Catastrophic Care Coordinator
Resume:
CRYSTAL L. FRANKLIN
**** ******* ****, *******, ** 32773
*********@*****.*** ~ 386-***-****
http://www.linkedin.com/pub/crystal-franklin/27/984/705/en
Dedicated professional with over nine years of experience in Workers Compensation at a well known
Third Party Administrator. Consistently achieve record-high customer satisfaction rankings,
improvements to the bottom line and turnaround of underperforming operations. A Respected builder
and leader of customer-focused teams; instill a shared, enthusiastic commitment to customer service as
a key driver of company goal attainment. Lead by example and ensure the execution of all intakes,
processing, quality and operational policies.
Demonstrated ability to streamline accounting and business processes, analyze complex issues
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and develop solutions, while adhering to company goals and core values.
In-depth knowledge of Workers Compensation laws and Home Care.
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Productive contributor to team projects and self-managed tasks, with the ability to successfully
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deliver multiple concurrent projects under tight deadlines.
Superior analytical and problem solving abilities; adept at providing hands-on leadership and
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direction in administrative and care coordinating procedures and practices.
EXPERIENCE
Orchid Medical, --Orlando, FL
11-2013/-Present
Catastrophic Care Coordinator
Coordinated Home Health Care services, set up transportation services for the injured worker,
Durable Medical equipment needs, Home Modifications for insurance companies. Processed the
request from the intake all the way through the patient was discharged from all home health care of
medical equipment services.
HOME CARE CONNECT, – Winter Park, FL 04/2012-04/2013
Durable Medical Equipment Manager
Managed all Home Health Care and Durable Medical Equipment orders, Coordinated the
appropriate services that were needed and updated the insurance carrier frequently with updates to
the insurance carrier. Scheduled in-services with providers to inform other employees of the lasted
Durable Medical Equipment and Home Health Care Companies that are up and coming in the
industry. Fulfilled Marketing duties for certain Insurance companies.
Special projects:
• Network Provider Credentialing- researched and completed group health and network
applications. Reviewed benefit eligibility of new referrals.
• Construction -Tracked and accounted for all Home Modification Projects, Managed the file to
insure all was on schedule and up to code.
ARTHUR’S CATERING, -- Orlando, FL 05/2011 –11/2014
Mixologist/Waitstaff
Set up wedding or party venues for events throughout Central Florida. Practiced great customer
service to ensure that everyone was happy with the services that we offered. Always practiced the
best customer service with every process from the set up of the event to the break down of the
event.
TOTAL MEDICAL SOLUTIONS-- ORLANDO, FL 10/2005 –
4/2012
Catastrophic Care Coordinator (2005 – 4/2012)
Coordinated Home Health Care service, Durable Medical equipment needs, Home Modifications
for insurance companies. Processed the request from the intake all the way through the patient was
discharged from all home health care of medical equipment services. Had to Hit High Monthly
dollar goals along with high intake referral numbers, provide excellent customer service to the
insurance carrier and keep the injured workers happy with the services that were being performed
in the home. Provided comprehensive administrative support to executive and senior-level
management, including handling incoming calls, processing correspondence, maintaining tenant
files, and inventory.
Mickey Finns (2002– 2005)
Hostess, Food runner, Waitress, Bartender
EDUCATION
Seminole State College- Medical Terminology, A&P 1&2, Nutrition
5-20 All Lines Adjuster License - P098268
SOFTWARE
Outlook, Excel, OMNI, Docuware, Mass 200, Goldmine, Quick books, Bright tree, faxes, printers
References Available Upon Request
"When the customer comes first, the customer will last" – Robert Half
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