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Contract Coordinator

Location:
San Antonio, TX
Salary:
17.00
Posted:
January 14, 2018

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Resume:

Ruby Molina

*** ****** ***

San Antonio, TX *****

210-***-****

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

Summary Profile

Accomplished Operations Specialist with more than 9 years' experience in customer service, data entry, and administrative assistance. Proficient with computers and various programs such as Microsoft Office (Excel, Word, and Outlook). Professional phone etiquette and excellent knowledge of multiple line telephone. Outstanding communication and organizational skills with a proven track record to excel especially under stressful and fast paced environments. Core qualifications include:

Highly Resourceful and responsible

Skilled in various computer programs (All Microsoft Programs and QuickBooks)

Efficient in preparing correspondence

Meeting Scheduling

Travel Arrangements

Meeting deadlines

Payroll / Timesheets

Professional Phone Etiquette

Bilingual (Read, write, and speak Spanish)

Type 52wpm / Operate 10-key by touch

Professional Experience

INSIGHT GLOBAL

Temp Job with Superior Heatlh Plan

Contract Coordinator

April 2017-present

My duties consist of organizing credentialing files; prepare verification letters needed to complete the initial and re-credentialing process. Maintain a tracking system to assure timely completion of verification process. I input physician/allied health professional data into database ensuring accuracy. I process the application. I insure that all documents submitted contain the needed information to verify all pertinent credentials. I receive and respond to incoming calls that pertain to verifications. I verify licensures, DEA, DPS, liability certificates and all other certifications in compliance with the established requirements. I also was creating contracts for the providers to sign, as they applied. This consisted of making sure they received the correct products, such as Medicaid, star, star plus, chip, and ambetter products. Along with this, I would also send out emails with cred documents for them to fill out. Once in awhile I would make contact with provider is something was missing on their application.

Strategic Staffing Solutions

Temp Job with USAA

Data Analyst

June 2006-April 2017

My duties consisted of transferring files from one drive to another drive, answering phones, inputting time sheets, data entry, answering phones, ordering supplies, filing, and helped where ever needed.

Kellum Physician Partners

Nov 2015-April 2016

Credentialing Specialist/Insurance verification

My duties consisted of verifying patient’s medical insurance by calling the insurance company or online, I would use Avality website. I answered phones, help my manager as needed on different projects. I would also put my phone encounters with the patients or pharmacies calling in the patient’s chart. For credentialing I would make sure the physicians CAQH updated, I would send out application to the insurance companies if the physician needed to be contracted with them. I also would have their files updated. I would also on occasion travel to our main clinic to help with phones, and to schedule appointments.

Chase

Temp Job

Jun 2015-Oct 2015

Data Entry Specialist

Unclaimed Property

My duties consist of verifying others work. Activating checking/savings accounts. Sending letters to clients, regarding missing paper work, running macros, running reports on APECS. Opening and sorting out mail. Sending files to scan, inputting data into the system to active account. Helping others as needed. Verifying signatures for processing.

University Health Systems

Aug 2013-Oct 2014

Verification Specialist

My duties consist of organizing credentialing files; prepare verification letters needed to complete the initial and re-credentialing process. Maintain a tracking system to assure timely completion of verification process. I input physician/allied health professional data into database ensuring accuracy. I process the application. I insure that all documents submitted contain the needed information to verify all pertinent credentials. I receive and respond to incoming calls that pertain to verifications. I verify licensures, DEA, DPS, liability certificates and all other certifications in compliance with the established requirements.

UTHSC

Dec2012-March2013

Admin Assistant

(Temp Job)

My duties consisted of answering phones, ordering supplies for office through People Soft, creating files, enter training, scan training and make folders under H drive scanning documents to correct employee, inputting timesheets, order catering, pay bills, open and distribute mail. I also helped with other office duties as needed. Once a month I printed out timesheets forms for the employees, collect mileage, send out emails reminders to past due employees for web based training. Helped other employees as needed.

Sunrise Garden Villas

June 2011-Oct 2012

Secretary/Leasing Agent

My duties consisted of ordering supplies answering phones, collecting rents, filing, helping my manager, filing evictions, typing up memos, creating spreadsheets, inputting rents on quick books, making daily deposits, leasing out apartments, typing up leases and other office duties as needed. This place is an apartment complex/assisted living facility. I took care of the patients trust funds. I pass out their trust every Tuesday to each patient. I was also in charge of keeping track of the bank accounts. I was in charge of timekeeping for the other employees. I was also in charge of taking inventory of the kitchen supplies. I was also in charge and had control of the petty cash.

CSS

June 2010-June 2012

Customer Service Agent

My duties were to answer calls from customers or realtors scheduling appointments for showing of homes. I would get about 75-100 phones calls to schedule showings. My time per phone call would be an average of 2 minutes. I typed up memos in Spanish and English for my Team Lead. I was her back up when she was out of the office. I would also run an end of month reports. Helped in the front desk as well and where needed.

Internal Revenue Service

February 2002-May 2010

Secretary

My duties consist of being a secretary for 12 plus Revenue Officers and my manager in the Collection Department. On a daily basis I would answer incoming calls, open mail and distribute to the appropriate person. I was in charge of sending out mail. I would post checks and input tax returns for the Revenue Agents. I did research for them. Example: Look up the last place a taxpayer employment, look up for liens, DMV's, also how much the taxpayer owed. I was in charge of 12 Revenue Officers timekeeping and input them in a data system. I typed up memos for the manager; I would schedule conference calls, set up meetings for the group. I would take meeting minutes for the manager. I would create cases in the IRS data system, and file taxpayers’ cases.

I mainly worked on Word and Excel on a daily basis; on Excel I would create spreadsheets for the manager as well as the Territory Secretary. I controlled inventory of office supplies. I maintain group controls such as reports that I would have to pull up for the group biweekly/monthly. I also would assist and travel to assist in seizures and seizure sales.

Integranet

December 2000- January 2002

Credentialing Analyst

My duties consisted of verifying doctor’s credentials, such as their license, DEA, primary source verifications, DPS, NPDB-Hipdb, AMA, Aoa, I would audit files, mail out tsca apps, verify their education, I would also order supplies, answer phones, made copies, took meeting minutes at our meetings. I dealt with different contracts with health networks and hospitals. Ncqa standards and Jcaho standards.

Education:

San Antonio College 98-99

Burbank High School 95-98



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