Manager Customer Service

Title:Senior Editor

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

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NAME:,

ADDRESS:

ADDRESS2:

CITY:

STATE: TX

ZIP:

CANDIDATE ID: 2867309

US CITIZENSHIP:

EDUCATION:

EXPERIENCE: 0

WILL RELOCATE: No -

JOB WANTED:

RATE NEEDED:

TELEPHONE: 903-***-****

EMAIL: *******@*****.***

HOMEPAGE:

HOTTEST SKILLS: managed care, medical, regional, clerical, filing, spreadsheet, typing,

health, proposal, healthcare, proposals, newsletter, sale, educator, nurse, nursing,

audit, billing, budget, claim

REVISION: 08-SEP-02

RESUME:

26429

Shelly McNeel-Pittman Tyler, TX 903-***-**** shellyp@flash.net1605 Timberview

Drive

Tyler, TX 75703

Phone 903-***-****

Shelly McNeel-Pittman

Professional experience

1999

presentLongview Regional Medical Center

Longview, TX

Medical Staff Coordinator

'All clerical and administrative functions of the department, including

typing,

filing, spreadsheets, database maintenance, computerized scheduling, travel

arrangements, reimbursement requests, time sheets, and preparation of agendas;

maintain strict confidentiality;'Oversight of one office assistant;'Receive

and

process applications for appointment to the Medical Staff;'Facilitate and

conduct medical staff committee meetings and transcribe minutes;'Maintain

medical staff database required for hospital billing;'Adhere to and recommend

changes to medical staff bylaws, rules and regulations, as necessary;'

Develop and distribute call schedules for multiple medical specialties;'Plan

and

facilitate office manager meetings bi-monthly.'Plan and facilitate

holiday functions for Medical Staff members.

1997

-1999NYLCare Health Plans/Aetna

Tyler, TX

Administrative Coordinator/Office Manager

'All clerical and administrative functions for Regional Manager and sales

force,

including typing, filing, spreadsheets, database maintenance, computerized

scheduling, time sheets, travel arrangements, and reimbursement

requests;'Collection of credentialing/application data from healthcare

providers;'Provided training and on-going customer service to approved

healthcare providers and their office managers;'Presented our managed care

program options to regional employers;'Conducted training sessions

with

new managed care participants upon enrollment;'Acted as a liaison between

employers, their employees, and our claims department to resolve disputed

issues.

1996

-1997East Texas Physicians Alliance, LLP

Palestine, TX

Managed Care Coordinator (company dissolved)

'Developed/maintained credentialing files for a multi-specialty physician

group;'Reviewed managed care contracts for the physician partners and

made recommendations to the managed care committee and board of

directors;'Enrolled physicians in approved managed care contracts;'

Facilitated or conducted physician office staff training upon enrollment with

new managed care companies on policies and procedures; 'Conducted

on-site audits of physician offices to ensure contract compliance.

1993

-1996East Texas Medical Center

Tyler, TX

Credentialing Specialist/Provider Relations Coordinator

'All clerical functions, including typing, filing, spreadsheets, database

maintenance, computerized scheduling, travel arrangements, reimbursement

requests, and preparation of proposals, grants, and agendas; '

Recruited

physicians into a newly developed managed care organization.'Developed

a

credentialing system for the organization, which became the largest in a 26

county region;'Facilitated all credential committee meetings and

transcribed minutes;'Developed the physicians office manual of policies

and procedures;'Oversight of 1-2 clerical assistants;'Trained physician office

staff members and provided required in-service training on credentialing or

managed care to nursing students, nurses, and new hospital employees.

1991

-1993The University of Texas at Tyler

Tyler, TX

Administrative Assistant

'All clerical functions, including typing, filing, spreadsheets, database

maintenance, computerized scheduling, travel arrangements, reimbursement

requests, time sheets, and preparation of budgets, proposals, and

agendas;'Interaction with students, and scheduling of meetings with student

advisors;'Oversight of activities for two student assistants;'Ensured

that committee members accomplished all goals established by the Texas

Education

Agency for a grant funded educational program in a timely manner;'Facilitated

committee meetings, seminars, and conferences regionally; 'Reported quarterly

and annually to the state regarding accomplishments of the committee;

'Developed

newsletter distributed to all regional educators.

Education

LeTourneau University

Tyler, TX

Business Management

Tyler Junior College

Tyler, TX

Social Science

Major

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