, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
Home: (555) 432-1000
Cell:
resumesample@example.com
Summary
Highly motivated Sales Associate with extensive customer service and sales experience. Outgoing sales professional with track record of driving increased sales, improving buying experience and elevating company profile with target market.
Skills
Professional, Mature and Reliable
Adept Verbal and Written Communication
Proficient Interpersonal Skills and a Quick Learner
Exceptional Customer Service
Excel Under Pressure and Time Restraints
Critical Thinking
Work Planning and Prioritization
Experience
Case Management Support II, 03/2022 to Current Ascension Health – Tawas City, MI,
Creates, develops, and nurtures culturally appropriate interactions, connections, and successful working relationships with colleagues, customer-owners, and the community.
Understands key SCF concepts including same day access, continuity of care, empanelment, and integrated care.
Provides exceptional customer service; Receives customer-owners within the department in a friendly and courteous manner;Answers telephones, directs calls to appropriate staff member or department, and takes messages as required; Assists customer-owners by providing accurate information that meets the customers-owner’s needs;Responds to non-technical questions regarding department processes..
Works collaboratively by building bridges and creating rapport with team members within departments and across the organization.
Maintains provider preferences and scheduling
using the appropriate electronic health record application.
Provides training and education to employees as directed. Acts as a resource and mentor for administrative support, and trainer for entry level case management support.Answers questions from others according to standard procedure and best practices.
Applies knowledge of the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to ensure the privacy of individuals is protected to the fullest.
Adheres to 42 CFR Part 2 confidentiality requirements to ensure that customer-owners privacy and confidentiality is assured.
Performs computer-based tasks and utilizes electronic health record system which includes accessing and reading charts/provider notes for basic information to respond to customer-owner inquiries and requests; entering notes in records; and performing complex scanning of documents to health records.
Coordinates complex scheduling of customer-owners for multiple providers to include scheduling customer-owners with other clinics and facilities, arranging transportation for customer-owners, and applying knowledge of provider preference.
Performs job with minimal supervision.
Behavioral Health Intake Specialist, 06/2018 to 11/2019 La Clinica De La Raza – Pittsburg, CA,
Obtain demographic/billing/insurance information from clients and enter into the registration/billing systems for service and claims processing
Insurance verification to determine patient out of pocket amount, educate patient on their financial responsibility, and collect payments
Data entry of admissions, encounters, and discharges into the Alaska Automated Information Management System (AKAIMS) in compliance with State reporting requirements
Provide program orientation to new clients, and annually thereafter, obtaining all required signatures and complete and accurate documents related to the admission process
Provides and promotes professional, efficient, and congenial customer service through all communication and interaction with patients, clinicians, visitors, and co-workers.
Reconcile and consolidate the Behavioral Health Credit card Monthly.
Referred patients or clients to community resources or specialists.
Maintained confidentiality of records relating to clients' treatment.
Panel Management Assistant, 02/2017 to 06/2018 Kenaitze Indian Tribe – City, STATE,
The Role Of The Panel Management Assistant Is To Work With The Providers, In The Primary Care Setting Of The Dena’ina Wellness Center
Ensure Accurate Empanelment Occurs Congruent With Scheduling Of Patients That Are New To The Area
Processing Referrals to Outside Service Providers, most times obtaining Prior Authorizations from Medicaid
Completed Travel for all customer owners that needed travel to another health facility for health care.
Received and screened incoming calls and visitors, alerting management to priority matters.
Templated Providers schedule's into the EHR Cerner
Coordinated and facilitated calendars to arrange appointments, meetings and conferences with Behavior Health Counselors.
Purchased Referred Care Specialist, 10/2012 to 09/2015 Alaska Native Tribal Health Consortium – City, STATE,
PROCESSING REFERRALS AND CLAIMS FOR INDIAN HEALTH SERVICES BENEFICIARIES
VERBAL EXPLANATION OF BENEFITS, MEDICAL CLAIM REGULATIONS, AND COMPANY POLICIES & PROCEDURES TO PATIENTS, CARRIERS, AND External partners
RESOLVED PAYABLE CLAIMS BASED ON ICD-10 AND CPT CODES, PURCHASE ORDERS, AND OUTSTANDING CLAIMS
Education and Training
High School Diploma: Behavioral Health, Expected in 10/2022 Bethel Regional High School - Bethel, AK GPA:
ANTHC BHA Curriculum: , Expected in - , GPA:
Certifications
RELIABLE
VERBAL AND WRITTEN COMMUNICATION
STRONG INTERPERSONAL SKILLS
QUICK LEARNER
EXCEPTIONAL CUSTOMER SERVICE
Excel Under Pressure and Time Constraints
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