Appeals & Grievances Coordinator Resume Bronx, NY - Hire IT People

OBJECTIVE:

To secure a position that will allow me to further develop my skills with preparing and organizing documentation, coordinating work flow, and ensuring efficient office operations

PROFESSIONAL EXPERIENCE

Confidential, Bronx, NY

Appeals & Grievances Coordinator

Responsibilities:

Enter data and maintain records in various computer programs and databases.
Prepare and report documentation supporting verbal and written provider claims and pre - authorization appeals.
Comply with the strict guidelines and timeframes set by The Centres of Medicare & Medicaid Services (CMS), HIPAA and the Health Plan.

Confidential

Appeals & Grievances Coordinator

Responsibilities:

Greeted incoming visitors and clients as well as attended to their needs.
Managed and directed incoming calls, and conveyed messages to intended recipient
Maintained and updated client information in written database.

Confidential, Bronx, NY

Clerical Assistant

Responsibilities:

Prepared, successfully sorted and filed client documentation in designated database
Managed and directed incoming calls, and conveyed messages
Maintained and updated information as needed

Confidential, Queensbury, NY

Receptionist

Responsibilities:

Maintained tutoring appointments between students and available tutors
Operated switchboard and provided prompt, courteous and knowledgeable assistance.