Team-oriented, dependable and performance-driven with the 17 years of work experience in Social Service company. Hardworking and passionate job seeker with strong organizational skills eager to secure Care Management Specialist position. Ready to help team achieve company goals.
Overview
17
17
years of professional experience
Work History
Activity Planner and Biller
Japanese American Service Committee
1151 W. Leland Ave. Chicago, Il 60630
09.2007 - Current
Plan and create monthly activities.
Do clerical tasks assigned by Supervisor.
Send and receive electronic fax.
Verify accuracy of payments and reduction of payment errors.
Submit electronic monthly billing using Availity's Portal as third-party clearing house for MCO's.
Check claim status.
Contact insurance provider for payment adjustments or discrepancies.
File complaints to FHS if no resolution.
Record and keep member's authorization on file.
Report to Supervisor if member's benefit is inactive.
Provided clear instruction to activity and program participants to deliver fun and maintain safety.
Monitored participation in recreational activities to provide assistance to participants.
Collaborated with other recreation staff in developing new recreational activities.
Transported and escorted program participants to and from activities and on field trips.
Implemented and developed programs to promote physical fitness, teamwork and healthy living.
Ordered and maintained all recreational equipment.
Supervised teams of volunteers, fostering a positive work environment that encouraged collaboration and efficiency.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Demonstrated strong organizational and time management skills while managing multiple projects.
Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
Kept all patient information secure and confidential.
Followed up with appropriate parties to obtain prompt payments.
Increased revenue through timely processing of invoices and thorough follow-up on outstanding payments.
Maintained accurate client records, ensuring proper billing and payment tracking.
Education
Basic Nurse Assistant Training Program - Passed -Illinios Nurse Aide T Compentency 6/2007
NorthWestern Istitute of Health And Technology
Chicago, IL
05.2007
Bachelor of Science - Computer Science
University of St. LaSalle
Phillipines
03.2001
Skills
Friendly, Positive Attitude
Attention to Detail
CPR Certification
Documentation and Recordkeeping
Computer Proficiency
Data Entry
Task Prioritization
Activity Planning
Problem-solving abilities
Collaboration and Teamwork
Decision-Making
References
Charisse Bedrejo, 312-213-5823
Timeline
Activity Planner and Biller
Japanese American Service Committee
09.2007 - Current
Basic Nurse Assistant Training Program - Passed -Illinios Nurse Aide T Compentency 6/2007