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Ms Office Utilization Review

Location:
Peachtree City, GA
Posted:
January 13, 2014

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Resume:

Sharissa A. VIECHWEG

**** ********** **, *************, ** 30044

770-***-**** / acb4k1@r.postjobfree.com

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TARGET JOB: CONSULTING, FORECASTING & BUSINESS REPORTING

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Profile of Qualifications

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. Accomplished career professional with recent Bachelor of Business

Administration in Business Economics and Managerial Science and superb

planning and forecasting, review/analysis, and recording/reporting

skills.

. Team player with a keen understanding of business and a great

attention to detail.

. Skilled multi-tasker who effectively manages time, resolves problems,

and thrives in a fast-paced, challenging work environment.

. Computer proficiency in MS Office Suite (Word, Excel, and PowerPoint),

and readily adapt to new programs and technologies.

. Superior analytical and statistical strength with an established

reputation for quality, exactness, and results.

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Education

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Bachelor of Business Administration in Business Economics and Managerial

Science, Georgia State University, Robinson College of Business, 2011

General Credits, T.A. Marry Show Community College, Grenada, W.I., 2006

Academic Affiliations:

CARIBSA, Georgia State University, 2010-2011

National Society of Leadership and Success, 9/2011-12/2011

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Professional Experience

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PRIUM, Duluth, GA (April 2012 - Present)

Log-Incoming Analyst

Compile and enter data acquired from customers and staff, and generate

individual cases for utilization review. Manage daily administrative

paperwork to comply with URAC.

. Designated as Case Assignment Leader to complete Utilization Review

for various customers and Provides support to providers regarding

utilization, authorization, and referral activities.

. Process requests for various customers for services such as: DME,

physical therapy, inpatient and outpatient care, FCE and special

circumstance requests as defined by Utilization Management.

. Gathers all necessary documentation and take actions which include

calling, emailing, and faxing information and forms to complete a pre-

authorization.

. Meet weekly financial goals for the Utilization Review department.

Additional EXPERIENCE

. Operations Senior, Best Buy, Buford, GA, 2008-present



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