Manager Insurance
Resume:
Annamarie Correa
acr5hn@r.postjobfree.com
To whom it may concern:
Thank you for taking the time to review my resume with regard to candidacy for employment with your company.
As a prospective candidate I would like to provide you with information regarding myself. I’ve been married for 25 years and a proud mother of 2 adult children. My husband and I are adjusting to being newly empty nesters. After living in a rural small community in the foothills of Sacramento for 23 years, we decided to move to the Bay Area for career opportunities. I’m very outgoing and social. I enjoy doing family oriented activities and meeting new people.
Throughout my past work experience, I have accomplished many things I am proud of and also faced many challenges. These experiences have shaped me into the individual I am today. I pride myself on treating others with respect and developing relationships. I’ve always been someone who operates with integrity and honesty. I’m very organized, professional and always put the customer’s needs before my own. I strive for excellence at whatever I do and appreciate feedback and constructive criticism. I am able to work independently as well as in a group setting. I know when to ask for assistance when faced with challenges beyond my ability. Overall, I would make a great addition to your business.
Please feel free to contact me at your convenience, as I look forward to speaking with you about any potential opportunities. I thank you for your time and appreciate your consideration.
Best Regards,
Annamarie Correa
Annamarie Correa
1201 Parkmoor Ave. Apt 3023
San Jose, CA 95126
acr5hn@r.postjobfree.com
WORK EXPERIENCE
Integrated Clinical Neurosciences & Silicon Valley TMS San Francisco, CA / Los Gatos, CA
TMS Manager Dec 2014 to Present
Manage all aspects of the TMS Business (Transcranial Magnetic Stimulation).
oManager for 9 direct reports.
Employee acquisition
Employee development, including training and mentoring.
Ensuring employees are aligned with company procedures and policies.
Scheduling, authorizing PTO.
Daily office prep for TMS technician treatments.
oTMS business growth has required additional treatment devices and new offices.
oFirst point of contact for new patient intakes.
oLiaison between patient and referring outside physician.
oCoordinating consultations for patients with physician.
oManaging insurance eligibility.
Benefits investigation for insurance coverage.
Aligning patient’s medical history with insurance company’s requirements.
Submission of insurance requirements to obtain prior authorization from the insurance company.
In cases where prior authorization is denied:
Initiate appeal process with insurance company.
Coordination with insurance company case manager.
oUpon patients insurance authorization:
Schedule patient for initial motor threshold and first treatment.
Assist physician with motor threshold.
Administer TMS treatment.
Main point of contact for patient to address any concerns they have.
Manage patient’s authorizations for concurrent review to continue treatment without lapse in care.
Follow patient care on a personal level through the acute phase.
oUpon completion of treatment, follow up with patient to assess patient’s status.
Lenox Hill TMS Psychiatric Associates, PC San Francisco, CA
Office Manager/TMS Technician/Case Manager/New Patient Intake Coordinator May 2014 to Dec 2014
Manage all aspects of the TMS Business (Transcranial Magnetic Stimulation).
oSecuring contracts with insurance companies with TMS coverage in their policy.
Prior to my arrival at this practice, the only eligible patients were cash pay.
When I departed this practice, insurance contracts with four different insurance companies were in place.
As a result, the practice realized patient increase of 800%. Subsequently, a new TMS device was ordered to align with business growth and the office was relocated to a larger suite. I managed all contractor construction activities for new office location.
Coordinated subcontracted physicians alignment with insurance company’s contract with Lenox Hill.
oCreated company policies and procedures for employee job descriptions.
oCreated company plan for patient emergencies.
oFirst point of contact for new patient intakes.
oLiaison between patient and referring outside physician.
oCoordinating consultations for patients with physician.
oManaging insurance eligibility.
Benefits investigation for insurance coverage.
Aligning patient’s medical history with insurance company’s requirements.
Referred patient to a Physician that would meet their TMS insurance requirements, such as CBT, Psychotherapy, Therapy and Child Psychiatry.
Submission of insurance requirements to obtain prior authorization from the insurance company.
In cases where prior authorization is denied:
Initiate appeal process with insurance company.
Coordination with insurance company case manager.
oUpon patients insurance authorization:
Schedule patient for initial motor threshold and first treatment.
Assist physician with motor threshold.
Administer TMS treatment.
Main point of contact for patient to address any concerns they have.
Manage patient’s authorizations for concurrent review to continue treatment without lapse in care.
Follow patient care on a personal level through the acute phase.
oUpon completion of treatment, follow up with patient to assess patient’s status.
Mindful Health Solutions and Sacramento TMS El Dorado Hills, CA
Case Manager/TMS Technician/ New Patient Intake Coordinator Aug 2011-Feb 2014
Created and managed the Case Management system.
Screened potential patients to determine if they were a good candidate for TMS therapy.
Spoke with patients about financial reimbursement and other options to help with the cost of treatment.
Assisted Anthem insurance director and Dr. Burmudes in incorporating TMS therapy in their insurance policy as a necessary means of treatment for major depressive disorder. This accomplishment was the first insurance company to recognize TMS as a covered benefit. Today, there are numerous insurance companies that have incorporated this treatment.
Spoke on behalf of Sacramento TMS a several conferences regarding case management and insurance reimbursement
oManaging insurance eligibility.
Benefits investigation for insurance coverage.
Aligning patient’s medical history with insurance company’s requirements.
Submission of insurance requirements to obtain prior authorization from the insurance company.
In cases where prior authorization is denied:
Initiate appeal process with insurance company. Due to TMS therapy not being covered by most insurance companies, the appeal process would typically escalate to the State level, where I had great success with overturned denials.
oUpon patients insurance authorization:
Schedule patient for initial motor threshold and first treatment.
