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Customer Service Management

Location:
Goodyear, AZ, 85395
Posted:
October 26, 2010

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Resume:

Lydia F. Saunders

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

623-***-****

Goodyear, AZ 85338

Email: abijkq@r.postjobfree.com

CAREER SUMMARY

Counseling professional: career path in counseling/healthcare services,

human resources administration and business operations.

CORE COMPETENCIES

Counseling ( Claim Adjudication/Resolution ( Human

Resource Management Regulatory Compliance ( Pharmacy

Analysis ( Client Services

PROFESSIONAL EXPERIENCE

Thunderbird Treatment Center, Glendale, AZ May-2009- Present

Substance Abuse Counselor

Maintain a caseload of over 300 individuals in an out -patient facility for

adult substance abuse clients. Conduct intake assessments, ongoing therapy,

treatment planning, case management, crisis intervention and transition

adjustment. Provide small group, individual and family counseling. Prepare

and maintain well-written clinical records accurately and thoroughly as

required Arizona Behavioral Health Board.

SAGE Counseling, Inc, Mesa, AZ November-2009-

Present

Counselor

Perform screening and intakes for City of Phoenix Diversion program,

DUI, Domestic Violence, Substance Abuse, Anger Management, and Underage

Drinking Program. Responsible for group counseling for clients dealing

with Domestic Violence and Substance abuse. Counseling

Is performed in several locations which includes but is not limited

to relapse prevention, styles of communication as well as following several

models to provide clients with coping skills. Communication with parole

officers is sometimes needed.

WOLTERS KLUWER HEALTH, Phoenix, AZ 2001 - 12-31-2009

Client Service Analyst

Lead analyst of a Rebate Pharmaceutical and Data Resource company

servicing major Pfizer account. Processed and train personnel to service

managed care, commercial and Medicare Part D contracts. Provide client

with pertinent market share data to assist with financial analysis of

rebate payments. Train personnel in diversity, team building, and

customer service and data retrieval tools. Comply with all state and

federal regulatory guidelines for Pharmaceutical market definitions.

Perform market trend and data analysis for specific ad hoc request for

clients.

Accomplishments:

. Saved managed care clients over $51 Million annually in rebate

revenues through reduction of data reporting requirements and

increased quality measures resulting in decreased turnaround time

of rebate payments.

. Lead diversity training for over 500 employees which improved

overall employee moral and employee satisfaction by 70%.

. Counsel large groups in team building and performance

measurements tools.

MAYO HEALTH PLAN ARIZONA, Scottsdale, AZ 1994 - 2001

Health Services Coordinator

Led the creation and operational set up of an MSO that managed more than 3

internal network offices with over 2000 physicians and approximately

100,000 covered lives in the state of Arizona. Participated on the Medical

Management Board along with the Director of Pharmacy and Medical Director

for drug formulary selection and pre-certification requirements. Oversaw

telephonic and internal operations with involvement in claims management,

authorizations, case management, provider and health plan relations, and

quality management. Created grievance Access database for disposition of

high dollar claims and follow up response. Supervised three (3) clinical

case managers and two (2) claim processors.

MAYO HEALTH PLAN ARIZONA cont.

Accomplishments:

. Instrumental in development of automated voice recognition

response for pre-certification and out of network procedures.

. Designed and developed high dollar claim adjudication tracking

and approval process for quicker claim processing.

MAYO ARROWHEAD PRIMARY CARE CENTER, Glendale, AZ

Patient Service Representative

Managed administrative, payroll and human resource operations in business

office. Supervised the front office staff, medical records and

scheduling. Trained new clinical and non-clinical staff on company

policies, procedures and systems. Assisted physicians and office staff

with technical problem resolution.

Accomplishments:

( Trained 3 new on-site physicians to the Mayo Clinic office

procedures.

( Implemented paperless process for clinic which greatly impacted

facility operations

And developed care coordination procedures while decreasing

scheduling errors and

missed appointments.

MAYO CLINIC SCOTTSDALE, Scottsdale, AZ

Triage Consultant

Conducted comprehensive professional assessments of patients needs for core

scheduling of Mayo specialty areas in a call center. Demonstrated a

comprehensive understanding of the specialty areas and patient entitlement,

and delivering services within the defined parameters, displaying a strong

customer focus with all patients. Counsel patients regarding course of

action once diagnosed.

EARLIER CAREER 1988 - 1993

SMITH HOSPITAL, Valdosta, GA

Assistant to Hospital Director/CEO

Responsible for the Direction and management of Personnel Department.

Oversaw the design, development, and maintenance of policy manuals, job

descriptions, performance evaluations, and personnel forms and personnel

records. Maintained employee deductions, payroll and administration of

benefits, including pensions, annuities, health insurance, life insurance,

and dental insurance. Determined staffing requirements and tracked annual

workforce turnover rates. Counsel employees regarding job poor job

performance provide training plan.

Army & Air force Exchange Service (AAFES), Misawa, Japan

Supervisor Jewelry Department

Provided customer service through leadership and supervision of 6 fine

jewelry sales associates. Participated in sales support and training

necessary to meet sales objectives.

EDUCATION

Bachelors of Science, Business Management, Western International

University, May, 2001

Masters of Arts inhuman Resources-Substance Abuse Counseling, Ottawa

University, Currently enrolled

COMPUTERS SKILLS

Computer literate with database management systems. Advanced proficiency

with Microsoft Word, Excel, PowerPoint, Access and mainframe computer

systems (SQL, JCL and SAS), Phast and Outlook.



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