Remote Access Specialist Resume Example Hire Dynamics Altegra Health

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 Specialist01/2014 to CurrentHire Dynamics Altegra HealthAlpharetta, 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 Coordinator01/2009 to 01/2013Health Care Services CorporationChicago, 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 Analyst01/2008 to 01/2009Health Care Services CorporationChicago, 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 Representative01/2006 to 01/2008Health Care Services CorporationChicago, 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 Representative01/2001 to 01/2006Health Care Services CorporationChicago, 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 Management2010Keller Graduate School of Management

B.S: Business & Technology2006Governors 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

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

Remote Access Specialist Resume Example

Resume Score: 90%

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