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Utility accounts director skills for your resume and career
15 utility accounts director skills for your resume and career
1. Patient Care
Patient care entails the diagnosis, recovery, and control of sickness as well as the maintenance of physical and emotional well-being through the use of healthcare providers' services. Patient care is described as services provided to patients by health practitioners or non-professionals under guidance.
- Facilitated crisis calls and performed emergency assessments to implement optimal patient care and case management.
- Coordinated and directed the integration of Social Services function into patient care, discharge and home planning process.
2. Appeals
- Overturn 100% Recovery Audit Contractors 4th level appeals on the judicial level.
- Hired as a Utilization Review Administrator, advancing to Appeals Specialist and Director.
3. Medical Necessity
- Complete Insurance reviews to narrate criteria for Medical Necessity and arrange appropriate level of care recommendations.
- Reviewed clinical for medical necessity.
4. Utilization Review
Another name for utilization review is utilization management. It is the process of ensuring that healthcare services are used in a suitable manner. Utilization review is a critical component of adding value to the health care system. Mostly, UR is carried out by healthcare insurance companies, but hospitals and other healthcare providers also perform the process. Utilization review has three types of assessment namely: concurrent, prospective, and retrospective.
- Increased customer retention by redefining and expanding Director of Utilization Review roles and responsibilities to include business development.
- Directed daily operations of Intake and Utilization Review departments within private substance abuse facility for adults.
5. Water Systems
Water systems refer to any plumbing or equipment that filters or cleans water as it passes through a city or other residential area. As much of the water used in residential areas pass through a series of sewer pipes and other plumbing, there are many associations that monitor the cleanliness of the water. In order to do this, water may be treated with filtration pumps, softeners, and other methods of disinfection to ensure the water is safe to drink and use.
- Developed Standard Operating Procedures for water/wastewater systems and supervised employees.
6. Financial Statements
A financial statement is a report of an individual or a company that includes all the information about the declared assets, the use of money, income, and also the contribution of shareholders over a certain period.
- Prepare annual and quarterly financial statements.
- Assisted in CAFR preparation and other financial statements in compliance with GAAP.
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- Submitted prior authorization requests for approval of services to Managed Care companies for Members receiving Medicaid reimbursement.
- Facilitate External Review Organization Medicaid audits and agency internal audits.
8. Peer Review
- Perform peer-to-peer reviews and appeal reviews as needed with insurance company doctor or clinical director.
- Conducted peer reviews with psychiatrist at managed care companies.
9. Utility Billing
- Provided customer support for utility billing and budget billing program.
- Performed the daily reconciliation reports for Utility Billing Department.
10. Discharge Planning
- Managed an active caseload, conducting concurrent reviews, coordinating physician reviews and providing support to Social Services regarding discharge planning.
- Conduct ongoing chart auditing, monitor documentation, coordinate and participate in the treatment and discharge planning process.
11. Oversight
Having oversight of someone means to monitor a process or a situation. If someone has oversight of something, they are responsible for the completion of the project. Oversight is usually given to experts as they monitor their juniors or newbies as they go through a project.
- Chaired Critical Care Committee directing oversight of medical center-wide clinical research activities and hospital-wide clinical emergency response team.
- Create systems that optimize Case-Manger and Case-Manger supervisor oversight over the safety and permanency of children referred to DHS.
12. Water Distribution
Water distribution is a system of pipes and plumbing that transfer drinkable water from a treatment plant to residential and commercial buildings. The water supply system must align with district requirements so that all homes, buildings, and emergency services have access to the water lines.
- Manage daily operations of public utilities Prepare operating budget Oversee wastewater treatment and water distribution Present status reports to the utilities board
13. CMS
A Content Management System or CMS is computer software that works as a framework where content can be assembled and managed by using a database. CMS is an important asset in web development. This platform enables users to create, edit, collaborate on, publish and store digital content. It helps users to manage their content and modify it from a single system.
- Participated in Joint Commission preparedness and CMS audit committees.
- Completed documentation necessary for billing and admission process in compliance with CMS regulations.
14. Journal Entries
Journal entries can be defined as an act of keeping or making records of any transactions either economic or non-economic. The journal entries are made in the accounting systems of an organization. The entries are filled with two main fields; debit and credit. The debit and credit must be equal at the end of a journal entry else it is not considered correct. The journal entries also keep the date of transactions and the names of the accounts that were affected by the transactions.
- Create monthly, quarterly, and annual journal entries.
- Prepare monthly adjusting journal entries as needed.
15. Quality Improvement
Quality improvement (QA) is a systematic approach to eliminate or reduce rework, wastes, and losses in the production process. It is part of quality management, which aims to increase the ability to meet quality requirements. It manages change and uses data for making decisions to improve policies, programs, and results.
- Identify quality and risk management issues and facilitate the collection of information for quality improvement and reporting purposes.
- Worked in conjunction with Quality Department to identify, develop, implement and monitor quality improvement programs.
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List of utility accounts director skills to add to your resume
The most important skills for a utility accounts director resume and required skills for a utility accounts director to have include:
- Patient Care
- Appeals
- Medical Necessity
- Utilization Review
- Water Systems
- Financial Statements
- Medicaid
- Peer Review
- Utility Billing
- Discharge Planning
- Oversight
- Water Distribution
- CMS
- Journal Entries
- Quality Improvement
- Insurance Carriers
- Collection Systems
- Regulatory Agencies
Updated January 8, 2025