Dedicated and adaptable professional seeking a remote position where I can use my knowledge and experience to deliver positive results and contribute to the growth and success of the organization.
Overview
25
25
years of professional experience
Work History
Outreach Operations Representative
CSI Companies
Remote
05.2024 - Current
This job involves outreach to providers offices and medical facilities with the end goal to obtain medical records for chart reviews and audits
Involves calling 40 providers a day, researching providers contact information, and working towards resolution of getting medical records sent in for time-sensitive reviews or audits
Involves meeting and exceeding daily metrics of productivity, quality, and idle times effectively
Working in a remote environment
Excellent customer service skills, time-management skills and organization skills
Chart Retrieval Specialist
Episource
Syracuse, NY
08.2022 - 05.2024
Collect medical records from various healthcare providers on behalf of specific health plans for review
Conduct fieldwork for the collection of paper and electronic medical records
Knowledge of various EHR & EMR systems and occasional travel
Medicaid Transportation Advocate
CPS Recruitment
Syracuse, NY
12.2021 - 06.2022
Worked in a fast-paced customer service environment
Delivered a high level of service to Medicaid enrollees, medical providers, and transportation provider
Assisted in scheduling transportation services to Medicaid enrollees and assisting them with any emergency service or issue that arose
Childcare Provider
Self-Employed
Syracuse, NY
07.2013 - 01.2021
Supervised and monitored the safety of school-age children before and after school
Organized and implemented daily activities to keep children active physically and cognitively
Provided daily care and fulfilled the needs of the children
Performed administrative work such as bookkeeping and record-keeping
Long-Term Disability Specialist
The Hartford
Syracuse, NY
01.2004 - 06.2013
Conducted quality analysis and review of claim files, policy language, and medical records
Provided excellent customer service and communication with employers, physicians, and claimants
Mentored and trained new employees for a period of 4-6 weeks, providing guidance and support in understanding the disability claims process
Shared knowledge of company policies and procedures
Assisted trainees in developing skills in assessing disability claims, determining eligibility, and managing case files
Provided ongoing feedback and evaluation to help trainees identify areas for improvement and build upon their strengths
Short-Term Disability Analyst
The Hartford
Syracuse, NY
03.2000 - 01.2004
Managed short-term disability claims
Reviewed policy language, employment and salary verification, and medical records
Initiated ongoing communication with claimants to explain the claim process and requirements
Communicated with employers and physicians to obtain necessary information
Education
Bachelor of Science - Economics & Management Science
State University of New York at Cortland
Cortland, NY
Skills
Management
Customer Service
Communication
Time Management
Interpersonal Skills
Problem-Solving Skills
Critical Thinking Skills
Medical Records Experience
HIPAA Experience
ICD-9 experience
Decision Making
Attention to Detail
Analyzing Skills
Typing Speed: 60 wpm
Computer Skills: Microsoft Word
Computer Skills: Excel
Computer Skills: PowerPoint
Computer Skills: Teams
Computer Skills: Outlook
Computer Skills: Google Suite
Computer Skills: EHR & EMR systems (Medent, Onco, Treknet & Citrix, Epic, Allscripts, eClinicalWorks, Nextgen, One Content, etc)
Timeline
Outreach Operations Representative
CSI Companies
05.2024 - Current
Chart Retrieval Specialist
Episource
08.2022 - 05.2024
Medicaid Transportation Advocate
CPS Recruitment
12.2021 - 06.2022
Childcare Provider
Self-Employed
07.2013 - 01.2021
Long-Term Disability Specialist
The Hartford
01.2004 - 06.2013
Short-Term Disability Analyst
The Hartford
03.2000 - 01.2004
Bachelor of Science - Economics & Management Science