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Remote Access Specialist Resume Example

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REMOTE ACCESS SPECIALIST
Professional Profile

Business development professional skilled at establishing and maintaining strategic partnerships to generate essential business opportunities.

Summary of Qualifications
  • User acceptance testing
  • Business systems analysis
  • Project management
  • Analytical problem solver
  • Managing multiple priorities
  • Quality assurance and control
  • Microsoft Office Suite expert
  • Project development and lifecycle
Career Accomplishments

•Led team that identified medical claims system error; provided analytic consultation to medical director and worked with functional managers to correct error resulting in $1,000,000 annual savings.

Professional Experience
Remote Access Specialist 01/2014 to Current Hire Dynamics Altegra Health Alpharetta, GA
  • Retrieve medical record request remotely via provider/facility EMR systems.
  • Perform quality assurance review on medical records retrieved from EMR systems as appropriate and report findings to management.
  • Process medical documentation for OHIS use.
  • Obtain logins from sites for remote access.
  • Maintain a working knowledge of OHIS programs (WebDU & WebDM); exceeds departmental productivity and quality standards.
  • Use Remote Desktops (RDP), VPN, and Citrix connections.
Health Coordinator 01/2009 to 01/2013 Health Care Services Corporation Chicago, IL
  • Identified inefficient workflow processes and business issues within Medical Management department and recommended appropriate corrective solutions to enhance efficiency and continuous improvement.
  • Defined and documented customer use cases, business functions, and processes.
  • Provided input into training curriculum and conduct informal training sessions covering workflow processes and applications.
  • Prepared report of findings for corrective actions and modifications; submitted reports to management for approval.
  • Planned and executed special projects within the Medical Management department.
  • Coordinated the activities of multiple projects including assigning tasks to resources, scheduling meetings, taking/ logging meeting minutes, and developing and analyzing status reports.
  • Provided project coordination support to clinical staff in Medical Management department with their clinical related projects.
  • Demonstrated effective and consistent technical support to condition management department as a local system administrator.
  • Trained and developed new hire health coordinators in case management, utilization management, and condition management.
Medical Tech Support Analyst 01/2008 to 01/2009 Health Care Services Corporation Chicago, IL
  • Act as a liaison between departmental end-users, IT operations, and management in the analysis, testing and maintenance of clinical applications.
  • Provided input into training curriculum and conduct informal training sessions covering assigned applications.
  • Coordinated clinical staff daily activities; managed and monitored clinical staff workload.
  • Assisted reporting team by developing and analyzing weekly business performance reports within condition management department for external business customers and provided analytic consultation to leadership.
  • Provided support to clinical staff by performing telephonic educational outreach to members.
  • Facilitated meetings including preparation by scheduling and coordinating agendas and materials for clinicians.
Account Support Representative 01/2006 to 01/2008 Health Care Services Corporation Chicago, IL
  • Test and validated medical claims system and software to ensure quality/accuracy during production.
  • Created and maintained business application requirements in response to business needs.
  • Developed and analyzed business performance reports for provider claims abuse.
  • Identified and investigated open cases related to provider healthcare claims abuse, internal abuse, and vendor/ contract abuse.
  • Created and maintained spreadsheet using formulas, tables, and graphs used to track and monitor weekly employee productivity within the department.
  • Coordinated project activities including assigning tasks to resources, scheduling meetings, taking meeting minutes, logging minutes into database, and developing and analyzing reports.
  • Led team that identified medical claims system error; provided analytic consultation to medical director and worked with functional managers to correct error resulting in $1,000,000 annual savings.
  • Conducted medical claims investigations in a timely manner and effectively managed each investigation.
  • Demonstrated effective and consistent technical support to team as a local system administrator.
Customer Service Representative 01/2001 to 01/2006 Health Care Services Corporation Chicago, IL
  • Appointed lead business correspondent to Utilization Management vendor.
  • Trained and developed new hire customer advocates.
  • Process medical claims using Blue Chip claims system.
Education
M.B.A: Project Management 2010 Keller Graduate School of Management
B.S: Business & Technology 2006 Governors State University
Skills
  • Health care plan experience including Medicare/Medicaid
  • Excellent verbal and written communication
  • MS Project
  • Critical thinking, problem solving

Professional Affiliations

Toastmasters International

PMI

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Resume Overview

Companies Worked For:

  • Hire Dynamics Altegra Health
  • Health Care Services Corporation

School Attended

  • Keller Graduate School of Management
  • Governors State University

Job Titles Held:

  • Remote Access Specialist
  • Health Coordinator
  • Medical Tech Support Analyst
  • Account Support Representative
  • Customer Service Representative

Degrees

  • M.B.A : Project Management 2010
    B.S : Business & Technology 2006

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