- Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
- Home: (555) 432-1000
- Cell:
- resumesample@example.com
Forward-thinking professional offering more than 9 years of experience working in fast-paced environments. Highly motivated and eager to learn.
- Prior authorization processing
- Obtaining authorizations
- Record preparation
- Mail preparation and sorting
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- Referral arrangements
- Patient referrals
- Organization and prioritization skills
- Supply reporting
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Referral Coordinator / Prior Authorization Rep , 08/2015 to Current
Safeway – Keizer, OR,
- Completed up to 30 referral requests each day for medical providers.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Preserved and prepared reports and treatment records.
- Organized clinical documentation, treatment plans, and referrals.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Verified eligibility and compliance with authorization requirements for service providers.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Communicated pertinent information to client's prescribing provider to facilitate quality service.
- Processed new medication and refill requests for authorization.
- Contacted insurance companies to obtain prior authorization for medical procedures and medications.
- Edited letters and written material for correspondence.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Removed all debris and packaging from boxes and separated for recycling or disposal.
- Accepted delivered packages, verified products and checked delivery totals to keep system records current and accurate.
- Evaluated supplies and product inventory to check for quality and quantity issues and returned unacceptable materials to vendors to obtain replacements or refunds.
- Maintained accuracy, completeness and security for medical records and health information.
- Received and routed medical records.
- Prepared mailings of information and documentation.
- Sorted materials and filed according to guidelines.
- Weighed letters and packages and calculated costs based on classification, weight and destination.
Deli Manager, 12/2012 to 08/2015
Roberts Grocery – City, STATE,
- Set and enforced performance and service standards to keep consistent, high-quality environment devoted to customer satisfaction.
- Inspected preparation and storage equipment regularly to assess and maintain performance for cost-effective, safe operations.
- Limited portion sizes and used garnishes to control food costs.
- Maintained high standards of food quality by reviewing shipments, overseeing preparation and monitoring food safety.
- Inventoried food products and associated materials on Timeframe basis.
- Reviewed pricing and ordered food ingredients, kitchen appliances and supplies.
- Controlled inventory costs by carefully managing portion control and reducing waste.
- Oversaw balancing of cash registers, reconciled transactions and deposited establishment's earnings to bank each Timeframe.
- Assisted customers by answering questions and fulfilling requests.
- Researched issues to obtain appropriate answers to customer inquiries.
- Effectively allocated tasks during high-traffic times to keep operations running smoothly and employees focused.
- Trained new associates on cash register operations including opening, conducting customer transactions and balancing drawer.
- Aligned inventory processes with demand projections to maximize organizational and budget efficiency.
- Implemented daily operating procedures to keep store clean, adequately stocked and well-organized.
- Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences.
- Assisted customers with locating and choosing merchandise in any store department.
- Opened and closed store independently when needed and prepared nightly bank drop for manager.
Office Floater, 09/2008 to 12/2012
Dothan Pediatric Clinic – City, STATE,
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Facilitated organized record retrieval and access by maintaining filing system for both in-house and discharged residents.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
- Organized paperwork such as charts and reports for office and patient needs.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Located, checked in and pulled medical records for patient appointments and incomplete charts.
- Successfully scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
- Coordinated front office duties, including customer service, patient scheduling and billing.
- Maintained confidentiality of patient finances, records and health statuses.
- Completed clerical duties and tasks for clinic administration.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Removed invalid computer alerts and cleaned accounts to assure information accuracy.
Graduate : , Expected in 05/2003
Rehobeth High School - Dothan, AL
GPA:
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