Sample Utilization Review Technician Resume

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Utilization Review Technician Resume Example

Personal Details:

Steven Mills
327 Green St
Ithaca, NY 14850
Home: (817) 555-4765
Mobile: (817) 555-6754

Objective:

Seeking a career as a utilization review technician to utilize my skill and experience in a way to fulfill personal as well as organizational goal.

Experience:

Utilization Review Coordinator, 2005 to Present
Universal Health Services Keystone, Marion.

  • Responsible for responding to requests for additional information, pends, appeals and denials.
  • Maintained 100% reimbursement rate of medically necessary residential stays and also meet strict and costly medicaid deadlines in a time consistently.
  • Keep utilization review records for audit using organizational methods.

Cardiac Technician, 2003 to 2005
Abindon Ambulance Service, VA.

  • Responsible for billing commercial primary insurers using CMA HCFA-1500 forms.
  • Processed and participated in appeal process for denials, pends and requests for additional information from insurance companies.
  • Solved queries of patient also determined estimated co-pays and balances due.

Education:

Pharmacy Technician Program, 2003
Virginia Highlands Comm. College, VA.

Associate Degree in Biology, 2001
Concord University, Athens.

Skill:

  • Experience in DSM-IV and ICD-9 coding for medical diagnoses.
  • Knowledge of Windows Operating Systems, Lotus Notes and Outlook Express.