Customer Service Management
Resume:
Louisville KY, *****
*******.******@*****.***
Ronald P. Pruitt
Objective Seeking a growth oriented position in a professional and productive
Environment that will fully utilize my customer service and technical skills.
June 2007 – Oct 2017 Allscripts
Support Consultant
Provided end user support for Allscripts Document Management, a SQL based content management system for Electronic Health Records. My duties included troubleshooting software issues, assisting clients with implementing new workflows, and application training.
November 2006 – June 2007 Humana Inc.
Clinical Innovations Specialist
Responsible for answering incoming calls involving processing service requests for out- patient HMO and Medicare products using established processes and procedures.
Review and determine potential referrals for case/disease management programs for
members. Provide support between the health plan and providers regarding authorization requirements.
Assist other Humana departments in the resolution of authorization related issues.
Experience February 2004 – September 2006 The Rawlings Company LLC
Medical Claims Analyst (Auditor)
Responsible for the investigation, billing and recovery of the medical claim
overpayments. This requires daily contact with claim payor/payees such as:
Health insurance companies, healthcare providers, and self-funded group administrators.
Answered incoming calls to collect Coordination of Benefits data for health insurance companies in order to coordinate benefits payments with other potential payors.
Education Indiana University Southeast August 1998 to January 2001
Major: Secondary Education
Prosser School of Technology August 1995 to January 1997
Certified in Desktop Publishing
Jeffersonville High School Graduated 1997
Skills
Proficient with Microsoft Word, Excel, PowerPoint, Outlook and Access, Allscripts Document Management, Allscripts Practice Management, Allscripts TouchWorks EHR
Proficiency with Microsoft Windows Operating System, and troubleshooting applications within a Citrix / SQL environment.
Typing Speed: 50+ WPM, 10-Key Numeric Speed: 10,000 KSPH
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