Intake Coordinator/case Manager Resume Profile
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Summary of Qualifications and Skills:
Administrative skills
MS Word, Outlook, Excel, Access, Quick Books, Proficient .
- Research, correspondence, preparation of hearings, mediations and briefings.
- Maintained Outlook calendar, travel, conferences, along with time and attendance.
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Experience:
Confidential
Intake Coordinator/Case Manager I
- Receive and coordinate all referrals to include notification of insurance providers for prior authorization and services covered.
- Consistently exercise discretion and judgment to analyze, interpret, make deductions and then decide what actions are necessary based on the varying facts and circumstances of each individual case.
- Work with supervisory assistance evaluating possible courses of conduct and making decisions where there is no opportunity to seek supervisory assistance.
- Work with the client on a day-to-day basis to establish the foundation for the Treatment Plan.
- Assist in development, implementation and revision of individual treatment plan and monitors progress toward treatment goals.
- Consult and cooperate with community systems to facilitate linkage, referral, crisis management, advocacy, and follow up with the focus on attaining treatment goals.
- Provide direct patient care on an as-needed basis.
- Confidential
Administrative Assistant II
- Scheduled, maintained calendar and travel plans for Direct Manager and other lobbyist.
- Maintained confidential correspondence from Capitol Hill.
- Researched and prepared testimony for the lobbyist and state legislators.
- Responsible as a team to manage legislative affairs.
- Ordered and stock supplies, relieved the front desk while answering/screening calls and greeting guest.
- Confidential
Executive Assistant for Economic Development
- Provided and managed technical assistance with company projects to ensure compliance, proper internal controls, approved procedures, and executes technical assistance needs for the organization.
- Worked with teams to identify training needs, content, delivery of training on-line or in person , and dissemination to organizational staff.
- Rescheduled training within the specified frequency to stay in compliance.
- Generated training reports for management review/approval.
- Demonstrated experience with computer software and project management skills.
Confidential
Patient Accounts Rep
- Submitted anesthesia claims billing on HCFA UB with follow up on aged accounts.
- Experienced working all payer claims government, nongovernment and commercial .
- Knowledgeable with DDE, FSS, Web Portal, etc. for electronic follow up on claims.
- Able to get the money in the door and meet productivity standards.
- HIPAA savvy
Confidential
Administrative Assistant
- Administrative Support to the COO.
- Maintained ACT Data base data entry and monitoring .
- Assisted other staff members on special projects as required.
- Assisted in providing back up support for the Intranet.
- Updated bi-weekly meeting agenda and take meeting minutes when requested.
- Confidential
Patient Accounts Rep
- Processed DC Medicaid, APRA CSOSA, and any court orders claims with CPT ICD-9 codes and charges.
- Reviewed assigned aged accounts for collection and follow up.
- Notated correspondence on accounts with insurance carriers and patients.
- Reconciled daily report for payments, adjustments, and rate reimbursement.
Confidential
Biller/Collections
- Knowledge of HMO, PPO Medicaid, fee for service, capitated services, primary, secondary and third party payer.
- Verified insurance, referrals and pre-authorizations.
- Entered CPT and ICD-9 code charges to bill HCFA forms electronically.
- Worked follow-ups on delinquent accounts and correspondence.
- Posted A/R and EOB's adjustments, collected co-pay and deductibles.
- Balanced encounter forms, cash, checks, and credit cards transactions with daily trial report.
Confidential
Admin/Billing Specialist
- Generate HCFA and UB claim forms electronically for DC Medicaid.
- Post A/R and EOB adjustments, scheduled appointments and collected co-payments and deductibles at the time of service.
- Enter patient demographics, verified insurance, referrals and pre-authorizations.
- Worked follow-ups on delinquent accounts and correspondence.
- Confidential
Legal Assistant
- Researched and prepared cases relating to labor law.
- Prepared legal correspondence such as summonses, complaints, motions and subpoenas.
- Reviewed law journal and other publications to identify court decisions pertinent to pending cases.
- Scheduled and prepare travel for assigned attorney.
- Submitted articles to company officials.
- Kept law library updated with current manuals and publications.
Confidential
Executive Secretary
- Provided principal secretarial support to the President, Vice President, and Treasurer of AFGE Local 476 Union Office.
- Assisted in the preparation of union arbitration's, briefings, justifications, hearings, and mediations.
- Logged receipt of verification for grievances, suspensions, and removals of HUD employees.
- Maintained calendar meetings and events.
- Recorded, reconciled, and maintained building moves. Assisted in the processing and implementations of union event.
Confidential
Program Assistant
- Served as the administrative support for the Deputy Assistant Secretary and Director of Economic Development and Public Finance Office of Economic Affairs.
- Assisted in reviewing outgoing correspondence, reviews, revises, and managed a record keeping and filing system.
- Scheduled and arranged travel, conferences, and meetings.
- Maintained and prepared time and attendance records.
Confidential
Administrative Support Specialist
- Provided administrative support to the Senior Policy Advisors and the Special Assistants to Secretary Bill Richardson.
- Performed analysis of information required by the Secretary to assess progress on policy, program and management issues under review.
- Coordinated, background material for testimony, meetings and conference.
- Made travel arrangements and processed related documents.
Confidential
Typist 1- Computer Resources Department
- Prepared outgoing GSA 300, 3025, 3076, 52, 3440, 49, and any other request for purchase, delivery, or payment of goods and services provided by or to GSA.
- Submitted to Performance Engineering Corporation weekly reports of Government vehicle mileage for participation in the alternative fuel test program.
- Prepared personnel actions for incentive awards, disciplinary action, and overtime while adhering to all guidelines and procedures.