LiveCareer-Resume

consumer access specialist preaccess resume example with 7+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Summary

Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking opportunities to expand skills while facilitating company growth with a detail-oriented mentality and ethical nature.

Skills
  • Microsoft Office Suite (10+ years)
  • Customer Service Skills (7 years)
  • Cash Management (5 years)
  • Hospitality (5 years)
  • Office Administration (3+ years)
  • Multi-Line Telephone Systems
  • Medical Terminology (2+ years)
  • Data Entry (2 years)
  • Schedule Appointments (1 year)
  • Payment Processing (2 years)
  • Administrative Experience (4 years)
  • Clerical Experience (3 years)
  • HIPAA Compliance
  • Documenting and Recording Information
  • Caring and Empathetic
  • Verbal and Written Communication
  • Benefits Administration (1 year)
  • Patient Care (2 years)
  • Epic (1 year)
  • Salesforce
  • New Hire Training
  • Insurance Verification
Experience
Consumer Access Specialist-PreAccess, 07/2022 to Current
Northwell HealthUniondale, NY,
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Corrects demographic, insurance, or authorization related errors and pre-bill edits
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards .
  • Obtains pre-authorizations from third-party payers in accordance with payer requirements and within established timeframe before scheduled appointments and during or after care for unscheduled patients.
  • Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries
  • Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details
  • Registers patients for all services and achieves the department specific goal for accuracy
  • Attempts to collect patient cost-sharing amounts and outstanding balances before service.
  • Payment Management; Patient Data Collection; Insurance Verification/Authorization:
E Band Officer, 02/2018 to Current
Western DentalHuntington Park, CA,
  • Responsible for the safety of passengers traveling through Orlando, Florida
  • Successfully manage and direct large groups of passengers during the highspeed and sometimes high- stress environment of security screening
  • Conduct screening of passengers, baggage, and cargo to ensure compliance with Transportation Security Administration (TSA) regulations
  • Searched individuals and baggage for weapons and other prohibited items.
  • Guarded restricted areas to prevent unauthorized entry.
  • Utilized metal detectors, wands and X-ray screening machines to perform thorough check of individuals, belongings and cargo.
  • Used x-ray scanners to check luggage and carry-on items for unauthorized materials.
  • Watched each individual to assess demeanor and look for suspicious behavior.
  • Communicated with other screening staff to promptly call attention to potential or active safety problems.
  • Responded to emergency situations quickly to minimize risk and injury.
  • Inspected carry-on items through x-ray viewing equipment to determine whether content included objects warranting further investigation.
Radiology Imaging Support, 10/2021 to 03/2022
Viejas EnterprisesAlpine, CA,
  • Sorts, filters, opens and closes images from a patient list within a distribution median and/or an archive
  • Scans, transmits, archives, and manipulates film images whenever needed
  • Opens, reads and burns images to a CD for patient or physician release
  • Performs data integrity and validation of transferred/copied images to ensure no data loss has occurred
  • Learns and maintains proficiency in all existing and new image and data retrieval and distribution medians such as RIS, HIS, PACS, CR and Image Workstations
  • Maintains thorough knowledge of policies, system problem resolution techniques, and system downtime processes
  • Understands departments and hospital systems and operations, how they correlate and interface to other services and systems provided by OH and other facilities and the impact on our customers
  • Resolves conflicts within the team and provides service recovery for our customers
  • Understands HIPAA regulations and applies such concepts as applicable to the exchange of confidential information
  • May be required to perform basic systems administration functions such as calibration and action log analyses
  • When needed, will be required to become an active team leader in order to maintain constant work- flow and team cohesiveness.
Clinical Pharmacy Specialist, 08/2020 to 03/2021
TotalMed Staffing-REMOTECity, STATE,
  • Primarily made inbound/outbound calls to provide information about prior authorization and faxes
  • Maintain documentation of status within multiple computer programs simultaneously
  • Maintain ongoing communication with providers regarding the status of claims
  • Utilized Microsoft office (word and excel) to track data
  • Maintained demographics obtained through phone calls in a database
    responsible for the pharmaceutical care of patients within a patient care team, as well as drug therapy, control/analysis of prescriptions, drug monitoring, and remediation of any adverse side effects.
