Luciana Anderson
Buffalo,NY
Summary
Dedicated and experienced Advocate adept at conflict resolution, time management and relationship building. Also, highly efficient and precise with commitment to finishing jobs quickly and accurately. Proven to work closely with coworkers for effective data management. Skilled in document digitization, office modernization and data organization for enhanced productivity.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Lead Processor
Public Consulting Group, Inc.
06.2021 - 09.2022
- Consulted with clients to identify and resolve application closing issues.
- Interviewed applicants to obtain personal and financial data to assist in completing applications.
- Worked with customers via telephone to answer questions, process requested documents, and resolve issues.
- Prepared documents and explained terms to clarify grant conditions and requirements with applicants.
- Stayed up to date on state regulation changes, processing applications in compliance with current laws.
- Communicated acceptance or rejection to applicants via mail, email or telephone.
- Processed 30-50 emergency rental assistance applications per day.
Education Claims Examiner
Department Of Veteran Affairs
Buffalo, NY
01.2019 - 06.2020
- Developed and evaluate supporting evidence to determine eligibility for, entitlement to, and amount of benefits; authorizing benefits; and reconsidering claims
- Reviewed and requested military personnel records and service verification records to determine eligibility status.
- Conducted telephone interviews with veterans and College advocates/advisors to explain benefits and approved programs, including payments towards tuition.
- Composed correspondence letters to explain current status of applications and request additional documentation.
- Assisted veterans in preparing forms and documents to present education claims for benefits.
- Developed new applications for cross-functioning departments.
Human Resources Administrative Assistant
Catholic Health System
Buffalo, NY
03.2018 - 01.2019
- Performed various administrative functions, including filing paperwork, delivering mail, sorting mail and office inventory
- Researched relevant resources to assist employees as needed.
- Monitored key dates to ensure information is obtained by deadlines
- Positioned as primary liaison to streamline operations of multiple lines of business within organization
- Developed and managed information to gather and streamline throughout department
- Provided excellent service to guests and employees
- Answered and directed outbound and inbound phone calls daily
- Consulted with internal and external clients via email and telephone correspondence to identify business needs
- Monitor badge machines during operation to detect sounds of malfunctioning or excessive vibration and adjusted machines or replaced tools to eliminate problems
- Provided supportive link between external customers and internal operations
- Positioned as go-to person for staff members and troubleshooting complex administrative issues promptly
- Create replacement/new badges for associates
- Provide building access to designated areas of hospital to associates and contracted workers
- Assisted with meetings and presentations within company
- Achieved client confidence and protected operations by keeping information confidential
- Initiated timely response to emails, voicemails and written correspondence
Authorization Coordinator
Fidelis Care NY
Buffalo, NY
03.2012 - 12.2017
- Prepare and approve medical procedures, inpatient hospital stays, durable medical equipment; Including specialist office visits
- Analyze and confirm clinical reports
- Review medical criteria to determine approval based on medical necessity
- Maintained confidential documentation of patient information to stay compliant with federal regulations(HIPPA)
- Collaborated with Clinicians, Nurses, Pharmacist and Medical Director to help ensure proper outcome of authorization of medical procedure
- Managed approximately 70-80 incoming calls per day from physicians, DME Vendors and Clinicians
Education
SUNY Downstate Medical Center
Brooklyn, NY08.2023
Skills
- Organization and planning
- Maintaining files
- Scheduling
- Computer literacy
- Problem solving
- Medical Records Management
- Data review
- Effective planning
- Monitoring
- Data entry
- File and records management
- Organizational development
Certification
Child Abuse: New York Mandated Reporter Training Certificate
Additional Information
Mandated Reporters are Required to report suspected child abuse or maltreatment when, in their professional capacity, they are presented with reasonable cause to suspect child abuse or maltreatment.
Accomplishments
- ICD9/CPT knowledge
- Facets Application
- Medicaid/Medicare knowledge
- Medical Claims Processor
- Claims Adjustments (HCFA/1500)
- WNY Health-e-Net
Timeline
Lead Processor
Public Consulting Group, Inc.
06.2021 - 09.2022
Education Claims Examiner
Department Of Veteran Affairs
01.2019 - 06.2020
Human Resources Administrative Assistant
Catholic Health System
03.2018 - 01.2019
Authorization Coordinator
Fidelis Care NY
03.2012 - 12.2017
SUNY Downstate Medical Center