Rosemarie Mason
Bridgeport,CT
Summary
Organized Clinical Coordinator with excellent scheduling, coordination and documentation talents as part of clinical teams. Skilled at communicating with members, managing provider services, providing thorough reports and ensuring member and provider satisfaction. Detail and patient-oriented with proficiency in handling difficult situations.
Overview
25
25
years of professional experience
Work History
Clinical Administrative Coordinator
UnitedHealthcare
Trumbull, CT
09.2021 - Current
- Provided comprehensive administrative support to department staff.
- Reviewed cases to determine need for escalation.
- Maintained high-level knowledge of federal and [State] regulations on patient privacy.
- Maintained complete documentation for permanent records and auditing purposes.
- Review of cases to determine need for review of services according to company policy .
- Utilize Microsoft, Excel, PowerPoint in daily work to verify, submit and process cases.
- Outreach to members and providers by phone and mail.
- Contact by phone and mail to members and providers to advise of approvals and denials on cases processed.
- Clear communication skills to determine best possible solutions
Senior Associate
MBI
Norwalk, CT
08.2002 - 05.2011
Customer Service
Hoffman Company
Trumbull, CT
10.1995 - 04.2001
Customer Service
Contemporary Temp Services
Milford, CT
02.1994 - 09.1995
Banking Associate
Mechanics and Farmers Bank
Bridgeport, CT
03.1986 - 11.1993
Education
Accounting/Certificate: Bookkeeping, Excel and Quick Books -
Litigational Paralegal
Foster Co LLC, Stamford
No Degree - Medical Billing
Housatonic Community College
Bridgeport, CTSkills
- Case Evaluations
- Operational Records Maintenance
- Interdepartmental Functions Coordination
- Claims Assessments
- Product Memorization
- Multidisciplinary Team Collaboration
- Recordkeeping Accuracy
- Compliance Requirements
- Status Updates
- Software Applications
- Inquiry Requests
- Regulatory Protocols
- Business Correspondence
- Creative Thinking
- Clerical Support
- Task Prioritization
Accomplishments
Volunteered with Family Services Woodfield (BPT)
Assisting woman and children of domestic violence.
Net Ops (UHC) 2015
Worked with team to call members affected by HIV to inform of providers terming and assist to locate in network providers.
I also have extensive exposure to Medicare, Medicaid, AARP Advantage plan and also assisted Appeals department with research and processing services.
Affiliations
Experienced Professional with several years of experience:
Customer Service Representative
Accounts payable reconciliation
Strong Computer skills
Punctual and responsible
Cash Handling skills
Posting and Balancing Accounts
Accurate and timely recordkeeping
Motivated to achieve company standards, and retain integrity.
Accomplishments
Business Environment:
Competent and literate in Microsoft Word, Excel and Quick Books.
Experience with customers in a call center environment.
Quick responsive action for research and correspondence preparation.
Dependable and Outgoing to get all tasks performed in a professional manner.
Excellent People Skills
Ability to communicate clearly and effectively with customers.(Both written and orally)
Strict attention to detail to maintain accuracy with recording data.
Usage of problem solving skills for mediation and resolution of customer inquiries.
Team player that is willing to assist others in a precise and timely manner.
Business Skill Enrichments
Completion of Accounting Course taken at Foster Co. LLC/Stratford, CT
Ability to meet time frame constraints within designated schedules.
Willing and Able to learn quickly and adapt to new ideas and concepts.
Additional Information
I am a dependable and hardworking individual that loves a challenge and to learn new things.
Timeline
Clinical Administrative Coordinator
UnitedHealthcare
09.2021 - Current
Senior Associate
MBI
08.2002 - 05.2011
Customer Service
Hoffman Company
10.1995 - 04.2001
Customer Service
Contemporary Temp Services
02.1994 - 09.1995
Banking Associate
Mechanics and Farmers Bank
03.1986 - 11.1993
Accounting/Certificate: Bookkeeping, Excel and Quick Books -
Litigational Paralegal
Foster Co LLC, Stamford
No Degree - Medical Billing
Housatonic Community College
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