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Customer Service Medical

Location:
Blacklick, OH, 43004
Posted:
August 29, 2010

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Resume:

Shannon Feeney

614-***-****

ablo6c@r.postjobfree.com

I am a highly organized professional who thrives in a faced paced

working environment. I a m a honest and hard working individual

looking for a new challenge.

EXPERIENCE M t. Carmel Health Systems March 2006-

December 2009

D isability Administrator

•Claim administration including LOA (Leave of Absence) and Workers’

Compensation, FMLA management, customer service and maintenance of

data and data systems related to occupation and non-occupational leave of

absence and disability

•Validated appropriateness of LOA duration, provided disability claim

management and coordinated return to work process

•Obtained updates and recommendations from the treatment team (physicians

etc.)

•Handled the leaves for 16 of the 26 letters of the alphabet (K-Z)

•Ability to interact effectively with people at varying levels including physicians,

managers, staff and customers

•Strong interpersonal skills

•Dependable and stable personality with the ability to work well under pressure

w ith personnel at all levels of the organization

•Organized with ability to multi- task

•I am a person of integrity

EXPERIENCE Re/Max Towne Center March 2005-March

2006

Administrative/Receptionist

•Answered telephones

•Set up showings for interested buyers

•Provided exceptional customer service to clients

EXPERIENCE T HE RICWEL CORPORATION May 2001-

February 2005

Team Leader

•Coached/trained staff regarding Workers’ Compensation claims processing

•Worked with clients to establish and meet their requirements

•Reviewed referrals and scheduled independent medical examinations (IME),

second opinions and file reviews on Workers’ Compensation claims

•Selected appropriate physician for examination/evaluation

•Prepared correspondence to physicians regarding purpose of

examination/evaluation

•Reviewed medical files to select pertinent medical information for

examination/evaluation

•Reviewed medical reports for completeness and quality

•Oversaw tracking of all incoming referrals and assisted others in department to

reach processing goals

•Cross trained in handling referrals for the Ohio BWC and U.S. Department of

Labor

EXPERIENCE M idwest Chiropractic August 2000-April

2001

Claims administration and Receptionist

•Assisted in scheduling patient appointments

•Filed C-9, C-84 and C-86 forms for compensability, treatment, additional

allowances and bill payment

•Worked with MCO’s and TPA’s with respect to treatment approvals and denials

•Appealed treatment denials and provided supporting medical for treatment

•Handled all Personal Injury claims and worked with attorneys to settle claims

•Assisted doctor in writing narrative reports

COMPUTER KNOWLEDGE

Computer literate with experience in Microsoft Word, Microsoft Excel,

AS400, Ricwel’s customized software, People Soft, PowerPoint and Mt.

Carmel’s access database.

WORK CHARACTERISTICS

•Work well in team atmosphere and also self motivated when working alone

•Well organized and can manage multiple tasks simultaneously

•Enjoy problem solving

•Enjoy helping others

•Able to meet deadline in a high paced environment

•Assist with other office duties, including but not limited to answering phones,

f iling and faxing.

E DUCATION East Tennessee State University

B.A.: Mass Communications

Major: Advertising M inor: Speech



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