profile

Peter McMahon

Experience

Program Specialist

Covance

December 2011 - February 2012

Facilitated the prior authorization process for pharmaceutical drugs, providing customer service to doctors’ offices and insurance payers. Performed benefits investigation regarding specialty injectibles to resolve claims issues.

ex: Management
ex: Gardening
ex: PHP
Claims Compliance Analyst

American Specialty Health

February 2011 - June 2011

Analyzed, negotiated and corrected complex claims issues. Processed and adjusted claims for adjudication. Reviewed claims for errors to facilitate departmental training. Handled and prioritized heavy claims workload.

ex: Management
ex: Gardening
ex: PHP
Data Analyst Claims

WageWorks

December 2009 - May 2010

Processed Flexible Spending Account claims according to established FSA guidelines. Analyzed EOB’s to determine FSA eligibility. Took on a leadership role training other claims analysts. Performed data entry 100% accurate claims processing under audit.

ex: Management
ex: Gardening
ex: PHP
Event Marketing Intern

Radio5 Entertianment LLC

February 2009 - December 2009

Assisted in the management of talent, live events and contracts for an international entertainment promoter. Established social media presence via Twitter and FaceBook.

ex: Management
ex: Gardening
ex: PHP
Medical Records IT Clerk

Shayegan Medical Administration

June 2007 - November 2007

Provided PC Help Desk support in a small business environment. Prepped and scanned medical records to digital format. Functioned as a driver for medical records collections route.

ex: Management
ex: Gardening
ex: PHP
Customer Service Representative

Tweeter

June 2006 - September 2006

Provided customer service for Tweeter’s LCD/Plasma extended warranty program. Mediated customer complaints towards positive resolutions in a fast-paced call center environment.

ex: Management
ex: Gardening
ex: PHP

Workplace personality

100+

Company Size

12

Day Length

25+

Team Size

Loud

Noise Level

Formal

Dress Code

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