Julia Schafer
High Ridge,MO
Summary
Highly efficient Utilization Management Team Lead well established in fast-paced and challenging environments. Eager to learn with aptitude for applying new knowledge with skill and efficiency. Seeking and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
20
20
years of professional experience
Work History
Utilization Management Adjustment Clerk
Delta Dental of Mo
02.2013 - Current
- UM Team Adjustment Clerk, triage claims and predeterminations; answer internal questions from other departments throughout the company; Triage DOI and DOL complaints; Triage 2nd revaluations from Healthcare providers nationwide; Schedule and monitor Consultant/Provider Peer to Peer request; Provide and Schedule training for new Um clerks; Create processing guidelines for UM department; Create and edit templates for clinical training documentation and reference tool guides; Review and implement yearly updates from CDT as well as National and Local policy.
- Collaborated with team members to complete tasks efficiently and meet deadlines.
- Created memos, letters, emails, reports, presentations as requested by management.
- Assisted customers with inquiries and complaints in a professional manner.
- Communicated with customers, employees and vendors to answer questions and address complaints.
- Coordinated office activities to streamline operations and promote compliance with organizational policies.
- Ensured compliance with company policies and procedures.
- Organized interdepartmental communication to improve workflow efficiency.
- Assisted in training new employees on office procedures.
- Created reports using Microsoft Excel for management review.
- Managed daily office operations and administrative tasks.
Dental Instructor
Anthem College
05.2012 - 04.2013
- Evening instructor for Dental Assisting, taught all aspects of dental assisting, clinical chair side, laboratory and administrative skills
- Instructed students in area of CPR training and Extern supervision.
- Encouraged critical thinking skills among dental students while providing constructive feedback.
- Monitored student progress throughout program and provided guidance when needed.
- Developed and implemented curriculum for dental students in accordance with accreditation standards.
- Supervised clinical practice sessions of dental students in clinic setting.
- Prepared reports detailing student performance evaluation results at end of each semester.
- Advised students on important educational needs for dental careers and requirements for achieving long-term goals.
Dental Assistant
Heartland Dental
01.2005 - 07.2011
- Chief Dental Assistant over four assistants, in charge of ordering supplies for office, monitor laboratory orders, in charge of OSHA compliance for all office staff
- Mentor and instruct Externs who come into office for continuation of education.
Education
Associate of Applied Science - Business Healthcare Management
Penn Foster Career School
Scranton, PA06.2019
EDFA - Dentistry
Nicholas Center
Jefferson City, MO08.2008
CDA Dental Assistant - Dental Assisting
Missouri College
St Louis, MO06.1995
Skills
- Time management abilities
- Staff Development and Training
- Excellent Communication
- Leadership Development
- Problem-solving aptitude
- Attention to Detail
- Effective Communication
- Coaching and Mentoring
- Interpersonal Communication
- Decision-Making
- Root Cause Analysis
- Analytical Skills
- Problem-Solving
- Adaptability
- Teamwork and Collaboration
- Organizational Skills
- Professionalism
- Quality Assurance
- Policy Implementation
- Handling Complaints
Websites
Timeline
Utilization Management Adjustment Clerk
Delta Dental of Mo
02.2013 - Current
Dental Instructor
Anthem College
05.2012 - 04.2013
Dental Assistant
Heartland Dental
01.2005 - 07.2011
Associate of Applied Science - Business Healthcare Management
Penn Foster Career School
EDFA - Dentistry
Nicholas Center
CDA Dental Assistant - Dental Assisting
Missouri College
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