Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000
Cell:
resumesample@example.com
Professional Summary
Forward-thinking professional offering more than 9 years of experience working in fast-paced environments. Highly motivated and eager to learn.
Skills
Prior authorization processing
Obtaining authorizations
Record preparation
Mail preparation and sorting
Referral arrangements
Patient referrals
Organization and prioritization skills
Supply reporting
Work History
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.
Education
Graduate : , Expected in 05/2003 Rehobeth High School - Dothan, AL GPA:
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