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Magellan Health Services - Administrative Support Specialist Resume Example

XXXX XXXXXXXXXX XXXX, Lithia Springs, GA 30122
Ph: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXX
Mason Williams
Professional Summary
Skills
  • Strong organizational and interpersonal skills
  • Excellent ability in handling detailed and confidential material
  • Active listening
  • Speaking
  • Customer Service
Experience
Administrative Support Specialist Dec 2012Apr 2014 Magellan Health Services Alpharetta, GA

  • Coordinates or independently completes special projects according to manager's general instructions.  May assist manager or other staff members with more complex and detailed projects

  • Manual or systematic entry of information to prepare correspondence for termination of providers (i.e. Continuation of Care letters)

  • Responds to situations or conflicts involving the administrative functions of the office

  • Retrieve and assemble data for Health plan audits in a timely manner

  • Provide back up to the Office Manager when necessary

  • Provide back up for the Customer Service supervisors when necessary

  • Entered treatment request forms in a timely manner

  • Greet visitors, ascertain purpose of visit, and direct them to appropriate staff

  • Perform various clerical or administrative functions, such as ordering and maintaining an inventory of supplies

  • Perform other duties as assigned

  • Maintain confidentiality guidelines


Support Specialist Supervisor Jan 2004Dec 2012 Magellan Health Services
  • Supervise a staff of 15 employees

  • Monitor, prioritize and assign daily workload to ensure smooth operational flow

  • Evaluate staff's performance, recommend salary increases and promotions, set-up coaching sessions, establish professional development plans and terminate employees when appropriate

  • Review workflows and streamline where appropriate for a smooth and efficient flow

  • Supervise all facets of data entry and ensure turn-around-time standards are met for treatment request forms

  • Conduct audits to ensure productivity and performance are within standards

  • Research and resolve difficult issues

  • Conduct interviews with potential new hires

  • Monitor the file room to ensure charts are accurate assembled, filed and accessible at all times

  • Research and resolve difficult issues

  • Track and compile data for Quality Improvement

  • Serve as liaison to other departments/CMC

  • Maintain confidentiality guidelines

Senior Support Specialist Nov 2001Jan 2004 Magellan Health Services Alpharetta, GA
  • Assist manager with supervising a staff of 15+

  • Keep log of daily productivity

  • Assist manager with audits of Support Specialists' productivity and performance

  • Assist manager with prioritizing, assigning and monitoring support specialist workload

  • Act as a mentor to Support Specialists and problem solve as issues arise

  • Prepare and gather information for various reports (i.e. HEDIS, Export Claims, Incomplete Claims and Risk Approval)

  • Prescreened resumes and conduct interviews for potential employees

  • Responsible for Support Specialists daily operation in absence of manager

  • Maintain confidentiality guidelines

Follow-Up Specialist Nov 2000Nov 2001 Magellan Health Services Alpharetta, GA
  • Facilitated the occurrence of ambulatory follow-up through computer tracking

  • Followed up with outpatient providers to assure patients made their given discharged appointments

  • Worked with Ambulatory Follow-Up Care Manager to develop action plans

  • Referred applicable cases to Ambulatory Follow-Up Care Manager

  • Assisted with review of monthly and quarterly reports for quality improvement reporting

  • Maintained Confidentiality Guidelines

Care Manager Support Specialist Sep 1999Nov 2000 Magellan Health Services Alpharetta, GA
  • Entered authorizations and generated correspondence from POUTS forms in a timely manner

  • Maintained and monitored assigned case rate groups

  • Faxed top POUTS forms to respected groups

  • Sorted and mailed authorizations letter

  • Back up receptionist

  • Maintained confidentiality guidelines

Appeals Coordinator May 1998Sep 1999 Magellan Health Services Alpharetta, GA Organized and reviewed medical records for completeness
Monitored day to day compliance of appeal decision time frame
Coordinated and distributed reviews as requested
Consulted with managers on problem cases and interface with case managers, clinical supervisors, account manager and other MBC personnel in resolving denial and appeal questions
Monitored work flow performance standards and proper procedures for appeals resolutions according to state and federal regulations
Participated in data gathering and analysis of reports regarding appeal activity
Responded to member provider and client telephone inquiries regarding status process and outcome of appeal
Entered and monitored all data related to appeals process in data base
Maintained confidentiality guidelines
Support Specialist-BellSouth Nov 1996May 1998 Magellan Health Services Alpharetta, GA Provided support with ad-hoc provider agreements
Added and maintained provider files in BellSouth Cure system
Data entered and maintained provider information on spreadsheets
Data entry of automated/hardcopy treatment plans in a timely manner
Backed up Customer Service
Maintained confidentiality guidelines
Education
High School Diploma Jun 1985 Columbus High School Columbus, GA
Bachelor of Science : Social Work Columbus State University Columbus, GA Attended: 1986 - 1990
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Resume Details

This is a real resume for a Administrative Support Specialist in Lithia Springs, Georgia with experience working for such companies as Magellan Health Services. This is one of the hundreds of Administrative Support Specialist resumes available on our site for free. Use these resumes as templates to get help creating the best Administrative Support Specialist resume.

Previous Companies:

  • Magellan Health Services

Previous Job Positions:

  • Administrative Support Specialist
  • Support Specialist Supervisor
  • Senior Support Specialist
  • Follow Up Specialist
  • Care Manager Support Specialist

Schools:

  • Columbus High School
  • Columbus State University

Level of Education:

  • High School Diploma
  • Bachelor of Science

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