Carissa Chandler has over 15 years of experience in administrative and customer service roles. She has strong skills in Microsoft Office, medical billing software, and customer relationship management systems. Her most recent role is as a Lead UM Coordinator at San Francisco Health Plan where she manages authorization processes and provider disputes.

1. Carissa Lanell Chandler
3525 Gray St. #2
Oakland, CA 94601
(415) 571-5717
Skills: Microsoft Excel, Word, Outlook, Powerpoint, Adobe Acrobat, SoftMed for Windows,
Accutrac, Syspro, QNXT, Essette, Phones
Education University of California at Los Angeles, Los Angeles, CA
Bachelor of Arts, Women’s Studies
1994-1998
Experience
San Francisco Health Plan
Lead UM Coordinator – Inpatient
• Subject Matter Expert for UM Transition from QNXT to Essette serving as Primary
contact for all staff on UM and Essette Process Issues.
• Author or Co-author of Desktop Processes for key UM processes including
Inpatient Authorizations, Maternity Authorizations, and Skilled Nursing Facility
Authorizations
• Manual Updates of Authorizations for timely Claims processing.
• Process and manage Maternity Kick (OB) authorizations and Review and
Verification of monthly Maternity Kick report submitted to the State.
• Submit Long Term Care or SNF members for Disenrollment from Managed Care
including retro requests for Expedited Disenrollment.
• Provider Dispute Resolutions including processing, routing to nurses and claims,
documenting denial summaries and obtaining approval or denial letters from
delegated groups.
• Process Approval and Denial letters to providers and members.
• Provider Shell and Letter of Agreement requests for new providers for inpatient or
SNF admissions.
• Provide daily or weekly census reports of inpatient admissions for OOMG
admissions, OB admissions and Skilled Nursing Facility admissions.
• Provide training for new coordinators and nurses on Inpatient UM processes.
• Daily Call Management from Providers regarding authorization and claim status
related to inpatient admissions.
• User Acceptance Testing for changes to workflow processes and data entry
accuracy.
San Francisco General Hospital Vocational Rehabilitation Program.
Administrative Assistant
• Provide receptionist and administrative support services for the Program Director,
Program Coordinator and Volunteer Coordinator. Duties include data-entry,
receptionist using multi-line phones, faxing and general hospital support services
(patient clothing delivery) and other projects as assigned.
Oct 2011-
Present
Mar 2011-
Oct 2011

2. Crown Staffing/Labor Ready. Houston, TX
Customer Service Representative
• Provided customer service and cleaning facilitation to customers in the Suites
during sporting events and special conventions.
• Worked in food services as a banquet server.
• General support as needed including driving and delivery.
Jun 2007-
Apr 2008
Jackson Personnel/Kimco Staffing. San Francisco, CA
Customer Service, Sales Executive Assistant
• Analyze and verify daily orders for internet-based company including credit
references and order totals for credit approval.
• Maintenance and filing of orders; faxing and general office support.
• Public relations and special projects as assigned.
May 2006-
Dec 2006
Adecco/Ultimate Staffing/Act-1. Oakland, CA
Customer Service Representative
• Red Cross Call Center Representative assisted clients to determine appropriate
relief compensation including verification of confidential information and
distribution of funds.
• Bread company production assistant including receiving and placing orders, daily
invoices and invoice discrepancies.
• Customer service representative for internet-based company including receiving,
placing and tracking orders via company database, website and Federal express
website.
Nov 2005-
Jan 2006
AppleOne/Labor Ready. Pasadena, CA
Administrative Assistant - Health Information Management Clerk
• Accounts receivable matching checks with invoices and updating information in
database.
• Check reconciliation for a mortgage investment firm.
• Medical records filing for a private hospital/home healthcare agency including
processing, delivery, reproduction, filing, and maintenance of medical records.
• Charts and records purge to offsite storage facility.
• Coding support including obtaining prescription documentation to reduce daily bill
hold summary and eliminate pending bill holds.
Oct 2004-
Oct 2006
Stivers Temp Agency. Pasadena, CA
Executive Assistant
• Reception and administrative support for the Mayor and City Manager of
Pasadena.
• Filing, faxing, photocopying, data entry, storage, scheduling, ordering supplies
and multi-line phones.
• Updated database files and maintained tracking logs.
• Managed resident inquires and directed residents to appropriate City
Departments.
Oct 2002-
Jul 2004