1. EMA N. KRINGEL
13304 RodeoCove Austin,Texas78727 Email: emakringel@yahoo.com Phone #512-774-7908
OBJECTIVE:Utilize my skillsandexperiencein UtilizationReviewprocessandBusiness
Administration toimprove productivityandprofitability. Iwouldalsoliketouse myskillsinworkforce
and workloadassessment,organizational skill mix analysis,and strategicplanningtasks,andretaining
practice improvements.
PROFESSIONAL HISTORY: CORVELCORPORATION –Austin,TX 6-30-2005 to present.
UtilizationReview/Pre-AuthorizationIntakeSpecialist.ProvidedSupportServicestoEmployers
WorkersCompensationcarriersinTexasInsurance Company.ProcessedPre-certificationrequest
data entryof all medical informationintoCorvel proprietaryURSystem.ReviewDocumentsfor
appropriate codingonICD-9 andICD-10 CPTcodesfor Divisionof Workers Compensation Official
DisabilityGuidanceCompliance.Ensures thatall Intake formsare complete,clearandwithinCorvel
Scope of service.VerifiesInsurance,obtainsauthorizationsandre-authorizationsandunderstands
active contract. Communicate Pre-AuthorizationReview decisionstoappropriate parties.Maintains
confidentialproprietaryinformationandliaisonstoadjustersandclients.
UNITED TEACHER ASSOCIATEINSURANCECOMPANY-UTAIC- Austin,TX 08-27-1997 to 10-29-2004.
PolicyOwnerServices/Digital DocumentImaging.ProvidedservicestoPolicyholders, Clients
and Fieldforce.RespondedtoemailsandtelephonicinquiriesfromPolicyowners,Agentsand
Home office viawrittencorrespondenceandpersonal contact.Processpolicychanges,conversions,
Reinstatementsandcancellations.Ensuresproblemsare resolvedandactions,stepsare effectively
communicated.Monitoredall phasesof the documentsImagingSystem.Understandingthe scope
of Data Processing,Workflows,Scanned,Verifies andAssignedpolicies.Maintainsconfidentiality
and basicknowledge of the Division’sBusiness,Structure andLayout.
DELL COMPUTERS- Austin,Texas 04-01-1996 to 01-15-1997.
QualityControl Assurance/ConductedreliabilityTestingAnalysisandDocumentationprocess
on Laptopcomputers.CoordinatedwithNewproductintroductionQualitycontrol toensure
Customersatisfaction.
SKILLS: AttentiontoDetail, Multi-Task,Efficientin CustomerService,Timeline Managementand
Organizational Skills.Peripheral DevicesScanners, Esker,Fax Splitter,Printers,Calculators, Postage
Machine,Faxes andPersonal Computers, etc.ScanHQ software forDocument ImagingSystem/PDF,
CareMC, Advocacy,MedcheckandWebOpus.
EDUCATION: Universityof the Visayas03-30-1988 Associate Degree inSecretarial.(JSC)
REFERENCES: Ms. Marie Coleman,URMANAGER Corvel Corporation512-623-1008
Ms. AnitaGarcia, SUPERVISORCignaHealthcare 512-531-1550
Mr. Edward Emmert,AccountingManagerUTAIC 512-635-7337