Richard E. Collins

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

Phoenix, AZ 85027

623-***-****

ukw9n2@r.postjobfree.com

Work Experience

Humana Healthcare, Inc August 2010 - July 2012

Medicare Risk Adjustment -Specialist

Support responsibilities with coders/retrieval specialists; Upload medical records; Data entry of codes in MediConnect system; Schedule chart reviews with provider offices & staff; Special Projects.

May 2006 – August 2010

Network Specialist – Sr. Segment PFFS

Collect and keep current data of providers, locations, office staff & essential information for Humana members looking locate doctors for Private Fee for Service (PFFS) product. Take on incoming/outgoing calls.

September 1998 - May 2006

Credentialing Specialist

Primary source verification to credential providers coming to Humana as contracted entities along with re-credentialing responsibilities every 3 years.

Responsibilities consist of daily verification of medical licenses, malpractice insurance, DEA schedules, CV information, board certification, CAQH, CME and NPDB background checks for committee.

Education

Maple Valley High School, Mapleton, IA September 1977 – June 1981

General HS Studies

Iowa Army National Guard

Admin Specialist – Clerk Typist – Warehouse Specialist

Honorable Discharge May 1982 – May 1988

Skills

Knowledge in Microsoft Word & Excel; Office Documents; Type 60 WPM