Steven Selmore
Mercedes,TX
Summary
Utilization Management Representative at Cigna, known for improving claims processing efficiency and accuracy. Managed high volumes of authorization requests with adherence to HIPAA regulations. Focused on patient care and quality control, consistently achieving outstanding results in a fast-paced environment.
Overview
17
17
years of professional experience
Work History
Utilization Management Representative
Cigna
Colorado Springs, CO
07.2021 - 07.2024
- Utilized data entry expertise (138 WPM, 14,400 KPH) to boost daily processing efficiency of 260-320 authorization requests.
- Enhanced efficiency in handling urgent requests by promptly assessing CPT and ICD-10 codes.
- Displayed comprehensive knowledge in radiology, cardiology, and musculoskeletal pain management.
Utilization Management Specialist
Shield HealthCare
Valencia, CA
08.2019 - 09.2020
- Supplied an average of 700-900 DME orders daily to patients with urinary incontinence, colostomy, enteral, and wound care needs
- Quality control ensuring patients received the correct quantity of DME approved by the patient's insurance agency.
- Maintained high accuracy in data entry (138 WPM, 14,400 KPH within a rapid work environment.
Sales Support Specialist
ICONMA / Spectrum Cable
Coppell, TX
10.2014 - 02.2019
- Ensured city permits were in place for successful fiber construction projects.
- Delivered optimal fiber bandwidth transfer rates up to 500 GB/s to ensure customer satisfaction.
- Drafted yearly contracts for 211 clients every day in a rapidly changing atmosphere.
Transcriptionist
Cheaters Television Show / Carlton Staffing
Dallas, TX
12.2007 - 10.2014
- Provided captioning for 231 episodes of Cheaters over seven seasons for the hearing impaired in a production studio environment.
- Provided exceptional data entry accuracy for voice to text accuracy
- Contributed to healthcare field through assistance to special needs populations.
Education
High School Diploma - General Studies
Warren Easton High School
New Orleans, LA05.2002
Skills
- Critical thinking
- HIPAA compliance
- Professionalism and ethics
- Claims processing
- Documentation accuracy
- Insurance verification
- Healthcare regulations
- Resourcefulness and initiative
- Medical terminology proficiency
- Utilization review
- Patient care plans
- Home health care
- Utilization management
- Medicaid
- Medical coding
- Medicare
- Compliance procedures
- Communication
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Compassionate and caring
- Multitasking Abilities
- Reliability
- Active listening
- Effective communication
- Decision-making
- Creative problem solving
- Clinical documentation
- Wound care
- Pain management
- Safety protocols
- Self motivation
- Accurate documentation
- Documentation
- Professionalism
- Radiology
Timeline
Utilization Management Representative
Cigna
07.2021 - 07.2024
Utilization Management Specialist
Shield HealthCare
08.2019 - 09.2020
Sales Support Specialist
ICONMA / Spectrum Cable
10.2014 - 02.2019
Transcriptionist
Cheaters Television Show / Carlton Staffing
12.2007 - 10.2014
High School Diploma - General Studies
Warren Easton High School