Patrice Pettigrew

***** **** ***** ***** *******, OH 44137 Home: 216-***-**** Cell: 216-

***-**** *****: abqvhy@r.postjobfree.com

Seventeen years of experience providing top-notch support to VPs, directors

and managers

. Administrative: Adeptly handle administrative matters including

screening calls, managing calendars, and planning meetings, composing

documents and organizing offices for efficiency. Sign for and

distribute UPS/Fed Ex/ Airborne packages, research, price, and

purchase office furniture, office supplies and materials for stock,

inventory. Input, document, and update all information, applications,

follow-up notes, commission tracking, marketing proposals, and

invoices.

. Communications: Interact professionally with all levels of staff and

maintain the highest level of confidentiality; known for tact and

diplomacy in handling sensitive issues. Establish excellent client

relationships, have excellent organizational and communication skills.

. Computers: Considered an expert user of Microsoft Office; quickly

learn and master new technology.

COMPUTER SKILLS

. Microsoft Programs: 80wpm ~ Word, Excel, PowerPoint, Access, Outlook,

Publisher, Adobe

. Accounting & CRM: QuickBooks, Zoho, AMS360, ServiceMajic,

RenExpro

. Operating Systems: Windows (all versions), Mac OS X, Citrix,

Facets, MARx, Epic

EXPERIENCE

* OutComes Health Information Solutions

Medical Records Field Reviewer 2013

Review chart documentation, as well as other information, and management

activities in the Medical Record System using clinical guidelines. Process

data from sources in many formats (paper, EMR, Hybrid), print, copy and

scan, file transfer and file upload; and refine the clinical data from the

health records. Provide outstanding analytic services to a large range of

health care organizations. Maintains HIPAA standards and confidentiality of

protected health information. Reports critical incidents and information

regarding quality of care issues. Ensures compliance with all state and

federal regulations and guidelines in day-to-day activities. Coordinates

community resources with emphasis on the development of natural support

system. Perform other duties as assigned.

* CVS CareMark

Coordinator III Med D 2012 (temp assignment/agency)

Report directly to the Enrollment Supervisor, the Member Enrollment

Services Coordinator III determines eligibility and performs various

enrollment and disenrollment processes for Medicare Part D individual plan

members and employer groups according to the CMS Guidance to ensure

compliance. The Coordinator III perform tasks with greater difficulty and

those of an escalated nature by using the mastered skill sets developed

while performing at the MESC Coordinator II level or by performing similar

tasks in previous Medicare Part D Enrollment employment, while maintaining

a strong focus around member and client retention through accurate and

timely resolution of issues and functions with minimal direction. Having

expert knowledge of the CMS Enrollment Guidance and the ability to apply

this knowledge to the processing and resolution of complex cases. Regularly

identifies inefficiency issues, training opportunities and potential system

and process modifications. The coordinator III partners cross functionally

serving as a liaison with various operational business units while

supporting departmental objectives within company and regulatory

guidelines.

* Britton-Gallagher & Associates

Administrator 2006 to 2011

Responsible for new business development, and for providing excellent

customer service, greet visitors, maintain reception area, organize

meetings. Target segments included insured groups under 100 lives, as well

as larger Self-Funded groups of 100+ lives. Supported dedicated Service

Teams, sales and accounting as well and offered marketing support where

needed. Handled and processed all new/renewal, existing book(s) of

business, quotes, cross-selling. Developed relationships with clients,

assist and responded to all customers and insurance carrier

requests/questions in a timely manner. Handle all commission tracking thru

AMS.

* Bakers and Teamsters Health & Welfare and Pension Fund Office

Administrator / Senior Benefits Processor 1995 to 2005

Duties included processing changes and employee choices, analyzing and

adjusting the changes by taking corrective actions, following established

process and applying changes. Contributed to the re-enrollment process,

document process, answer escalated questions from participants and perform

follow-ups. Interpret and apply provisions of the plans and applicable

laws. Making/taking application for retirement, handle life insurance

benefits, ad&d, std, fmla, ltd, etc. Provided extensive support service;

covering all aspects of claims management including review, initiation,

completion, submission and direct follow-up to third party payers. Have

working knowledge of coding and medical terminology. Submitted appeals for

denied claims, processed requests for insurance payment retractions,

indemnity, subrogation, WC, research and resolve overpayments. Investigate

electronic claim rejection. Processed check payments, verified, mailed.

EDUCATION

U.S. CAREER INSTITUTE -Ft. Collins, CO 80525

Medical Billing and Coding, 2012-PRESENT

HONDROS COLLEGE - Seven Hills, OH

Ohio Life & Health License, 2008

REMINGTON COLLEGE-Maple Heights, OH

Certified Medical Assistant, 1991 - 1992

HEDIS/PIA CERTIFIED

SALARY REQUIREMENTS

$37K

Administrative Assistant

Contact this candidate