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Advocate Medical Group - Referral Case Manager Specialists Resume Example

Alexa Coleman
XXX XXXX XXXXX XXXXXX, Harvey, IL 60426
Ph: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXX
Professional Summary

Accomplished and energetic Administrative Assistant with a solid history of achievement in Healthcare. Motivated leader with strong organizational and prioritization abilities.  The areas of expertise includes processing referrals  and utilization case management.

Skills
  • Clerical
  • Time Management
  • Administration and Management
  • Complex Problem Solving
  • Judgment and Decision Making
  • Learning Strategies
Experience
Referral Case Manager Specialists Dec 2002Present Advocate Medical Group Chicago, IL
  • Manage and Process referrals for various insurance products 
  • Clerical and Administrative Assistance
  • Performed Insurance Verification and Benefit Interpretation  
  • Perform Fee For Service Billing and Coding
Supervisor Admitting /Registration Aug 1999Nov 2002 St. Francis Hospital Blue Island, IL
  • Provided first-level screening interviews with potential employees
  •  Performed Bed Control 
  • Processed next day scheduling for diagnostic testing 
  • Team Leader for the Emergency Department/Admitting: 
Central Scheduling/Registar Sep 1999Oct 2002 St. James Hospital Olympia Fields, IL
  • Register and schedule patients for appointments 
  •  Verified insurance and benefits eligibility
  • Prepared referrals using the IDX computer program
Enrollment Specialist Oct 1998Aug 1999 Rush Prudential Health Care Chicago, IL
  • Perform administrative tasks, such as maintaining records and handling policy renewals.
  • Ensure that policy requirements are fulfilled, including any necessary medical examinations and the completion of appropriate forms.
  • Call on policyholders to deliver and explain policy, to analyze insurance program and suggest additions or changes, or to change beneficiaries.
  • Interview prospective clients to obtain data about their financial resources and needs, the physical condition of the person or property to be insured, and to discuss any existing coverage.
Enrollment Specialist Jul 1994Sep 1998 American HMO Matteson, IL
  • Performed Clerical and Administrative duties
  • Contact underwriter and submit forms to obtain binder coverage.
  • Attend meetings, seminars and programs to learn about new products and services, learn new skills, and receive technical assistance in developing new accounts.
  • Monitor insurance claims to ensure they are settled equitably for both the client and the insurer.
Billing Processor May 1987Jun 1994 Humana-Michael Reese HMO Chicago, IL
  • Complete insurance or other claim forms.
  • Processes billing for medicaid and medicare 
  • Collect and deposit money into accounts, disburse funds from cash accounts to pay bills or invoices, keep records of collections and disbursements, and ensure accounts are balanced.
  • Create, maintain, and enter information into databases.
Education
Certificate in Medical Terminology May 1988 South Suburban College Library South Holland, IL
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Resume Details

This is a real resume for a Referral Case Manager Specialists in Harvey, Illinois with experience working for such companies as Advocate Medical Group, St Francis Hospital, St James Hospital. This is one of the hundreds of Referral Case Manager Specialists resumes available on our site for free. Use these resumes as templates to get help creating the best Referral Case Manager Specialists resume.

Previous Companies:

  • Advocate Medical Group
  • St Francis Hospital
  • St James Hospital

Previous Job Positions:

  • Referral Case Manager Specialists
  • Supervisor Admitting
  • Registration
  • Central Scheduling
  • Registar

Schools:

  • South Suburban College Library

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