Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Minto Ahmed

Wethersfield,CT

Summary

Medical management specialist with over 6 years of experience in the healthcare sector. Proficient in data entry, software testing, and telephone etiquette. Strong oral and written communication skills enhance team collaboration and client interactions.

Overview

27
27
years of professional experience

Work History

Medical Management Specialist 1

Anthem Blue Cross Blue Shield
Lake Success, NY
06.2022 - Current

● Gathered clinical information to determine appropriate referrals for cases, streamlining the process for utilization and case management.

● Conducted utilization management review activities that required interpretation of clinical information.

● Provided assistance with managing complex patient cases in collaboration with the medical team.

● Supported Medical Management and Operations by coordinating nonclinical tasks to enhance workflow.

● Maintained accuracy and security of medical records, ensuring compliance and confidentiality in case handling.

● Input data into computer systems while maintaining security and accuracy of medical records.

● Prepares reports and documents all actions.

● May act as liaison between Medical Management and/or Operations and internal departments.

● Improved patient satisfaction scores by addressing concerns promptly and providing personalized attention.

● Communicated effectively with staff, patients, and insurance companies by email and telephone.

Managed Care Coordinator

Integra MLTC
Lake Success, NY
05.2019 - 06.2022
  • Coordinated and organized patient records to ensure accurate and timely access for care teams.
  • Documented call outcomes in electronic medical record system to maintain comprehensive patient histories.
  • Researching, identifying, and resolving caller complaints using applicable resources and system.
  • Facilitated daily communication with Care Management team to ensure effective patient follow-up.
  • Assisted members with special services, account updates and promotional options.
  • Answered phone calls and provided new clients with required paperwork to initiate service.
  • Provided translation support for Care Team to improve patient communication and understanding.

Machine Operator assistant

Sciegen Pharmaceuticals
Hauppauge, NY
07.2018 - 10.2018
  • Pre-weighed and confirmed weights of raw materials for blending and granulation processes, supporting process development.
  • Operated Toledo weighing and labeling system to maintain accuracy in material handling.
  • Verified raw materials against batch records to ensure compliance and quality standards.

Server

Hilton Garden Inn
Queens, NY
03.2015 - 05.2017
  • Delivered friendly, efficient service, contributing to pleasant dining experiences for guests.
  • Trained new server on menu knowledge and quality service steps, improving team readiness.
  • Collaborated with diverse teams, enhancing communication and cooperation across shifts.

Server

A.O.C
, NY
04.2010 - 01.2015
  • Provided exceptional customer service in fast-paced dining environment.
  • Coordinated service with hosts, bussers, and kitchen staff for efficient workflow.
  • Maintained up-to-date knowledge of daily specials, new menu items, and promotions.
  • Delivered food orders promptly and courteously to enhance guest experience.
  • Processed payments and handled cash transactions with precision and efficiency.

Server

Olive Garden
New York, New York
09.2002 - 03.2010
  • Greeted customers upon arrival and provided recommendations to boost sales.
  • Assisted guests with menu selections and answered questions effectively.
  • Delivered food and beverages accurately to guest tables.
  • Trained new servers in restaurant procedures to uphold service quality standards.
  • Operated POS terminals for accurate order entry, bill splitting, and total calculations.

Junior Software QA Tester

MCI World Com
Denver, CO
10.1999 - 04.2002
  • Conducted thorough functional, integration, regression, database, user acceptance, and compatibility testing.
  • Executed GUI and functional testing to ensure all buttons, icons, and objects met specified requirements.
  • Developed and executed test cases aligned with business requirements.
  • Created comprehensive test plans and cases for diverse applications.
  • Reported defects to project manager and team lead, contributing to improved application quality.
  • Entered data via front end and verified results directly in database.
  • Provided weekly QA metrics to inform team on productivity trends and application stability.
  • Maintained strong knowledge of software testing life cycle (STLC) throughout projects.

Education

Bachelor of Commerce -

Dhaka University
Dhaka

Skills

  • Proficiency in Microsoft Office
  • Understanding of software testing
  • Database management skills
  • Healthcare data management
  • Database Search and Data Entry Skills
  • Healthcare information analysis
  • Patient Confidentiality and Data Security
  • Record-keeping skills
  • Documenting and Recording Information
  • Patient care coordination
  • Accurate medical records
  • HIPAA regulation compliance
  • Report preparation
  • Strong communication abilities
  • Written communication proficiency
  • Continuous Improvement
  • Team collaboration skills

Languages

  • English
  • Bangla

Timeline

Medical Management Specialist 1

Anthem Blue Cross Blue Shield
06.2022 - Current

Managed Care Coordinator

Integra MLTC
05.2019 - 06.2022

Machine Operator assistant

Sciegen Pharmaceuticals
07.2018 - 10.2018

Server

Hilton Garden Inn
03.2015 - 05.2017

Server

A.O.C
04.2010 - 01.2015

Server

Olive Garden
09.2002 - 03.2010

Junior Software QA Tester

MCI World Com
10.1999 - 04.2002

Bachelor of Commerce -

Dhaka University
Minto Ahmed