Rebecca Y Hess

acydcb@r.postjobfree.com

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

Hartsville SC 29550

570-***-****

Since graduation from Berwick Area Senior High School (June

1996) .I went back to school and obtained my Legal Secretary from

Allied Medical and Technical School in Forty-Fort Pa in November 2003.

I have worked in a number of different field. I am also in the process of

relocating to South Carolina. In the past I have worked as Machine

Operator in the leading Bow manufacture in Pa, as a CNA with two

different Nursing homes, worked as a clerk in a chain store working up

to Assistant Store Manager then into Local Regional Store Manager. For

a time I worked in two different law firms while I was still in school. I

have been working in the Mental Health field for the last 12 years. The

last 4 year I have been in the office as a Coverage and

Authorization Specialist I am looking forward to try something new in

the next chapter of my life. Thank you for taking the time to review my

information. I hope to hear from you soon.

Present work History:

Community Service Group

330 N. 2nd st Sunbury Pa 17801

570-***-****

Coverage and Authorization Specialist II

January 2013 to Present

• Verifying insurance and benefit eligibility for consumer

• Providing consumer insurance and benefit guidance to internal and external customers in counties and regions with large volumes

• Verifying and entering data relevant to the authorization for payment of services

• Verifying and accessing various benefit resources and completing electronic eligibility checks

• Entering and tracking authorization information with approval dates for timely payment of services

• Initiating required paperwork for authorization of services

• Monitoring and maintaining communication to prevent expired or denied claims for payment

• Performing other duties as assigned

• Knowledge of insurance, medical terminology, managed care industry, and benefits

• Ability to maintain and build friendly rapport with internal and external associates at all levels of the organization

• Knowledge of computers, Microsoft Office Suite, and web-based software systems. Sees the potential in and understands the use of technology in process improvement. Understands how information technology tools simplify, streamline, and improve overall output.

• Demonstrate ethical and sound professional practices by acting consistently and according to CSG’s mission and core values, promoting organizational and personal integrity, and adhering to CSG confidentiality policies and upholding trustworthiness.

• Ability to deliver expected results in line with job requirements

• Complete job tasks with a high degree of accuracy

• Ability to make specific changes in system or personal work methods to improve performance, while routinely seeking constructive and critical feedback, and appreciating the need to learn and grow.

• Ability to understand a situation, issue, or problem, set priorities on a rational basis, analyze relationships among several parts of the problem or situation and use analytical techniques to identify potential solutions.

• Ability to work cooperatively with others as part of a team. Support team decisions, do own share of the work, keep team members informed of happenings, share relevant information, express

positive attitude and expectation of other, value others input, and display willingness to learn from others..

• Have an underlying curiosity and desire to know more, seeking information and delving deeper than the surface. Pressing for exact information, resolving discrepancies by asking probing questions to get at the root of a situation, problem, or opportunity. Uses others to get perspective, background, and experience.

• Ability to understand and learn the formal and informal decision-making structures in the organization. Adapt actions to organizational climate and culture by recognizing norms and values and using the language and formats or the organization

Community Service Group

Residential Program Supervisor- Bloomsburg Pa

June 2008 to December 2012

Supervises direct support staff, monitors and evaluates staff performance according to company performance management policies and procedures.

Ensures individuals’ health, safety, and welfare and enhances the quality of individuals’ lives, and integrates individuals into the community.

Administers/monitors and/or ensures medical treatment and medication is provided to the individuals following established medical procedures and medication policies.

Participates in and supervises the program staff in the implementation of behavioral management and skill training program.

Provides overall on-site supervision and implementation of the daily operations of the program including on-call responsibilities.

Accounts for all individuals and program budgets; maintaining an adequate supply of funds for the individuals and program.

Submits financial and program documentation to supervisor for review.

Ensures accurate and timely updating and completion of program paper work.

Guarantees that the work site is safe, comfortable, and well maintained.

Facilitates in the, orientation, training, and performance management evaluation of staff.

Communicates relevant information to families, outside agencies, and other professionals as necessary.

Transports or assists with transportation coordination as needed for individuals to appointments in the community.

Institute for Human Service

Kingston Pa 570-***-****)

Residential Program Supervisor

June 2004 to August 2008

United Rehab Services

Wilkes-Barre Pa 570-***-****)

One on One Work Supervisor

January 2007 to May 2007

Step by Step Inc.

Wilkes-Barre Pa 570-***-****)

Program Supervisor

November 2007 to August 2008

Kempner Kemper and Corba Attorney at Law

Berwick Pa 507-***-****)

Legal Secretary

May 2003 to November 2003

Public Defender Attorney Hugh L Sumner ESQ.

Berwick Pa 570-***-****

Legal Secretary

June 2002 to May 2004

Education:

Allied Medical and Technical School

Forty Fort Pa 570-***-****)

Graduated in November 2003 Legal Secretary

Berwick Senior High School

Berwick Pa 570-***-****)

Graduated in June 1996 Business ed.

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