Resume for a Houston Texas Healthcare Administration Project Manager

by Teneika Tillis
(Houston, TX)

Resume for a Houston Texas Healthcare Administration Project Manager


HEALTHCARE ADMINISTRATIVE:

Summary: I am qualified in the Healthcare and Administrative sectors with over 7 years’ experience. I encompass excellent computer skills, Medical terminology and knowledge of HCPCS and ICD-9 codes.

Skilled in Microsoft Office 7, medical management Software, and IDX claims system. I have managed a team of 13 people successfully while creating processes that helped the company excel in medical claims tracking thus resulting in a decrease in claims audits.

I have excellent Communication skills and interpersonal skills I will bring a great deal of professionalism and work ethic resulting in greater profits for the organization. I am a very dependable and punctual employee driven to excel at every job task given.

Professional Work History:
Healthcare Partners, Memphis, TN 03/2008-07/2011
Provider Contract Coordinator II/Project Management (08/2009-07/2011)

• Utilized knowledge for problem solving, communication and negotiation skills
• Tracked and monitored provider contracts.
• Coordinated projects
• Gathered and consolidated provider data from internal/external sources
• Resolved administrative problems by coordinating the preparation of reports, analyzed data and identified solutions

• Responded to correspondence and other communication in a professional and timely manner
• Coordinated, tracked and routed incoming Contracts /Credentialing/LOA, requested verification of provider information and initiated the contract process
• Gathered and consolidated provider data from a variety of internal and external sources

Document Imaging Reviewer/Claims (08/2008-08/2009)
• Logged claims into IDX claims system
• Managed multiple projects from initiation to completion
• Submitted daily inventory report to Claims Supervisor
• Established and maintained strong business relationships with internal and external customers
• Linked Medical records to claims in Macess system
• Developed and distributed PM inventory reports to the Manager and Supervisor
• Analyzed biweekly reports and provided updates to the Claims Manager
• Verified HCPC, ICD 9 and provider’s information

Claims Document Technician (03/2008-08/2008)
• Data entered claims into the Macess system
• Ensured HCPCS and IDX diagnosis were correct
• Corrected patient and physician information
• Logged paper claims into IDX system and generated claim numbers

Aetna US Healthcare, Memphis, TN 09/ 2003-12/2007
Claims Benefit Specialist
• Adjudicated HMO and Private Insurance Claims
• Processed Medicare and Medical claims
• Posted Payments into medical manager billing software
• Generated Accounts Receivables

Cedars Sinai Medical Center, Memphis, TN 08/1995-09/2002 Certified Nurse Assistant – PRN/ Patient Business Office
• Provided patient care Monitored vital signs
• Assisted with medical Procedures
• Admitted and Discharged patients
• Verified patients insurance
• Provided customer service to patients and families

2004-2008 Attended College Full Time

Education: United Education Institute, Memphis, TN
Technical Diploma

Professional Skills:
• Microsoft Word
• Microsoft Excel
• Knowledge of ICD-9 and HCPCS
• Microsoft Exchange
• Knowledge of Ub-92 and CMS 1500 forms
• Microsoft Visio
• Emptoris Web-based Software
• ICD9/CPT Coding
• Type 60-65 WPM
• Alpha/Numeric 12,000 keystrokes

**Interested Health Care management HR recruiters may contact this candidate via the COMMENTS hyperlink below this page.**

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Dec 14, 2011
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Contract Healthcare Administrator Position
by: Cathy Brewer

TFA Staffing Co.is a full service professional staffing agency. We offer staffing solutions for many industries including Health Care. We offer candidates complete confidentiality in their search and provide employers with simple, targeted searches from a database of qualified candidates through partnerships with afilliate companies.

Our client has a contract Healthcare Administrator postion available in Houston, TX. This is a 6-8 month assignment that offers a very generous salary.

If you are interested, please forward your resume ASAP with cover letter to thecure@tfastaffing.com

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