High School Software
Resume:
T IFFANY W. FRAZIER
SAVANNAH, GA 31419
912-***-**** CELL
ablg1a@r.postjobfree.com
OBJECTIVE
To obtain a position that allows me to use my knowledge, skills and expertise
acquired.
SKILLS PROFILE
• Effective team worker with one common goal in mind; success
• Knowledge of and experience with various types of computer hardware and
software
• Good filing and organizational skills
• Experience in handling confidential paperwork/files in accordance with HIPAA
regulations
• Ability to take accurate phone messages and deliver messages promptly
Good customer relations background
EMPLOYMENT HISTORY
Clinical Decision Support Representative
CareCore National Bluffton, SC
• Worked in inbound call center environment
• Obtained clinical information and prepared cases for medical review
• Used Medical Terminology daily
• ICD 9 Coding and CPT Codes (verified claims and procedures)
• Performed other duties assigned
•
Utilization Management/Customer Care Associate
•
Unicare Savannah, GA
• Worked in inbound call center environment
Responsible for coordinating cases and gathering clinical information
Data entry of referral requests into the system
Verified claims using ICD 9 and CPT coding
• Assisted callers with questions concerning member eligibility
• Reviewed and adjusted claim payments made from HICFA and UB92 forms
• Tracked all appealed claims on spreadsheets with mail merge software
• Prepared member files and sent through secure email
Performed other duties assigned
EDUCATION
Devry University Online
2007 to Present
Currently pursuing Bachelor of Science Degree in Network
Management Systems
J enkins High School
Savannah, GA
High School Diploma
•
Armstrong Atlantic State University
Savannah, GA
Pursed coursework leading to Associate Degree of Science in Computer
•
Science/Programming
Ogeechee Technical College
Statesboro, GA
Certificate for Nursing Assistant
•
Certificate for Childcare
•
Certificate Intro to Computers
•
PowerPoint Software
•
Excel with Mail Merge Software
•
Access Software
•
Microsoft Word Software
•
Medical Terminology
•
ICD 9 Coding
•
CPT Codes
•
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