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Skills

  • Customer relations and communications
  • Scheduling and calendar management
  • Appointment setting
  • Documentation and control
  • Writing reports
  • Bookkeeping
  • Employee timesheet processing
  • Business Administration
  • Presentation design
  • Program files maintenance

Work Experiences

  • Achieved a 48% improvement in resubmission success.
  • Opened and properly distributed incoming mail in order to respond to client inquiries more quickly.
  • Established administrative work procedures to keep track of the daily tasks of the employees.
  • Developed and implemented records handling standard operating procedures.
  • Handled phone and email correspondence, made copies, and handled incoming and outgoing mail and faxes as part of my administrative duties.
  • Was always looking for ways to make daily operations, client communications, recordkeeping, and data entry more efficient.
  • Organized, opened, and routed incoming mail and deliveries to assist senior leaders in responding quickly to business and customer needs.
  • Took up to 8 calls per two years and quickly redirected them.
  • Oversaw complex and detailed projects for executives, ensuring that budgets were met and projects were delivered on time.
  • Conducted extensive research using a variety of resources to assist professional staff with routine and special project tasks.

Summaries

  • Expert at multitasking in a fast-paced environment.
  • Drafting reports and business correspondence, managing mail, and updating tracking spreadsheets are all skills I possess.
  • Utilization Management Assistant is a dependable and enthusiastic Utilization Management Assistant with 8 years of front desk management experience.
  • Bringing a track record of effectively scheduling to promote organization and availability.
  • Ability to work independently or in a team environment with a self-motivated work ethic.
  • Prepared to bring 2 years of experience to Ironclad Systems and take on a new and challenging role.
  • Committed to high-quality organization and office management, as well as problem-solving skills.
  • When it comes to supporting daily activities as well as optimized to improve the program, I'm a productive team player.
  • Calendar management, scheduling, data entry, and database administration are all areas where she shines.
  • Dedicated to keeping track of program data, creating initiative reports, and team leadership.

Accomplishments

  • Assisted in the implementation of an EHR-based utilization management module, reducing manual processing efforts by 67% hours per month.
  • Developed a claims tracking dashboard to increase efficiency in processing utilization management requests, decreasing approval time by 35%.
  • Analyzed rejected claims patterns and implemented corrective measures, achieving 57% decline in denials for a specific payer plan.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Documented and resolved system which led to program.
  • Generated standard operating procedures (SOPs) to streamline dispute resolution processes, improving turnaround by 6 days per appeal.
  • Increased the accuracy of utilization review processes by 25% by deploying regular audits and feedback loops.
  • Resolved product issue through consumer testing.
  • Facilitated weekly interdisciplinary meetings to expedite and review case authorization statuses, enhancing transparency and reducing bottlenecks in workflows.
  • Streamlined pre-authorization processes, increasing approval rates by 20% and improving patient care outcomes.

Affiliations

  • International Council of Nurses
  • American Institute of Healthcare Compliance (AIHC), Workshop Attendee
  • Certified Professional in Healthcare Quality (CPHQ) - In Progress
  • Certified in Healthcare Compliance (CHC) – Expected Certification by 2017
  • Society of Women Engineers
  • College of Healthcare Information Management Executives (CHIME), Student Affiliate 2019
  • National Alliance of Healthcare Purchaser Coalitions (NAHPC), Member
  • Health Information and Management Systems Society (HIMSS) Member, specializing in Data-Driven Healthcare
  • International Association of Administrative Professionals
  • Certified in Utilization Review (UR) – Pursuing Certification 2022

Certifications

  • Google Certified Professional Cloud Architect
  • Certified Managed Care Professional (CMCP)
  • Cisco Certified Network Associate (CCNA)
  • Certificate in Healthcare Risk Management (CHRM)
  • Certified Professional in Health Care Risk Management (CPHRM)
  • Certified Healthcare Access Associate (CHAA)
  • First Aid/CPR Certified
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Revenue Integrity Professional (CRIP)
  • Project Management Professional (PMP)

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