Rose Hunter
Seattle,WA
Summary
Seeking an Administrative position with a company that will allow me to fully utilize my communication, organizational, and problem solving skills. Self-motivated professional accustomed to handling sensitive and confidential records while thriving in deadline-driven environments. Polished in developing information systems for medical establishments to provide top-quality care. Valued contributor focused on accurately capturing, storing, securing and wielding healthcare data. To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
11
11
years of professional experience
Work History
Health Plan Coordinator
Kaiser Permanente
09.2016 - Current
- Adjudicating pre-authorization coverage requests for all types of medical services in a fast paced and at many times complex problem solving
- Knowledge of health plan functions reading and interpreting contracts and coverage and understanding claims payment
- This role includes handling a high volume of incoming calls from members and providers, managing multiple requests simultaneously and accurately and easily identifying requests that require a higher level of clinical review
- Strong knowledge of medical terminology, CPT, HCPC and ICD coding and strong computer skills to ensure that State and Federal compliance and regulatory requirements are met.
Administrative Assistant
Kaiser Permanente
08.2015 - 09.2016
- Primary contact between all vendors maintaining all spreadsheets keeping track of all deadlines and payments and credentialing verifications certifications with all parties’ pos and invoicing processing orders
- Expertise researching resolving in responding to all issues and escalations within department
- Delegates and supervises jobs and employees
- Participating in the hiring training and performance management responsibility and authority
- Coordinates and organizes projects, most without direction, schedules complex meetings and prepares materials such as agendas, timelines, reports and presentations
- Experience
Administrative Specialist
Kaiser Permanente
09.2014 - 09.2015
- Provide advanced administrative support to a large department
- Act as liaison between departments and vendors maintaining relationships keeping accurate bookkeeping on all accounts and tracking
- Maintaining credentialing and or continuing education credits for all staff
- Maintaining department calendars for staff and department files review and handle mail coordinate all meetings trainings participate in budgeting process is handling confidential mail proofread documents maintains generate reports and create spreadsheets for and graphs for department round beings meetings and planning
- Tracks/monitors budgets, posts data to ledgers
- Desktop publishing takes all mints for all meetings under minimal or no supervision.
Cash Depositor /Customer Service Specialist
Kaiser Permanente
11.2010 - 08.2014
- Resolved concerns with products or services to help with retention and drive sales.
- Answered calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.
- Used consultative techniques to understand customer needs and make strategic referrals to business partners.
- Reinforced established quality control standards and followed procedures for optimal customer interactions.
- Maintained financial accounts by processing customer adjustments.
Education
Medical Assisting
Apollo College
Spokane Valley, WAAssociate of Arts -
Spokane Community College
Spokane, WASkills
- Problem-Solving
- Quality assurance
- Attention to Detail
- Teamwork and Collaboration
- Decision Making
- Dependable and Responsible
- Multitasking Abilities
- Workflow processes
- Clinical process knowledge
- Training and Development
- Analytical and Critical Thinking
- Data Entry
- Planning and Coordination
Additional Information
- Referances available upon request
Timeline
Health Plan Coordinator
Kaiser Permanente
09.2016 - Current
Administrative Assistant
Kaiser Permanente
08.2015 - 09.2016
Administrative Specialist
Kaiser Permanente
09.2014 - 09.2015
Cash Depositor /Customer Service Specialist
Kaiser Permanente
11.2010 - 08.2014
Medical Assisting
Apollo College
Associate of Arts -
Spokane Community College
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