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Regional Account Manager Resume Example

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REGIONAL ACCOUNT MANAGER
Professional Summary
I am seeking the Human Resources Manager position. This position will enable me to make the most of my MBA education and apply my experience in a field that I am very passionate about. I am self-motivated, adept at problem solving, detail oriented, multi-tasking, a team player, excellent team-building skills and a quick learner. Accustomed to handling confidential and sensitive records in compliance with the Health Insurance Portability and Accountability Act of 1996. I have a history of consistently producing accurate and timely results. I have excellent communication skills. I am flexible and versatile - able to consistently be successful in high paced and high-pressured environments. I excel in deadline-driven environments.
Education and Training
MBA:Healthcare Management2016Western Governors University, Salt Lake City, UT
Bachelor of Science:Legal Studies/Pre-Law Studies2002University of Massachusetts, Amherst, MA
Skill Highlights
  • Forecasting
  • Project Management
  • HIPAA
  • Leadership
  • Communication
  • Microsoft Word
  • Human Resources
  • Strategic Planning
  • Budgeting Expertise
  • Profit and Loss
  • Employee Relations
  • CPSI
  • Negotiations
  • Budgets 
  • Customer Service
  • Market Research and Analysis
  • Operations Management 
  • Microsoft Excel
  • Risk Management
  • Microsoft Outlook
  • Total Quality Management
  • Business Process Improvement
  • Revenue and Market Expansion
  • Business Strategy
  • Strategic Planning
  • Project Management
  • Lean Management
  • Professional Presentations
  • Budget 
  • Forecasts
  • Employee Relations
  • Customer Relations Management
  • Microsoft PowerPoint
  • Accreditation Audit
  • Vendor Sourcing
  • Organization Management
  • Team Building 
  • Microsoft Excel 
  • Microsoft Outlook
  • Microsoft PowerPoint
  • Microsoft Word 
  • Healthcare Policies
Professional Experience
UnitedHealth GroupBoston, MARegional Account Manager06/2011 to Current
  • Current Provide expertise claims support at Dana Farber Cancer Institute and Partners Healthcare by reviewing, researching, investigating, negotiating and resolving all claims that our clients have remitted payments for.
  • Process overpayment recovery for health plans, commercial customers and government entities.
  • Consistently exceeded my rising quarterly targets.
  • Analyze and identify trends on account receivable reports and provide reports as necessary.
  • Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance.
  • Initiate telephone calls to members, providers and other insurance companies to gather coordination of benefits data.
  • Investigate and pursue recoveries and payables on subrogation claims and file management.
  • Process recovery on claims.
  • Conduct contestable investigations to review medical history.
Computershare Fund ServicesCanton, MAPeer Monitor and Customer Service Rep01/2011 to 05/2011
  • Analyzed the quality of proxy vote calls received and made by Custom Service Representatives.
  • Wrote coaching tips for all Customer Service Representatives.
  • Administered verbal testing for new hires.
  • Reviewed, analyzed, interpreted and provided feedback on proxy data on spreadsheet.
  • Fielded outbound and inbound calls for proxy voting.
  • Interpreted content of proxy cards and prospectus to shareholders and/or authorized person(s).
John Hancock/ManulifeBoston, MALong Term Care Compensation Analyst08/2006 to 02/2010
  • Subject Matter Expert for correcting technical errors that resulted in lack of payments or incorrect payments to our clientele (Agents, Managing General Agents and Agencies and Third Party Wholesalers).
  • Trained new employees and wrote training modules.
  • Proposed quality analysis criteria to upper management that was accepted and implemented.
  • Ensured that our daily applications on the computers in our disaster recovery locations were functional.
  • Worked with multiple departments to resolve problems that were beyond my domain of operation but affected results from my department.
  • Reviewed and revised 1099 forms.
  • Compiled compensation data for year to date requests for clients.
  • Trained all my associates in the compensation department some aspect of Microsoft Word and Microsoft Excel.
  • Furnished clientele and management with daily, weekly, monthly and annual compensation reports.
  • Contributions during our weekly team meeting carried much weight and were rarely discarded.
  • Assessed the quality of fellow associates' work weekly.
  • Communicated with Financial Agents, Financial Advisors, Managing General Agents and Agencies that were based both domestically and abroad over the phone and by e-mail.
Skills
Budgets, Business Process Improvement, Business Strategy, Coaching, Communication, Customer Relations, Customer Service, Disaster Recovery, Employee Relations, File management, Forecasting, Human Resources, Team Building, Leadership, Managing, Market Research and Analysis, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Negotiating, Operations Management, Payables, Policies, Presentations, Profit and Loss, Project Management, Proxy, Researching, Risk Management, Strategic Planning and Total Quality Management
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Resume Overview

Companies Worked For:

  • UnitedHealth Group
  • Computershare Fund Services
  • John Hancock/Manulife

School Attended

  • Western Governors University
  • University of Massachusetts

Job Titles Held:

  • Regional Account Manager
  • Peer Monitor and Customer Service Rep
  • Long Term Care Compensation Analyst

Degrees

  • MBA : Healthcare Management 2016
    Bachelor of Science : Legal Studies/Pre-Law Studies 2002

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