Assist physician with motor threshold.
Administer TMS treatment.
Main point of contact for patient to address any concerns they have.
Manage patient’s authorizations for concurrent review to continue treatment without lapse in care.
Follow patient care on a personal level through the acute phase.
oUpon completion of treatment, follow up with patient to assess patient’s status.
Certified TMS Technician administers Transcranial Magnetic Stimulation treatments according to specific physician’s protocol orders to patients with Major Depressive Disorder following (FDA) standards.
Anew Skin Dermatology El Dorado Hills, CA
Office Manager Aug 2010–Aug 2011
Managed a small office with one physician, two medical assistants, and two back office personnel.
oRepresented office in all community merchant meetings. Networking with other local businesses for improved business exposure.
oFollow-up with daily, weekly and monthly tasks with Medical Assistants and back office personnel, working with the Doctor on overall office productivity.
oBooked new patient appointments, responding to all internet/web inquiries regarding medical procedures.
oManaged all “Welcome to The Practice” letters, phone consults, and tracking patient’s cosmetic history.
oRunning weekly reports regarding inventory, sales, patient cancelations, patient re-schedules and procedures performed.
oResponsible for all office inventory as well as meeting with outside representatives regarding new products.
oMarketing / Advertising
Planned and hosted open house events
Created flyers and invitations for the events
Created mailers for patients and referring doctors.
Timothy M. Cary and Associates Cameron Park, CA
Document Billing Clerk / Administrative Assistant May 2007–Aug 2010
Document Billing Clerk
oResponsible for all clients billing.
Quality control for lawyer paperwork associated with billed hours.
Editing and producing bills to the client.
Creating monetary spread sheets for lawyer’s billed hours comparison analysis.
oResearched and gathered privileged information for firm litigations.
oCreated and maintained the firm’s document storage data base.
oCreated and implemented company travel accommodations.
Administrative Assistant
oFiling, answering phones, contacting courts regarding dismissals, maintaining client invoice filing.
TECHNICAL SKILLS
oCertified TMS Technician
oCertified Deep TMS Brainsway Technician
oNEBA Certified (Neuropsychiatric Interpretive Electroencephalograph Assessment Aid)
oCertified Zerona technician, treated all patients that were scheduled for Zerona laser weight loss treatment.
oProficient in Microsoft Word, Microsoft Excel, Microsoft Outlook, Dr. Chrono, Practice Fusion, Nuesoft, Nextech, EMR, Peach Tree, Track Star, MD Suite and Medical office experience with many other programs.
oCPR Certified
EDUCATION
oGeneral Education Diploma
References:
Richard A. Bermudes, M.D. CEO Mindful Health Solutions 916-***-****
Christy Pebler, BSW Clinical Social Worker/Manager 916-***-****
Fiomena Barajas, RN TMS Manager 916-***-****
Jenny Coleman TMS Supervisor 916-***-****
Deb Jolette Office Manager 916-***-****
Jenna Rice Co-Worker Law Firm 916-***-****
Michelle Snyder Personal Friend 916-***-****
Chavi Bhardwaj Lenox Hill TMS 925-***-****
Dr. Subtamanyan Lenox Hill TMS 415-***-****
Dr. Naveen Misru, D.O, P.C Sub-Contracting Doctor 916-***-****
Jodie McDonald Neuronectics Representative and Trainer 916-***-****
August 12, 2011
To Whom It May Concern:
This letter is to serve as a manner of introduction and recommendation for Mrs. Correa. I have known Mrs. Correa for three years now and can highly attest to abilities as a candidate for your position.
Mrs. Correa and I worked together at Timothy M. Cary & Associates. Mrs. Correa was the person to whom I received my training from and I was extremely impressed with her ability to direct and lead in not just a professional manner, but in a friendly manner as well. Mrs. Correa is highly organized and thorough. What stood out the most about Mrs. Correa was how dependable, honest and hard-working she is.
Mrs. Correa was responsible for the development and maintenance of the many logs the firm used. Mrs. Correa was also responsible for the oversight of all the firm’s case files, this included developing an extensive spreadsheet that listed the contents of each file, where the file was located at any given moment and adding all new file information into the spreadsheet.
Mrs. Correa is able to work independently and always follows through to ensure that the job at hand is completed. She is flexible and is always willing to take on whatever task is given to her. I know that through my experience working with Mrs. Correa she would be a tremendous asset to your company. Should you have any further questions with regards to her qualifications, please do not hesitate to contact me.
Sincerely,
Jenna Rice
Operations Manager
Grecotrade, LLC
153 Parkshore Dr
Folsom CA
To Whom it May Concern:
I have known Anna since August 2010 when she joined me as a fellow receptionist at AnewSKIN Dermatology. I have been working with Anna full-time the past four months. Anna’s position has required not only quality customer service towards patients, but also billing insurances, product purchases and inventory, pulling reports, writing consult letters to Physicians, and coordinating an array of marketing events within the community, to name a few of her many responsibilities.
Anna is extremely committed in all that she does, and practices tremendous organization and attention to detail. She is prompt, honest, and has an excellent rapport with all staff members and patients. Anna’s communication skills, both written and verbal, are exceptional.
I highly recommend Anna for any position or venture that she seeks. She is a valuable asset for any organization, and she will not disappoint. I have thoroughly enjoyed working with Anna, and have also learned so much through her many capacities of expertise.
If you have any questions, please do not hesitate to contact me.
Sincerely,
Allie Vaughn
Alexandra Vaughn
acr5hn@r.postjobfree.com
Contact this candidate