Inner-Office Expertise

CAROLYN A. SUMMAGE

**** ***** @ *** DR. HOUSTON, TEXAS 77054

(HOME) 713-***-**** (CELL) 281-***-****

OBJECTIVE: To learn, grow and succeed with a dynamic organization utilizing excellent

Customer service, problem-solving, financial and organizational skills.

EDUCATION: Evan E. Worthing Sr. High School 9215 Scott St. Houston, Texas

SKILLS: Microsoft: Word, Excel, Access; SPSS; Typing (35-40) wpm, Teleform,

CRT Input, Amisys, Maxsys and Care Manager Programs, Call Center,

Sales Logic, and I-Manage, HIMS and Facets software,

EMPLOYMENT HISTORY:

Employer:

Universal American Corp.

Position: Intake Center Processor

Date: 06/08/2009-01/19/2011

City/State Houston, Tx.

Supervisor: Danette Gregory

Duties:

Accurately sort and count all incoming mail

Log all certified mail on certified mail log

Record count of envelopes on board in HMO processing area

Open and extract all Claims, Appeals and Correspondence mail

Date stamp (via) Opex Mail machine. Hand stamp multi claims with documents.

Separate HCFA and UB claims

Member look-up in HIMS or Facets database

Sort all Claims by IPA categories

Batch all correspondence mail by department

Scan large volume claims

Verify count before Fed-Ex shipping

Complete production log daily

Discard of all envelopes in shredding bend daily.

Employer:

DePelchin Children’s Center

Position: Research Technician, Research & Grants Management

Date: 06/06-03/09

City/State Houston, Tx.

Supervisor: Raquel Runge

Duties:

Manage & Maintain statistical database

Data scoring and computer entry

Transcription

Contacts potential research study participants to schedule appointments

Conducts research study participant interviews

Coordinates schedules of multiple research interviews

Track and maintain records of recruitment and participation. Maintain files

And records, including participant contact information, consent forms, data

Code sheets, and other relevant materials

Employer: Cyberonics

Position: Reimbursement Clerk

Date: 10/02-11/16/05

City/State: Houston, Texas

Supervisor: Mary Cantu

Duties:

Daily processing of Patient Identification and Qualification (PIQ) forms

Management of electric filing system

Processing patient clinical and registry information

Assisting call center, including call routing

Record verbal consent of new patients

Assistance with special projects such as database-cleanup and file system maintenance

Employer: UTMB/ACCESS

Position: Care Manager Assistant (CMA)

Date: 04/99-04/02

City/State: Houston, Texas

Supervisor: Katherine Maxwell/Vicki Cappa

Duties:

ACD certified phone agent responsible for handling incoming calls

Responsible for pulling and filing medical charts & other confidential records

Fax Clerk

Make labels for medical charts

Enter patient information in database

Refer patient to assigned case manager

Shredding confidential documents within required time frames

Responsible for entering authorizations into system for different types of procedures,

Rentals and purchase of medical supplies and equipment

References: Available upon request

Tips: Very dependable, prompt, respectful and articulate

Contact this candidate