Administrative Assistant Customer Service

JoAnn Thomas

Email: *********@********.***

Address: **** ******* **

City: Charlotte

State: TN

Zip: 37036

Country: USA

Phone: 615-***-****

Skill Level: Experienced

Salary Range: 45

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

JoAnn Thomas, CPC-H

1762 Hayshed Road, Charlotte, TN 37036

Cell: 615-***-****

*********@********.***

Objective To obtain a rewarding position that would utilize my skills and experience in a way that would be beneficial for the organization and my professional growth.

Primary Skills/Strengths

* Resolve claim issues that are faxed to the Pended Claims, Action Grams, or Internal Resolution Unit via reviewing claims, authorizations, CPT, HCPCs and ICD-9 codes

* Reduce liquidated damages from the state by adherence to state contractual requirements (Contractor Risk Agreement) pertaining to Utilization Management

* Process time sensitive member referrals in compliance with National Committee for Quality Assurance (NCQA) guidelines

* Improve Quality Improvement through increased HEDIS measures and NCQA re-accreditation with 90% file review score

* Support provider satisfaction through continued customer focus

* Ensure member satisfaction through continued customer service training

* Serve as integral team member supporting increased associate satisfaction through participation in departmental selected activities

* Understand administrative expenses and rationale for monitoring MEIs i.g. reducing expenses tied to readmission rates

* Process monthly reports as assigned

* Administrative Support to Executive Leadership and Department Staff

* Excellent prioritization, organization and communication skills

* Proficient in Microsoft Office, Facets, Macess, CareCompass, Visio

* Type 60 words per minute

Experience

Case Specialist, Behavioral Health, Case Management Department

AMERIGROUP Community Care, 22 Century Blvd., Suite 310, Nashville, TN 37214

Senior Administrative Assistant to the Vice President and Associate Vice Presidents, Health Care Management Services for Behavioral Health and Physical Health

AMERIGROUP Community Care, 22 Century Blvd., Suite 310, Nashville, TN 37214

Administrative Assistant to the COO, Executive VP of Quality and Compliance and Chief Financial Officer

Psychiatric Solutions, Inc., 6640 Carothers Parkway, Suite 500, Franklin, TN 37067

Accomplishments CPC-H (Certified Professional Coder-Hospital Outpatient)

AAPC

Education

Bellevue University

March 2011

Bachelors of Science Degree in Healthcare Management Services

* Deans List

Fayetteville Technical Community College

July 1994

Associates of Applied Science Degree in Administrative Office Technology

REFERENCES Available upon request.

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