Rochelle Lee Gwinn
Summary
Summary Exceptionally strong in customer service skills and computer skills in the medical field. Good at building relationships with healthcare staff, patients and provider representatives Recognized by superiors for attention to detail and high-quality performance.
Overview
16
16
years of professional experience
Work History
Clinical Administrative Coordinator
UnitedHealth Group
02.2012 - Current
- NASU team is primarily responsible for gathering birth information from claims for the state on Medicaid members who are enrolled in their program
- Responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team
- Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff
- Manages the referrals process, processes incoming and outgoing referrals, and prior authorization claims.
- Proficient in Microsoft Office Suite, ICUE, Community Care, and Facets
Lactation Boutique Secretary
Middle Tennessee Medical Center
02.2011 - 06.2011
- Responsible for the opening and closing of the boutique, assisting customers with retail purchases and rentals, kept up with inventory that needed to be reordered and organized current inventory, made appointments, and organized the files for lactation consultations. Proficient in Quick Books
Creative Design Specialist/Retail Sale
Sassy Scrapper
01.2008 - 10.2010
- Responsible for assisting customers both in the store and over the phone, kept up with inventory that needed to be reordered and organized current inventory that needed to be displayed, maintained the website, instructed classes and workshops.
Education
Architecture
University of Tennessee
Knoxville, TNInterior Design
Middle Tennessee State University
Murfreesboro, TNSmyrna High School
Smyrna, TNSkills
Case Review
- Clerical Assistance
- Documentation Skills
- Medical Terminology
- Telephone Customer Support
- Medicare/Medicaid
- Time Management
- Multitasking Abilities
- Data Entry Accuracy
- Attention to Detail
- HIPAA Knowledge
Timeline
Clinical Administrative Coordinator
UnitedHealth Group
02.2012 - Current
Lactation Boutique Secretary
Middle Tennessee Medical Center
02.2011 - 06.2011
Creative Design Specialist/Retail Sale
Sassy Scrapper
01.2008 - 10.2010
Architecture
University of Tennessee
Interior Design
Middle Tennessee State University
Smyrna High School
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