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The Following Text Is An Unformatted Professional Resume Sample

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Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000 xxx-xxx-xxxx

abc@xyz.com

 

 

Date

 

 

 

Hiring Agent Name

Title

Company Name

Address

City/State/Zip Code

 

Dear__________________:

 

I am currently seeking a challenging career opportunity in a (INSERT TITLE OF TARGET POSITION) capacity and am submitting my resume for your review. In advance, thank you for your time and consideration.

 

As demonstrated in the accompanying resume, my professional qualifications include over 20 years of experience with management and healthcare claims. To complement this background, I possess strong interpersonal communication skills, key to leading highly productive teams and fostering positive relationships.

 

As an employee, you will find me to be a driven team player committed to supporting you in achieving your objectives through superior performance. I am confident that I could be a valuable asset to your organization, and look forward to interviewing with you in the near future.

 

Sincerely,

 

Yyyyyy x. yyyyyy

 


Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000 xxx-xxx-xxxx

abc@xyz.com

 

Profile of Qualifications

 

         Certified Managed Care Professional with over 30 years of experience in the dental claims processing industry.

         Dynamic leadership skills, with a proven track record of steering employee performance to increase overall efficiency.

         Regarded for the ability to deliver outstanding results with the highest degree of expertise, service, and professionalism.

         Strong analytic problem-solving skills with a proven track record for meeting time lines and exceeding goals and expectations.

 

Key Areas of Expertise

 

   Claims Processing

   Process Improvement

   Dental Knowledge

   Leadership

   Interpersonal Communication

   Quality Control

 

Professional Synopsis

 

HealthPartners 2013-2015

Supervisor, Dental Claims

         Demonstrated strong leadership skills while overseeing daily operations, focusing primarily on staff performance, talent acquisition and maintaining quality control throughout dental claims processing.

         Streamlined process improvement initiatives, resulting in increased efficiency.

         Utilized in depth understanding of HIPAA 837D, 270/271 transactions and EDI 837D receipts.

         Maintained regulatory compliance throughout state, Medicare, Medicaid and ACA Embedded Pediatric benefits by conducting thorough audits and relaying status to appropriate parties.

 

HealthPartners 2000-2013

Coordinator, Dental Plan Operations

         Ensured quality control throughout claims system by conducting thorough audits for contracted dental providers.

         Oversaw all EDI files and testing of HIPAA 837D and 270/271 transactions.

 

HealthPartners 1992-2000

Dental Claims Customer Service Examiner

         Obtained valuable exposure to dental and EDI claims processing, with associated responsibilities including adjustments, refunds and coordination of benefits.

 

HealthPartners 1984-1992

Dental Receptionist

Education & Professional Development

 

Managed Care Accreditation

High School Diploma, Mounds View High School, New Brighton, Minnesota

 

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