Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Cathy Crawford

Ankeny,IA

Summary

Detail-oriented with excellent communication and time management skills. Seeking the opportunity to continue my career growth. Devoted professional proactively and quickly identifies best course of action for given scenarios. Confident handling tasks independently and in teams with highly organized approach to work. Strong advocate for those in need and committed to providing best possible service.

Overview

18
18
years of professional experience

Work History

HCS LTSS Case Management Processor

Molina Healthcare of Iowa
03.2023 - Current
  • Active participant on an IT panel to work through technical issues
  • Updates resources for current team and Iowa LTSS case management processors in SharePoint
  • Aided in NCQA preparation
  • Prepare monthly reporting
  • Provides telephone, clerical, and data entry support for the Case Management team
  • Responsible for initial review of assigned case levels to assist in Case Management assignment
  • Schedules member visits with team members as needed
  • Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services
  • Coordinates required services in accordance with member benefit plan
  • Promotes communication, both internally and externally to enhance effectiveness of case management services
  • Processes member and provider correspondence.

Associate Loan Documentation Processor

Wells Fargo HOme Mortgage
07.2020 - 11.2022
  • Worked within the secondary Market on closed loans on an intermediate level, reviewed documentation as required, responsible to ensure compliance with company policies and government regulations, and evaluated documents to ensure no discrepancies causing undue risk to Wells Fargo
  • Resolved complex loan level issues; made the decision to approve a loan for purchase, suspend loan or recommend for non-purchase
  • Processed exceptions for incoming collateral packages and performed virtual review of collateral documents.

Care Support Specialist Level I

Wellmark Blue Cross blue shield
07.2016 - 08.2018
  • Assisted in completing medical precertification and prior authorization requests via phone, fax, and electronically
  • Coordinated peer to peer review requests with the medical directors’ schedule
  • Aided providers and facilities in creating authorizations while adhereing to the members policy requirements and/or restrictions.
  • Extremely high multitasking position with the need to be detailed oriented as well as complete work in a timely fashion.

Customer Service Associate Level II

Wellmark Blue Cross blue shield
11.2014 - 07.2016
  • Handled customer service calls in a high-volume health insurance call center
  • Aided members with questions regarding claims, eligibility, and benefits
  • Assisted new and existing members enrolling into new contracts
  • Extremely personable and empathic to the member’s situation and answered all questions accordingly.
  • Obtained insurance license and completed CEUs regularly

Health Information Technician

Unity point health
08.2011 - 11.2014
  • Appropriately and correctly prep, scan, and index patient medical records into the electronic medical record system
  • Answering phone calls, faxes, and completing release of information requests in a timely fashion while adhering to HIPPA.

Medical Transcriptionist Owner/Operator

Self-employed
05.2006 - 10.2011
  • Provided transcription services for a local Gl office which included four physicians and a nurse practitioner
  • Along with transcribing dictation, attention to detail, proofing documents, and 24-hour turnaround time were of the utmost importance for my clients.

Education

Bachelor of Science in information techology – programming and software developemnt -

Purdue University Global

Medical Transcription Certification -

DMACC
Ankeny, IA

Phlebtomy Certification -

DMACC
Ankeny, IA

Skills

  • Data Entry
  • Excel
  • CCA
  • Detail Oriented

References

Available upon request

Timeline

HCS LTSS Case Management Processor

Molina Healthcare of Iowa
03.2023 - Current

Associate Loan Documentation Processor

Wells Fargo HOme Mortgage
07.2020 - 11.2022

Care Support Specialist Level I

Wellmark Blue Cross blue shield
07.2016 - 08.2018

Customer Service Associate Level II

Wellmark Blue Cross blue shield
11.2014 - 07.2016

Health Information Technician

Unity point health
08.2011 - 11.2014

Medical Transcriptionist Owner/Operator

Self-employed
05.2006 - 10.2011

Bachelor of Science in information techology – programming and software developemnt -

Purdue University Global

Medical Transcription Certification -

DMACC

Phlebtomy Certification -

DMACC

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Cathy Crawford