Richard Crane
Plano,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
10
10
years of professional experience
Work History
Claims Ex
Gainwell Technologies
04.2021 - Current
- Complied with established internal controls and policies.
- Handled complaints and grievances using negotiating and problem-solving skills.
- Researched claims and incident information to deliver solutions and resolve problems.
- Documented information gathered in field and uploaded data to company database for efficient processing using MDW or EMEDNY.
NY Case Worker
HMS
01.2019 - 03.2021
- Complied with established internal controls and policies.
- Handled complaints and grievances using negotiating and problem-solving skills.
- Researched claims and incident information to deliver solutions and resolve problems.
- Documented information gathered in field and uploaded data to company database for efficient processing using MDW or EMEDNY.
NYC Caseworker
HMS
04.2016 - 12.2018
- Complied with established internal controls and policies.
- Handled complaints and grievances using negotiating and problem-solving skills.
- Researched claims and incident information to deliver solutions and resolve problems.
- Assessed clients' needs and determined eligibility for intake services.
Intake Representative
HMS
04.2014 - 04.2016
- Complied with established internal controls and policies.
- Scanned incoming mail from OMIG & HMS
- Create new cases
- Linked documents to the correct case
Verifications Associate
HMS
10.2013 - 04.2014
- Complied with established internal controls and policies.
- Verified pharmacy coverages for members.
Education
High School Diploma -
Plano Senior High School
PlanoSkills
- Active Listening
- Critical Thinking
- Informational Releases
- Industry Trends
Timeline
Claims Ex
Gainwell Technologies
04.2021 - Current
NY Case Worker
HMS
01.2019 - 03.2021
NYC Caseworker
HMS
04.2016 - 12.2018
Intake Representative
HMS
04.2014 - 04.2016
Verifications Associate
HMS
10.2013 - 04.2014
High School Diploma -
Plano Senior High School
Similar Profiles
Delora CrawfordDelora Crawford
Medicaid Provider Enrollment Specialist at Gainwell TechnologiesMedicaid Provider Enrollment Specialist at Gainwell Technologies
Briana BurgherBriana Burgher
Provider Enrollment Specialist at Gainwell TechnologiesProvider Enrollment Specialist at Gainwell Technologies
Ranjith kumar SRanjith kumar S
Business Analyst at Gainwell TechnologiesBusiness Analyst at Gainwell Technologies
Erin LambertiErin Lamberti
Senior Marketing Communications Lead at Gainwell TechnologiesSenior Marketing Communications Lead at Gainwell Technologies
Andrew Cole-EmuzeAndrew Cole-Emuze
Network Manager at HanoverNetwork Manager at Hanover