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Management Sample Resume Format in Word Free Download

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Sample Template Example of Beautiful Excellent Professional Curriculum Vitae / Resume / CV Format with Career Objective, Job Description, Skills & Work Experience for Freshers & Experienced in Word / Doc / Pdf Free Download

Carlie  Baker                                                                                                               256-288-9876
309 Beaver run Drive, Madison, AL 35001                                                          carlie@gmail.com

Professional Profile
To obtain a meaningful and challenging position that enables me to further my Professional Experience in Health Information Management.

Professional Experience
Blue Cross Blue Shield of Alabama
February 2011- February 2012
Provider Relations Representative

Responsibilities
·        Provides prompt, accurate and courteous replies to written and telephonic inquiries
·        Encompass numerous contacts and originate from subscribers, providers, groups, agent plans and the general public
·        Responsible for managing the insurance accounts receivables post claims processing to include edits, rejections, and denials.
·        Responsible for reconciliation of billing account transactions to ensure accurate information according to established guidelines/procedures.
·        Monitor records, manages applications regarding credentials and processes requests for temporary privileges from doctors and other health care providers according to processing of claims.
·         Assures compliance with requests for release of medical information from a variety of sources in accordance with the Privacy Act Statement and the Health Insurance Portability and Accountability Act of 1996.

United Healthcare Insurance Co., Huntsville, AL
May 2006- February 2011
Provider Quality Representative
Achievements:
·         Customer Service Agent of Week
·         100% Quality Assurance
Responsibilities:
·         Satisfy members, providers and clients with the quality of service received by responding courteously and accurately to all phone inquiries relating to eligibility issues, explanation of benefits and claims issues.
·         Determines the nature of the business involved and personally furnishes information, or refers outside contacts to the appropriate department, if necessary.
·         Ensure that each bill is coded based on current coding information, procedures, and guidelines of the insurance industry.
·         Forward complex issues to the next level when necessary and appropriate.
·         Analyze Accounts Receivable for assigned claims in a timely manner to determine status of claims.
·         Initiate request to reissue check for subscribers and providers.
·         Very strong Customer Service and Team work skills
Allstate Insurance Co., Hoover, AL
January 2005-May 2005
Administrative Assistant
·         Very strong verbal and written skills
·         Receives and screens telephone calls and  facsimile transmissions.
·         Provides administrative support
·         Meet all time-stamp requirements for the insurance
·         Supports staffing, consults with supervisors on routine workforce
·         Very proficient in use of Excel, Word, PowerPoint, and access.
·         Typing- 50wpm
     Credit Union Service Center, Birmingham, AL
August 2004- January 2005
Bank Teller
Responsibilities:
·         Receive money from customers, disburse money to customers and record the transactions in accordance with well-defined policies and procedures.
·         Verify cash drawer, balance and prepare daily work using forms in accordance with standard procedures.
·         Deliver excellent customer service to all bank customers.
·         Keep proper cash supply on hand and prepare daily proof record while maintaining an acceptable difference record.
Skills:
·         Skills in utilizing presentation and database software
·         Ability to work in a fast pace environment handling a variety of tasks
·         Good interpersonal skills for answering telephones and communicating with all levels of personnel
·         Good organization skills to balance work and prioritize tasks
·         Ability to work independently with minimal supervision
·         Clear and precise understanding of  the entire revenue cycle from eligibility, benefits, billing,  credentialing, coding, denial management, and appeals
·         Exceptional and extensive Knowledge and experience of the Healthcare Industry, including but not limited to knowledge of billing to Medicare, Medicaid, Commercial policies, and Managed Care policies and the knowledge of healthcare reimbursement

Education

Devry University
Health Information Technology
May 2013

Minor High School
General High School Diploma
May 2005

References
References are available upon request.


 



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