Emergency Management Institute FEMA, An Introduction to the National Incident Management System Issued 02/01/2022
Introduction to Quality Improvement in Public Health, Public Health Foundation and Kansas Department of Health, Issued 03/30/2022
Florida Department of Health (FDOH) Customer Focus Training Issued 01/31/2022
Introduction to Grant Writing for Health Programs 06/2022
The Core Elements of Project Management in Public Health 08/09/2022
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Resume Overview
School Attended
Walden University
Keiser University
Job Titles Held:
Project Manager/ Consulting
Biological Scientist IV /Epidemiologist
Claims Processor/ Customer Service Representative II