Objective: A job that sees me as a collaborative team player
| Work Desired: | College Internship |
| Citizenship: | US Citizen |
| Resident Of: | State: Florida - Area Code: 305 |
| Willing To Relocate: | No |
| Posted By Candidate: | 1+ Year Ago |
| Experience: | More than 3 years of work-experience |
| Technical Skills: | , LAN/Networking, Project Management |
| Work Experience: | |
Celia M. Morales
Tel:(305)259-7274 or (786)478-9005
8461 SW 201 Street
Email: [Send email using form at bottom]
Miami, Florida 33189
________________________________________
EDUCATION
1991-1994 Associates of Arts and Science program
Miami Dade College
EMPLOYEMENT HISTORY
2008-Present Project Manager, Risk Adjustment Management, LLC
Contact Medical facilities, schedule medical chart reviews and work with the
office personnel to establish clear lines of communication; record each
scheduling attempt, confirm and verify patient lists as well as contact
information; make all travel arrangements and contact the Certified Coders
assigned to me to ensure deadlines as well as work submission protocols are met;
conduct follow-up calls to the providers to ensure that the Certified Coders
conducted themselves in a professional manner.
2007- Present Finance Assistant, Risk Adjustment Management, LLC
Organize weekly payroll documentation; verify work submissions, assist in
internal auditing practices as well as track, monitor and report on the
productivity of the contracted Certified Coders; record meeting minutes during
Operational Meetings as well as follow-up on open issues and report back to
Management.
Data Management, Risk Adjustment Management, LLC
Retrieve pertinent data from medical records; verify accuracy of reports;
organize and store information into previously established spreadsheet format;
facilitate interoffice communication and look into ways to improve servicing of
clients; develop and train the contracted Certified Coders and respective Project
Managers in the Electronic Upload System as well as establish security parameters
to insure HIPAA and PHI compliance.
2002-2003 After School Instructor, University Christian Children’s Center
Supervised and developed age appropriate curriculum activities for preschool
children; worked on weekly themes that encouraged independent learning as well as
group activities; encouraged social interaction and reinforced communication
skills.
1996-1999 Independent Contractor, Willow
Provided highest standard of customer service to assist clients of various
service related companies; telecommuted effectively and consistently; ranked in
the top five percent of agents with the highest customer satisfaction; provided
outstanding professional support.
1997-1998 Adult Vocational Instructor, Miami Dade Public Schools
Taught computer application, customer service , management, home office set up
and other vital entrepreneurial skills; trained students on various network
computer programs as part of Willow, a company specializing in telecommuting
customer service call center opportunities
1992-1994 Customer Service Representative, University of Miami – UM care
Handled and documented customer complaints; provided appropriate follow up to
improve customer satisfaction; coordinated referral services and responded to
inquiries pertaining to each member’s individual policy
1989-1992 Customer relations representative, Ramsay Health Services
Corresponded closely with the Member Relations Director to oversee the
implementation of policies that adhered to the members grievance process as
mandated by the State of Florida; mediated executive member issues that required
special attention; kept accurate records and accounts; prepared customer service
reports for internal and external audits.
COMPUTER AND LANGUAGE SKILLS
Proficient in most computer software programs such as Microsoft Office and Quick
Books; able to read, write and communicate effectively in English and Spanish.
REFERENCES
Available upon request
|
Applicant is exclusively interested in work-at-home opportunities.

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