Contract Negotiation and Data Specialist (Remote)
Resume:
Roy Poole
Goodyear, AZ *****
*********@*****.***
Education:
MBA Health Care Administration, 08/2017
Kaplan University
MBA Business Administration, 05/2008
University of Phoenix
Bachelor Degree in Business Management, 10/2006
University of Phoenix
Work History:
03/2013 to Present
United Health Care—Contract Provider Specialist 11/17 to present
Processing the contracts into the system and making sure the correct Fee schedules are entered as well as making the Medicaid forms are filled out correctly.
United Health Care—Provider Data Specialists---05/17 to 11/17
Correcting the medical provider address in the company data base. This includes adding new addresses, cancelling old address and this information is based on the National Data Base system for medical providers.
United Health Care Military and Veterans, Phoenix, AZ—03/13 to 05/17
Entering the Military, Veterans and family member’s information into the system including the ICD-10’s codes and CPT4 codes. Also enter them as a referral or a notification. Process the Right of First Refusal’s for the Military Treatment Facilities. Process letters.
02/2002 – 03/2013
Administrative Assistant, Catholic Cemeteries, Diocese of Phoenix, AZ
Balancing A/R, Managing the electronic document control system, entering payments in the system. Entered cemetery contracts into the system using the appropriate property codes or product codes. Special Projects as assigned.
Skills:
Team player, willing to take additional assignments. Exceptional written and oral communication skills.
Proven leadership, teamwork, and organization skills.
Knowledge of general accepted accounting principles.
Knowledge of Word, Excel, PowerPoint, and various in-house computer languages.
Membership:
Golden Key International Honour Society 2016
References:
Available upon request
Contact this candidate