Category: HEALTHCARE

         MANAGER FIELD           Professional Overview    Service focused and strong knowledge of healthcare management, client services, healthcare systems, management, Social Security, DFCS  and various other platforms and services.      Core Qualifications          Microsoft Office Suite ( Excel,Word and Powerpoint)  Knowledgeable in various healthcare information systems to include( Meditech, EMR, Mckesson/Stars, Artiva ,Onbase and Host).  Licensed Navigator # 2984352  Affordable Care Act Certified  Knowledeable in CPT Coding  Knowledgeable in ICD-10                Education      B.S   :   Sociology  ,   June 1995    Albany State College          Sociology          Experience      Manager Field    January 2014   to   January 2016     Company Name   －   City  ,   State      Responsible for providing high quality client focused service and leadership direction  to internal and external operations.  Provided smooth and efficient operations of all facets of the hospital-patient-Change Healthcare partnership.  In accordance with established policy and Federal/State rules and regulations.  Supervised 6 employees and provided comprehensive and detailed training needed to complete assignments.  Served as Quality Assurance Specialist to ensure that each application completed was correct.  Completed yearly performance Evaluations, monitored leave and punctuality for  employees.  Met all yearly goals at 95% for district and exceeded in some areas by 3%.  Trustworthy and committed to superior customer service.  Confident in interactions with individuals at all levels.  Assisted with billed accounts and approval rate for revenue.          Healthcare Representative    January 2002   to   January 2014     Company Name   －   City  ,   State      Interviewed clients in a hospital setting/or home visits to assist with obtaining maximum coverage for Federal( SSI/ SSA Disability) and State Medicaid benefits.  Traveled to several different hospitals throughout district in order to meet client needs.  Acted as an Advocate for patients and families in the capacity to Federal and State agency.  Worked effectively with all hospital staff  to give exemplified customer service.  Adhered to company and legal standards regarding Protected Health Insurance(PHI), Personal Identifiable Information(PII) and Health Insurance Portability Accountability Act (HIPPA).  Maintained and documented status of applications and clients via hospital system and Change Healthcare.  Met goals as assigned by Change Healthcare yearly.          Case Manager    January 1996   to   January 2002     Company Name   －   City  ,   State      Under general supervision provided the following: Determined eligibility and manageed  on-going cases, intakes or renewals for eligibility programs.  Processed applications and/or reviews using appropriate criteria and policies consistently and according to established guidelines.  Recorded and evaluated personal and financial data obtained from individuals.  Keyed in a high volume of data using standard office hardware and software.  Performed other professional responsibilities as assigned by supervisor.  Exceeded/ Met all performance goals monthly as well as yearly.                  Skills    agency, benefits, hardware, CPT Coding, client, clients, customer service, direction, financial, ICD-10, information systems, Insurance, leadership, legal, Meditech, Excel, Microsoft Office Suite, office, Powerpoint, Word, Navigator, policies, quality, Quality Assurance, SSI, supervisor, supervision