Anna Sorokina

ac0fmk@r.postjobfree.com

*** ******** ***, ******** ** 11209

Cell # 347-***-****

Education

European University of Ukraine

Bachelor degree, Computer and Information Sciences, 2005 - 2009 Languages

English, Russian, Ukrainian, Polish(understanding) Summary

• Exercise professional judgment, good decision-making and high level of confidentiality.

• Reliable, hardworking and energetic with interpersonal, planning and communications skills.

• Highly organized, with great attention to detail and follow through.

• Able to quickly learn new procedures and methods.

• Passionate about achieving a challenging position that allows meaningful contributions to a business success.

• Dependable and able to perform without supervision.

• Dedicated to meeting and exceeding deadlines in fast-paced environments. Experience

Operation Specialist / Care Coordinator at ElderServe Health / River Spring at Home MLTC

September 2014 - March 2017

• Initiates contact with case management team, provider relations department and external providers to

• meet member’s needs, looking for a new home health care vendors for the members due to requested qualifications and skills by the members.

• Help with reports, forms, and documents for ElderServe Nurse Care Managers in a timely manner.

• Update databases and electronic files routinely, and as needed, for operations continuity.

• Checking eligibility of the members for the certain services.

• Report member`s dissatisfaction and grievance as appropriate

• Assist in benefits administration, including enrollments and terminations.

• Maintain company organization charts and employee directory

• Use MCO to maintain data entry requirements by following data program techniques and procedures.

• Responsible for (ePACES) Electronic Provider Assisted Claim Entry System for New York State Medicaid

• Providing and processing the authorizations for approved services requested by the contracted vendors, ensures that authorizations are completed accurately and efficiently in a timely manner.

• Conducting monthly re-certification reports of the members.

• Conducts all work in accordance with the confidentiality requirement mandated by HIPPA for member information.

• Attending the staff meetings in order to proof and develop better services provision for our members.

• Communicating with vendors in order to control and maintain home health care and all necessary needs for member`s satisfaction.

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