Provider Services Coordinator Sample Resume Format in Word Free Download -->

Provider Services Coordinator 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
309 Lakeside Pointe
Covington, Georgia 30001
770-787-9876(home)
danna@yahoo.com
Danna Hatten
Objective
To obtain a position with an opportunity for advancement and professional development
Experience
2008-Present                 Newton Medical Center                 Covington, GA
Utilization Review/Quality Improvement Specialist
§  Assist in compiling risk management information through the use of Unusual Occurrence documents.  Also prepare for JCAHO and other regulatory agency surveys.
§  Coordinate meeting preparations, scheduling of conference rooms, ordering meals, mailing notices, preparing agenda’s and notifying committee members of forthcoming meetings and compiling information packets. Maintain Minutes & Reports
§  Balance Daily Census and provide a statistical report monthly.  Assists with the closing of all third party payer cases.
§  Enter ER, Inpatient and Observation Medicaid patient clinical information per the GHP portal in order to obtain the Medicaid pre-certs.
§  Proficiently uses the financial software database, Meditech to determine a patient payer class. Also the use of Midas.

2007-2008                     Emory Healthcare                            Atlanta, GA
Provider Services Coordinator
§  Worked in the Surgery/Bariatrics Clinic.  Answer, up-sale and assist with all telephone calls.
§  Verify patient insurance coverage and obtain referral as needed.  Explain what documents are needed to provide to insurance company for Pre-certification for surgery.
§  Schedule pre-surgical testing after approval obtained.  Assist with conducting seminar for lap band gastric bypass surgery.  Schedule procedure/follow up appointments.
§  Handle coding for surgery, and assist Office Manager.
§  Enter data in computer system utilizing IDX/GPMS.  Create charts.

2005–2007                    United Healthcare                        Dunwoody, GA
Case Verification Coordinator
§  I review case notifications from intake within a specified work que for specific field completion and route to appropriate staff.
§  Validate State of Issue, Funding and Market Segment fields. I perform ICD/CPT/HCPCS coding.
§  complete coverage determination and benefit documentation


1997-2005                     Kaiser Permanente Clinics.                Fairfax, VA
Customer Care Specialist
§  Answer Helpdesk Line also known as (Supervisor line) for co-workers who have questions and handled escalated calls.
§  Schedule and confirm appointments for the entire Kaiser Mid-Atlantic area.
§  Conduct Open House for hiring new employees. 
§  Chosen to carry on extra projects for the Manager and Physicians using, Microsoft Excel, Word, PowerPoint, Lotus and Access.
§  Created and obtained Doctor’s on-call schedule and paged doctor’s who were needed in the Hospitals. Also assisted with payroll.
Education
1998-2005                     Strayer University                        Manassas, VA
§  Associates Degree
Skills
Team Lead experience, Microsoft Office, A+ Certified, Network Certified





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