DENISE EDWARDS

**** ******** *** ***** **** Alameda, CA 94501

510-***-**** • adbxz7@r.postjobfree.com

Objective

Obtain a community or in field position that will utilize my medical skill set and education.

Qualifications

Exhibits eye for detail and impressive analytical skills

Proactive leader

Proficient in Marketing

Community Relationship Builder

Employment History

Account Executive

Health Now Home Health and Hospice May 2019-present

Expanding and maintaining referral network

Conducting In- services or luncheons at various hospitals or clinics

Establishing new relationships with potential client base

Ensuring current clients and their patient’s are satisfied

Communicating consistently to ensure patient’s are seen in a timely manner

Business Development Manager

Premier Healthcare Services an Aveanna Company Feb 2018-May 2019

Maintaining and retaining relationships with existing clients

Increasing client base

Tracks new markets and emerging trends

Developing and nurturing the relationships with new potential clients

Exhibiting strong problem-solving and creative skills

Community Liaison

California Home Medical Equipment May 2016-Feb 2018

Support hospitals, clinics and physician's offices with durable medical equipment questions/concerns

Provide insurance ordering guidelines to the community

Assist in developing processes and procedures to ease ordering

Develop strong relationships with providers and the community

Ensure relationships with health plans remain intact

Case Management Coordinator

Community Health Center Network July 2015-May 2016

Review discharge cases from various hospitals

Provide case management nurses with proper progress notes to review cases

Input time sensitive patient information in the system

Contact various hospital’s case management departments to obtain discharge dates

CT Clerical

Alta Bates Summit Medical Center August 2013-July 2015

Obtain authorizations from various insurance companies is Blue Cross, Health Net and Blue Shield

Answer multiple phone lines effectively

Follow up with Cat Scan orders in a timely manner

Assist patient's with questions regarding Cat Scans via phone and in person

Revenue Analyst

Stat Revenue Emeryville, CA October 2012-August 2013

Audit and follow up on incorrectly paid insurance claims; act as a liaison for client hospitals to ensure insurance companies are processing claims in a timely manner

Reporting insurance trends of underpayments to colleagues and project leads on a weekly basis

Utilizing database and documenting account activity

Monitoring confidential and critical accounts with discretion

Education

Associate of Science Medical Coding and Billing

Colorado Technical University Online Colorado Springs, CO May 2010

Bachelor of Science Business Administration-Concentration in Healthcare Management

Colorado Technical University Online Colorado Springs, CO March 2012

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