Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
13
13
years of professional experience
Work History
Claims Representative
Cigna Healthcare
11.2022 - Current
Investigate claims made by policyholders and doctor's
The accuracy of the timely filing and determine payouts and reimbursements
Pprovide customer service, solving problems and processing claims.
Skilled at working independently and collaboratively in a team environment.
Self-motivated, with a strong sense of personal responsibility.
Proven ability to learn quickly and adapt to new situations.
Worked well in a team setting, providing support and guidance.
Managed time efficiently in order to complete all tasks within deadlines.
Excellent communication skills, both verbal and written.
Strengthened communication skills through regular interactions with others.
Organized and detail-oriented with a strong work ethic.
Used critical thinking to break down problems, evaluate solutions and make decisions.
Paid attention to detail while completing assignments.
Participated in team projects, demonstrating an ability to work collaboratively and effectively.
Medical Records
Specialist
ROI, Sharecare Inc
07.2021 - Current
Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing
Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area
Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area
Scanned patients' health records into electronic formats.
Performed medical records management, including filing, organizing and scanning documents.
Implemented care and efficiency improvements to support and enhance office operations.
Assistant manager
California Drug Consultants
09.2010 - 07.2021
Supervised day-to-day operations to meet performance, quality and service expectations.
Mentored team members to enhance professional development and accountability in workplace.
Helped with planning schedules and delegating assignments to meet coverage and service demands.
Created employee schedules to align coverage with forecasted demands.
Made hiring recommendations to increase company's productivity and profitability with quality workers.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Maintained compliance with company policies, objectives, and communication goals.
Created successful work schedules for each team member to maintain deadlines and fully staff shifts.
Supervisor
Lead Med-Tech, Renaissance Villages
09.2015 - 06.2017
Provides a quality experience for patients, assist with basic needs, and collaborates with medical professionals to achieve excellent care
Assist patients with daily living needs and mobility, participates in case reviews and develops detailed reports on patients progress an developments
Inspects and monitors medications for patients and requests any needed adjustments organizes and updates patients information and medical records in Q MAR database
Communicates & schedules care plan meetings with patient family on status, progress, and opportunities for further growth & development
Develops detailed accurate reports, completes documentation, and maintains an organized database of clients, invoices, and other details.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Monitored workflow to improve employee time management and increase productivity.
Maintained compliance with company policies, objectives, and communication goals.
Maintained clean and well-organized production areas to avoid violations or unnecessary work delays due to hazards or inefficient layouts.
Mentored newly hired employees on operating equipment and safety and developed training manual to use for reference.
Enforced rules and regulations outlined in company manual to set forth expectations comprehensibly and consistently.
Created successful work schedules for each team member to maintain deadlines and fully staff shifts.
Helped meet changing demands by recommending improvements to business systems or procedures.
Education
Associates - Health Administration
University of Phoenix
Tempe, AZ
Riverside County High School
Moreno Valley, CA
06.2002
Skills
Team Leadership Report Development Training & Coaching Patient Care Referrals
Professional Relationships
Reviewing Patient Information
Medical Terminology
Understanding
Medical Records Management
Claims Documentation
Investigate Claims
Claims Resolution
Insurance Claims
Claims Processing Documentation
Claims Knowledge
Claims Adjustments
Medical Claims
Analyzing Claims
Excellent Administrative Abilities
Microsoft Office
Work Organizing and Prioritizing
Production Goals
Microsoft Excel
Time Management
Critical Thinking
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Fall seven times; stand up eight.
Japanese proverb
Timeline
Claims Representative
Cigna Healthcare
11.2022 - Current
Medical Records
Specialist
ROI, Sharecare Inc
07.2021 - Current
Supervisor
Lead Med-Tech, Renaissance Villages
09.2015 - 06.2017
Assistant manager
California Drug Consultants
09.2010 - 07.2021
Associates - Health Administration
University of Phoenix
Riverside County High School
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