Ana Anderson
Houston
Summary
Seeking an entry-level position where my communication, interpersonal, and customer service skills will enhance operations.
Professional with solid experience in healthcare administration, prepared to excel in supporting clinical operations and patient care. Strong focus on team collaboration, achieving results, and adapting to changing needs. Skilled in managing patient records, scheduling, communication, and multitasking. Known for reliability, problem-solving, and proactive approach to tasks.
Overview
13
13
years of professional experience
Work History
Clinical Administrative Coordinator
United Health Group
04.2018 - Current
- Serve as primary point of contact for providers or members regarding medical / clinical services or benefits
- Access and process claims
- Navigate between computer screens and platforms to research information
- Determine whether authorizations are required for requested medical services
- Learn computer system and process changes and updates and incorporate into daily work
- Contact internal resources if necessary to clarify information
- Identify appropriate resource to respond to medical requests
- Supported clinical staff by coordinating schedules, handling appointment confirmations, and updating patient records as needed.
- Utilized electronic health records software proficiently, enabling quick access to vital patient information when required.
- Coordinated schedules with patients and facility calendar.
- Responded to patient inquiries via phone and email, providing accurate information and resources while maintaining a professional demeanor.
- Facilitated communication between patients, healthcare providers, and insurance companies to ensure accurate billing and reimbursement.
Provider Resolution Specialist
United Health Group
09.2016 - 04.2018
- Answer incoming phone calls from customers and identify the type of assistance the customer needs
- Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
- Assist customers in navigating UnitedHealth Group websites and encourage and reassure them to become self-sufficient
- Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the member
- Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
- Provide education and status on previously submitted pre-authorizations or pre-determination requests
Customer Assistant
AT&T Inc.
05.2014 - 05.2016
- Analytical Technical Support representative adept at resolving complex network issues
- Critical thinker who addresses customer support issues quickly and who consistently exceeds performance standards
- Level-headed and calm in stressful situation with well-developed people skills
Administrative Assistant
Med Health, Inc.
02.2012 - 02.2013
- Answered multi-lined telephone, directed, screened calls, took and relayed messages
- Provided information to callers, greeted persons entering organization and directed individuals to correct destination
- Scheduled appointments, organized meetings, maintained appointment diary either electronically or manually
- Prepared letters and documents received and sorted outgoing mail and deliveries
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
Education
Bachelor of Business Administration - Management
Texas Southern University
Houston, Texas08.2011
Skills
- Telephone customer support
- Industry expertise
- Active learning
- Office administration
- ICD-10 coding
- Medicare/Medicaid
- Health plan operations
- Administrative support
- Complaint handling
Timeline
Clinical Administrative Coordinator
United Health Group
04.2018 - Current
Provider Resolution Specialist
United Health Group
09.2016 - 04.2018
Customer Assistant
AT&T Inc.
05.2014 - 05.2016
Administrative Assistant
Med Health, Inc.
02.2012 - 02.2013
Bachelor of Business Administration - Management
Texas Southern University
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