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Management Human Resources

Location:
New York, NY
Posted:
April 17, 2015

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Resume:

EMILY MILLS

201-***-**** ? *.*****.*****@*****.***

Enthusiastic, dedicated and superb work ethic diverse Information Systems

Management professional seeks a competitive and challenging environment to

utilize exquisite communication and data analysis skills..

Professional Skills

Great Communication Skills Attention to Detail

High Degree of Self Highly computer literate

Motivation Knowledge in a wide range of word

Project Management processing, graphic design, audio and

Planning and Organizational video editing software

Skills Works well in group and individually

High level of professionalism and work

ethic

Multi-lingual

Experience

Customer Care Representative - 03/2014 - Present

Amazon.com Jersey City, NJ 07302

Create an enjoyable end-to-end customer experience and act as a liaison

between the customer and various departments in charge of merchandising,

design and site productivity

Resolve customer call/email Report all products and service-related

related to products offered on trends to the customer care management

9 different websites team

Process customer order, Assist in the development of department

refunds/credit and return by methods and procedures

phone Other general administrative duties

Communicate website issue to IT (i.e. filing, data entry

team as necessary for quick Generate shipper delivery intercepts,

resolution return authorizations and/or claims as

necessary

Accomplishments: Provide stellar customer support

Verification Specialist - 04/15/2013 to 09/2013

Health East Ambulatory Surgical Center, Englewood NJ 07631

Act as a liaison between Members, Physicians, Delegates, Operational

Business members and Member Service Coordinator by Performing review of

service requests for completeness of information, collection and

transfer of non-clinical data, and acquisition of structured clinical

data from physicians/patients

Perform thorough review of Perform clinical reviews and appeal

information received for data denials

integrity Prepare, document and schedule patient

Establish eligibility and for surgery

coordination of benefits for Execute any relevant assignments as

patients determined by Management

Request prior authorization

from appropriate insurance

carrier

Managed Care Coordinator - 10/2011 to 04/12/2013

CMI for Horizon Blue Cross Blue Shield, Hoboken NJ

Supports health services and utilization management functions and acts

as a liaison between Members, Physicians, Delegates, Operational

Business members and Member Service Coordinator by Performing review of

service requests for completeness of information, collection and

transfer of non-clinical data, and acquisition of structured clinical

data from physicians/patients.

Perform thorough review of Prepare, document, approve or pend

information received for data cases in appropriate systems with

integrity proper ICD-9 and CPT codes for clinical

Establish eligibility and review.

coordination of benefits for Execute any relevant assignments as

patients determined by Management

Determine network status of

facility and/or provider

performing services.

Accomplishment: Highest ranking coordinator in both efficiency and

quality.

Developmental Editor - 02/2008 to 06/2010

Academic Cell Press, Burlington, MA

Aided the Life Science publisher and Textbook Acquisitions Editor in the

development and publication or electronic delivery of textbook and

references in a wide spectrum of disciplines.

Prepare manuscripts for timely Measure and log level of template

release to production, meeting adherence for each issue.

key deadlines. Evaluate quality of illustrations;

Collaborate with Textbook obtain redraws and/or high-res files

Editor on content and format when necessary; increase visual elements

specifications and schedule. in articles.

Create project site on the Maintain permissions log for each issue

electronic manuscript Work with authors and editors to obtain

submission system. missing items (figures, tables,

Send detailed instructions to permissions, etc.) needed to comply with

authors and field queries content and format requirements.

throughout development process. Transmit articles to Production using a

designated ftp site or other electronic

Review manuscripts for clarity system; field queries from Production.

and adherence to template; make

adjustments as needed.

Accomplishments: Publication and development of first Academic Cell

text; Academic Cell: Clarks Molecular Biology

Editorial assistant - 05/2007 to 02/2008

Academic Press, Science & Technology Books, New York, NY

Work with book publishers, acquisition and development editors for the

Burlington, New York, San Diego, London and Amsterdam offices, ensuring

that daily editorial and publishing operations run smoothly

Author Meeting Arrangements: Maintain Editor and department calendars

Sending meeting requests via ensuring that all holidays, vacation and

Outlook with live-meeting, sick leave requests are listed for end

Booking conference rooms, of year auditing.

ensuring the presence of Coordinate travel arrangements ensuring

necessary equipment, making the inclusion of a step by step

travel arrangements for itinerary and upon completion organize

attendees, ordering and and submit expense reports

ensuring prompt delivery of Assist with editorial development on a

meals, preparing presentations per needed basis

using MS PowerPoint.

Accomplishments: Promoted within four months of being hired. Started as

a temp in May to be hired permanently in November.

Junior Human Resources Benefits Analyst

Department of Human Resources, NYS Unified Court System - 12/1999-05/2007

Assist in the direction and planning of day-to-day operation of group

benefit programs including but no limited to Union, Group health,

dental, vision, short -term and long term disability, worker's

compensation, deferred compensation, life insurance, travel and accident

plan, flex spending plan, 401 (K) plan and retirement

Providing quality customer Prepare and assist with benefit

service to judicial and orientation for new employees

non-judicial employees by Direct day-to-day departmental office

answering benefit questions and operations, including ordering

resolving problems. supplies, sorting and managing

Prepare and communicate correspondence. Calendar Management,

information to present and coordinating meeting, conferences, and

former employees regarding seminars as needed, Management of

benefit programs, procedures, travel plans and various expense

changes and government-mandated reports and heavy liaison work for

disclosures. executive staff of eight.

Education

Berkeley College - New York, NY

Associates in Information Systems Management, 2007-2009 GPA: 3.49/4.0



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