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| Desired Industry: Clerical/General Office |
SpiderID: 26958 |
| Desired Job Location: Little Rock, Arkansas |
Date Posted: 5/26/2009 |
| Type of Position: Full-Time Permanent |
Availability Date: 6-22-09 |
| Desired Wage: 40,000 |
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U.S. Work Authorization: Yes |
| Job Level: Experienced with over 2 years experience |
Willing to Travel: Yes, Less Than 25% |
| Highest Degree Attained: Bachelors |
Willing to Relocate: Yes |
Objective:
To obtain a position in which I can maximize my leadership skills, training experience, customer service, communication skills and organizational skills while contributing expertise in an effective and proficient manner.
Experience:
January 2006 – Present BlueCross BlueShield of South Carolina Columbia, SC
Quality Review Analyst
• Assure communication of provider profiling and performance information with other BCBSSC provider service areas.
• Coordinate credentialing activities with Quality Management and Professional Services activities.
• Perform delegated audits.
• Coordinate provider credentialing process which included documentation and management of credentialing information.
• Performed day-to-day contact with professional certifying agencies, State Licensing Boards, insurance companies, office managers, physicians, medical schools, and the National Practitioner Databank/Health Integrity.
• As a team leader, voluntarily completed special assignments and delegated tasks among team members.
January 2004 – January 2006 BlueCross BlueShield of South Carolina Columbia, SC
Provider Service Representative
• Perform day-to-day contact with insurance billing managers regarding provider medical claims.
• Quote patient medical benefits to provider office managers.
• Prepare and organize medical records for medical review.
• Served as team leader and resolved conflicts and complex issues.
Education:
August 1997 – December 2000 Lane College Jackson, TN
Bachelor of Arts in Interdisciplinary Studies
• Magna Cum Laude
Skills:
Word, Excel, Microsoft Outlook, Quickbooks
Reference:
Available upon request.
Candidate Contact Information:
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