Medical Customer Service

Arnisha B. Short

Analytically driven Healthcare Administration student with a passion for quality control and accuracy.

SKILLS AND COMPETENCIES

Team Leadership Data Gathering & Analysis Critical & Analytical Thinking Knowledge of Medical Terminology and Health InsuranceAdvanced in Microsoft Suite Google Suite Electronic Health Records (EMR) Quantitative and Qualitative Research Organization and Prioritization Problem Solving EDUCATION

University of Houston - Victoria, Katy, TX — Bachelor of Business Administration - Healthcare Administration

AUGUST 2017 - MAY 2021

COURSES INCLUDE: Quality Assessment for Patient Care Healthcare Management Strategic Healthcare Management and Planning Financial Statement Analysis Information Systems in Organizations Operations and Supply Chain Management

Houston Community College, Houston, TX — Associate of Government and Public Services AUGUST 2012 - JANUARY 2016

PROFESSIONAL EXPERIENCE

United Healthcare (Optum), Sugarland, TX — Sr. Clinical Administrative Coordinator DECEMBER 2018 - PRESENT

● Adheres to corporate requirements based on CMS, ADA, False Claims Act, UnitedHealth Group Compliance, Total information management, and Health Collaborative. Collaborates with internal and external clinics. Ensure that HIPAA and legal guidelines are followed in all interactions with patients and in handling of the medical record.

● Assisted skilled nursing facilities by processing prior authorization requests. Verified eligibility within the database system to members and providers. Analyzed faxed requests and documentation to determine coverage and approval utilizing criteria; utilize nurses for medical reviews when necessary.

● Provide superior customer service for incoming and outgoing telephone calls to or from members, providers, employer groups and other persons deemed necessary by management. Telga Corporation LLC, Houston, TX — Office Manager AUGUST 2012 - SEPTEMBER 2017

● Provided efficient and professional administrative and clerical service to Executives and C-Suite Leaders. Also provided excellent customer service to external and internal customers. Full responsibility for establishing and managing the office schedule including C-Suite Leaders' professional calendar and travel itineraries.

● Monitored and examined data gathering systems to track energy consumption during the installation and tracking phases. Conducted activity-based analysis of business processes and made recommendations based on the findings.

● Sourced resumes to select best-qualified candidates and interviewed candidates to better assess qualifications, ascertain personality, personal character and work ethic. Validated applicants’ references and communicated with previous employers to qualify capabilities and verify work history.

CERTIFICATIONS

Medicare and Retirement Certification

Level 1 & 2