LiveCareer-Resume

um intake rep resume example with 8+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Professional Summary

Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.

Skills
  • Records Management
  • Case Management
  • Progress Reporting
  • Data Entry
  • Building Cases
  • Records Maintenance
  • Patient Referral
  • Health and Wellness
  • Customer Inquiries
  • Client Screening
  • Authorization Procedures
  • Consultation and Advisement
  • Contract Development and Management
  • Team Leadership
  • Verbal and Written Communication
  • Sales and Marketing
  • Customer Relationship Management
  • Managing Appointments
  • Complex Problem-Solving
  • Cross-Functional Team Management
  • Key Performance Indicators (KPI)
  • Employee Training
  • Account Management and Updating
  • Verbal and Written Communication
  • Profit and Loss
  • Sales Expertise
  • Client Account Management
  • Sales Team Development
  • Customer Experience
  • Client Relations
  • New Business Development
  • Candidate Interviewing
  • Technical Communication
  • Candidate Sourcing
  • Resume Screening
  • Patient Medical Histories
  • Critical Thinking Skills
  • Safety and Risk Assessments
  • Clerical Support
  • Claim Processing
  • Software Applications
  • Microsoft Office
  • Case File Management
  • Data Entry Software
  • Adaptable and Flexible
Work History
11/2018 to 03/2023
Um Intake Rep Anthem INC City, STATE,
  • Managing incoming calls or incoming post services claims work
  • Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient pre certification, prior authorization, and post service requests
  • Obtains intake (demographic) information from caller
  • Conducts a thorough radius search in Provider Finder and follows up with provider on referrals given
  • Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care
  • Processes incoming requests, collection of information needed for review from providers, utilizing scripts to screen basic and complex requests for pre certification and/or prior authorization
  • Verifies benefits and/or eligibility information
  • May act as liaison between Medical Management and internal departments
  • Responds to telephone and written inquiries from clients, providers and in-house departments
  • Conducts clinical screening process.
11/2017 to 10/2018
ArchMobile Assistant Manger, Sprint City, STATE,
  • Management duties including: Employee training {POS system, new product training and up-sale management} Inventory control, cash management, performed opening and closing duties, and scheduling
  • Commission-based sales to new and existing client as well as new business development
  • Customer Service including explaining equipment, plan and data Options, {including tablets, smart phones, Mifi devices, and accessories.
06/2014 to 12/2016
Account Executive/Recruiter Survival Systems Staffing Inc City, STATE,
  • Full cycle recruitment, new business development, sourcing, permanent placement, interview screening, resume review
  • Analyze Position: Work with client companies to develop the position title, reporting relationships compensation, education, work experience and personal characteristics of an ideal candidate.
10/2013 to 06/2014
Sr. Wireless Consultant/Key Holder/Floor Supervisor, Assistant Spring Mobile/GameStop Inc City, STATE,
  • Management duties including: Employee training {POS system, new product training and up-sale management} Inventory control, cash management, performed opening and closing duties, and scheduling
  • Commission-based sales to new and existing client as well as new business development
  • Customer Service including explaining equipment, plan and data Options, {including tablets, smart phones, Mifi devices, and accessories.
Education
Expected in 05/2004 to to
Associate of Arts:
Ventura College - Ventura, CA
GPA:

Certificates and TrainingResume Score Issue: Include your references Detailed References

Languages
English:
Full Professional
Negotiated:

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • Ventura College

Job Titles Held:

  • Um Intake Rep
  • ArchMobile Assistant Manger,
  • Account Executive/Recruiter
  • Sr. Wireless Consultant/Key Holder/Floor Supervisor, Assistant

Degrees

  • Associate of Arts

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: