Medical Records Public Assistance
Resume:
Deborah Horton
SMYRNA, DE
******@*******.***
Skills
● Communication
● Computer Skills
● Customer Service
● Leadership
● Management Skills
● Problem-Solving
● Time Management
● Interpersonal Skills
Experience
APRIL 2009 - PRESENT
DOD Tricare / Blue Cross Blue Shield of SC
● Level 1 Federal Security Clearance
● Review claims, appeals, complaints, and inquiries
● Research and respond to complex issues ensuring the contract standards and objectives for timelines, productivity, and quality are met
● Identify and report potential fraud
● Examine and process claims and/or non medical appeals according to contract regulations
● Provide feedback to senior level management regarding customer inquiries
● Maintained all manager callbacks and scheduling of employee schedules, arranged weekly meetings with staff
● Coordinated daily PSI’s levels of after-hour performance
● Completed continuing education classes in Field-Midland College JANUARY 1993 - FEBRUARY 2009
Loving Arms Daycare / Brick, NJ - Owner/Operator
● Resumed all daily operations of owning and managing daycare
● Coordinated all accounting including payroll and tax documents
● Managed marketing and advertising
● Responsible for recruiting, hiring, and onboarding new employees
● Conduct monthly staff meetings, including continuing education References
Available upon request
Contact this candidate