LiveCareer-Resume

trades helper resume example with 6+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Summary

Versatile Provider service advocate skilled in all aspects of customer relationship management and satisfaction. Client-first attitude toward accomplishing tasks. Dependable and diligent individual with over 4 years of experience working in a Medicare and medicaid insurance settings. While working at United healthcare I have a vast amount of job duties and responsibilities. The amount of training they provided was 3 months within those 3 months they trained me to handle benefits and eligibility calls as-well as take on prior authorization calls to help answer any questions on the matter and help build inpatient/outpatient authorizations for in network and out of network providers while following state and federal Medicare and Medicaid guidelines. At United healthcare we are a one stop shop so we also handle claims calls send back reconsideration's, check appeals status, and work with claims adjusters to get the providers paid out a lot faster depending on a case by case basis. When it comes to claims we run CPT and HCPS Codes and check global periods, MFD, Modifiers and claims processing instructions to further help with reconsideration qualification and or claims adjustment qualification.

Skills
  • Team player
  • Deadline driven
  • Flexible work schedule
  • Customer service experience
  • Quality controls
  • Leadership
  • Good verbal/written communication skills
  • Strong work ethic
  • Accuracy
  • Microsoft Office expertise
  • Knowledgeable in ICue Authorization software
  • Recordkeeping and data input
  • Application assessment
  • Authorizations knowledge
  • Business support
  • Document preparation
  • Documentation research
  • Policy knowledge
  • Coverage determination
  • Medicaid knowledge
  • Insurance plan verification
  • Background in insurance
  • Medical terminology
  • Project management abilities
  • Quality control
  • Medicare and Medicaid regulations knowledge
  • Claims file management processes
Experience
Provider Services Representative, 10/2020 - Current
Unitedhealth Group Inc. Selinsgrove, PA,
  • De-escalated problematic provider concerns, maintaining calm, friendly demeanor.
  • Engaged customers with proactive strategies to understand needs and develop successful solutions.
  • Reviewed documentation and accounts to gain full picture.
  • Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • worked on in patient and out patient authorizations.
  • Benefits and eligibility inquires.
Trades Helper, 04/2019 - 10/2020
Asrc Federal Holding Company Raleigh, NC,
  • Addressed and independently resolved site problems to keep teams on-task and avoid development of larger concerns
  • Retrieved materials, tools and equipment from trucks and delivered to skilled workers
  • Inspected trucks and trailers before and after trips and completed basic maintenance for optimal performance
  • Conducted vehicle inspections prior to and after every trip and performed minor repairs
  • Established relationships with customers through use of interpersonal, active listening and inquiry response skills
  • Demonstrated safe driving by observing all road rules, exercising caution in unfamiliar areas and maintaining vehicle control
  • Mixed and poured concrete according to standard ratios
  • Maintained safety of work areas by adhering to strict regulations
  • Continually cleaned work areas and equipment
  • Planned work and determined appropriate tools and equipment
  • Also skilled in using grade lasers transit levels, metal or wood forms, screed rods, tamps, power trowels, hand trowels, walking trowels, fiberglass hand floats, hand edgers, walking edgers, bull floats, fresnos and jointers with either a wet or dry broom finish and an S broom finish for wings and steep inclines.
Cement Laborer/finisher, 05/2015 - 04/2019
Sonepar Usa Watertown, MA,
  • Maintained safety of work areas by adhering to strict regulations
  • Used tractors and other equipment to move materials and complete project work with construction team
  • Used various chemicals and tools to repair damaged items
  • Upheld all requirements for safe operations and reporting of incidents
  • Maintained inventory list of all items used on job sites to provide information needed for reordering
  • Mixed and poured concrete according to standard ratios
CSR, 08/2018 - 12/2018
General Dynamics City, STATE,
  • Delivered fast, friendly and knowledgeable service for routine questions and service complaints
  • Exceeded team goals and collaborated with staff to implement customer service initiatives
  • Answered daily phone calls to resolve medicare related customer issues efficiently
Assembly\Test Technician, 07/2018 - 10/2018
Honeywell City, STATE,
  • Conducted visual inspections and checked for product defects
  • Fit, built and reconstructed various products, including actuator valves
  • Executed calibration and adjustments using testing instruments such as air pressure testers and electric conductivity testers
  • Maintained records and documents of daily production and dispatched goods
  • Cleaned all parts of equipment as per established cleaning procedures
  • Maintained neat, organized and clean work areas to avoid safety concerns or production delays
  • Collaborated with team members to complete demanding projects under tight deadlines
Education and Training
High School Diploma: , Expected in 2015
-
Peoria High School - Peoria, AZ
GPA:
Status -
Class A CDL: Class A CDL Course, Expected in 2019
-
City Of Phoenix Driving School (40 Hour) - Phoenix, AZ,
GPA:
Status -

threw this course I obtained my class A CDL with tanker endorsement, combination vehicle endorsement, and Air brakes endorsement.

People Skills Training : , Expected in 2019
-
City of Phoenix Employee Training Center - Phoenix, AZ,
GPA:
Status -

I attended a work place violence prevention course as well as a customer service course provided threw the city of phoenix.

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Resume Overview

School Attended

  • Peoria High School
  • City Of Phoenix Driving School (40 Hour)
  • City of Phoenix Employee Training Center

Job Titles Held:

  • Provider Services Representative
  • Trades Helper
  • Cement Laborer/finisher
  • CSR
  • Assembly\Test Technician

Degrees

  • High School Diploma
  • Class A CDL
  • People Skills Training

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