Summary
Overview
Work History
Education
Skills
Websites
Timeline
Generic

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, PA
06.2019

EDFA - Dentistry

Nicholas Center
Jefferson City, MO
08.2008

CDA Dental Assistant - Dental Assisting

Missouri College
St Louis, MO
06.1995

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

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
Julia Schafer