Deborah A. Ciccone

** ******** *****

Milford, CT 06461

Home 203-***-****

Cell 203-***-****

Objective: To obtain a challenging position that will utilize my analytical skills, previous work experience while providing an opportunity for professional growth.

Experience

6/07- 5/15 UnitedHealth Group – Senior Medical Management Coordinator outpatient/inpatient. 48 Monroe Turnpike, Trumbull, CT 06611

●Review specific cpt codes and icd-9 codes for company policy and the need for information to provide to the MD for review.

●Approve authorizations with obtained clinical that do not need medical director review.

●Correspond with providers offices via email, fax or phone regarding clinical information.

●Handle time sensitive photos and data received by the provider’s office.

●Responsible for training of new employees.

●Level 2 coordinator who assists in answering questions from peers regarding policy and procedure.

●Cross trained in numerous aspects of the CDSA department.

●Responsible for meeting or exceeding established quality performance standards as determined by department manager.

●Meet departmental standards for schedule adherence

●Participate in training and self-development opportunities when appropriate

●Provide departmental coverage when manager is out of office.

●Responsible for tracking and processing monthly coordinator Audits

●Provide backup to Pharmacy department when needed.

●Review exceptions prior to being sent to Medical Director to determine all required information is provided.

●Approval of bed days.

●Determining if codes listed require review by medical director

●Heavy phone contact

1/00-6/07 Oxford Health Plans – Financial Analysis

48 Monroe Turnpike, Trumbull, CT 06611

●Responsible for the resolution and communication of outcomes of premium issues submitted to the department from internal and external sources

●Provides support to senior premium analysts with special projects assigned by department team leader

●Provides support to senior premium analysts with monthly, weekly, and daily tasks assigned by department team leader

●Group/Individual Account Reconciliation

●Responsible for auditing terminated accounts with credit balances and preparing refund request documents

●Correct Account errors

●DOI issues (research & follow up on premium related disputes)

●Daily interaction with Cash applications, Billing, & Collections to resolve issues

●IP/NGC Termination t lot. nalysis

●Monthly Write off’s

●Research & Account reconciliation for Group/Individuals for SIU

●Administration of the Doc Imaging Process

●Train new/current employees IP termination process and Phone queue and various other duties

6/06-2/07 Macy’s East –Beauty Consultant Origins

Trumbull Shopping Park

● Build and maintain strong vendor partnerships in order to support the business

●Maintain up-to-date client information in order to drive sales

●Conduct makeovers for customers

●Maintain customer service and selling as the priority

●Demonstrate knowledge of store products and services and use this knowledge to build sales

●Practice suggestive selling, offering every customer related items in order to drive multiple unit sales

●Understand and properly execute all systems and procedures to ensure a quick and efficient transaction

●Handle returns graciously, always saying yes and involving a manager when judgments need to be made

●Comprehend and maintain department standards

●Follow special department operating procedures

●Share equally in the operational responsibilities of the department as customer traffic allows

●Achieve the company standard for sales productivity and credit solicitation

●Adhere to weekly work schedules and be flexible to the needs of business

●Maintain merchandise presentation standards of department and ensure merchandise is replenished on the selling floor

10/04-9/05 Spencer’s-Assistant Manager

Trumbull Shopping Park

●Maintain customer service and selling as the priority

●Compose store work schedule

●Maintained and received stock

●Maintain customer service and selling as the priority

●Assisted in Managing 10+ employees

●Practice suggestive selling, offering every customer related items in order to drive multiple unit sales

●Understand and properly execute all systems and procedures to ensure a quick and efficient transaction

●Handle returns graciously, always saying yes and involving a manager when judgments need to be made

●Comprehend and maintain Store standards

●Adhere to weekly work schedules and be flexible to the needs of business

●Maintain merchandise presentation standards of department and ensure merchandise is replenished on the selling floor

Additional Sales experience

1.Manager Sizes Unlimited 3 yrs

2.Assistant Manager Steinbach 2yrs

3.Key holder Le Gourmet Chef 6 months

4.Billing Manager Partners in Care

5.Unit Secretary Park City Hospital

6.Unit Secretary Bridgeport Hospital

7.Office Manager Jaime Simkovitz (deceased)

8.Manager Hello Kitty (out of business online only)

Skills

9.Windows 95, 98, 2000

10.Lotus 123

11.Excel for Windows

12.PowerPoint

13.Access

14.Outlook

15.Internet Savvy

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