  • Worked with pharmacy technicians to expedite urgent requests.
  • Answered patient questions and data requests.
Patient Care Coordinator, 10/2018 to 02/2019
Aerotek-ContractCity, STATE,
  • Respond to incoming calls from current patients and prescribers’ offices, as primary representative, to process medication refills and schedule delivery to ensure continuity and maintenance of therapy
  • Provide status updates to prescribers’ offices and manufacturer offices, while alerting necessary areas of the pharmacy
  • Multitask answering inbound calls and running test claims to determine patient copay amounts
  • Utilize personal effectiveness and effective listening to quickly assess caller’s needs and use critical thinking skills to determine best resolution
  • Contact patients to schedule delivery of medications in keeping with their requirements or to communicate refill denials and encourage follow up contact with their prescription provider
  • Follow up on failed attempts to contact patients and providers to schedule medication deliveries and re-attempt contact, maintaining attention to details and avoid delays or interruptions in therapy
  • Facilitate communication between internal team, patients and prescribers’ offices to support patients, status updates, template letters, notifications of triage
  • Document case activity, communications and correspondence in computer system to ensure completeness and accuracy of patient contact records
  • Verify current active insurance with a paid claim before scheduling shipment
  • Contact patients insurance when needed
Premier Support Technician, 07/2017 to 12/2018
AsurionCity, STATE,
  • Provide exceptional customer service and technical expertise on the phone or throughout messages throughout the website,chat, and email
  • Work one on one with customers walking them through their technical problems and finishing the solutions
  • For example with iOS and android devices.
  • Supported customers having data connectivity issues, assisting with troubleshooting steps and rebooting of hardware.
  • Responded to support tickets within established timeframe to improve customer service.
  • Supported customers with online billing, access and account issues.
  • Used remote login tools to assist clients with technical and product questions.
  • Demonstrated advanced product knowledge to solve customer issues.
  • Stayed abreast of latest software developments to enhance job knowledge.
Reservation Agent, 01/2017 to 08/2017
Bluegreen VacationsCity, STATE,
  • Answer inbound reservation calls
  • Utilize exemplary sales techniques
  • Provide outstanding service to all guests / Process guest requests,
  • Meet booking conversion rates, sales quotas and other performance metrics
  • Sell enhancements and upgrades where applicable
  • Problem solving and guest de-escalations
  • Deliver prompt and professional solutions for customer inquires via direct contact, phone, email and online chat
  • Responds to customer inquiries/concerns by understanding inquiry; reviewing previous inquiries and responses; interact with contracted vendors, hotel/resort staff, etc to gather and research information; assembling information; verifying customer's understanding of information and implementing a prompt solution
Tier II Technical Support/ Mentor, 11/2015 to 02/2017
Convergys Paypal CorpCity, STATE,
  • Ensure service delivered to our customers meets contractual Key Performance Indicator (‘KPIs’)
  • Clarify customer requirements; probe for understanding, use decision-support tools and resources to appropriately provide resolution to the customer
  • Listen attentively to customer needs and concerns; demonstrate empathy while maximizing opportunity to build rapport with the customer
  • Greet customers in a courteous, friendly, and professional manner using agreed upon procedures
  • Maintain basic knowledge of client products and/or services
  • Prepare complete and accurate work including appropriately notating accounts as required
  • Participate in activities designed to improve customer satisfaction and business performance
  • May offer additional products and/or services
  • Track, document and retrieve information in call tracking database
  • May respond to customer inquiries by referring them to published materials, secondary sources or more senior staff -Process payments -obtaining customers credentials and financials
  • Mentor new hires
Park Operations, 03/2015 to 07/2016
Sea WorldCity, STATE,
  • Loaded and unloaded guests from attractions quickly and efficiently to enhance flow of guests through attraction.
  • Served guests with enthusiastic, helpful demeanor to promote positive, memorable experiences.
  • Handle money
  • Answered guest queries and satisfied customer concerns to improve overall customer satisfaction.
  • Guided guests into following protocols to maintain safe environment.
  • Directed guests to other attractions, locations and events throughout park.
Education and Training
: Medical Assistant, Expected in 06/2016
Florida Technical College - Orlando, FL
GPA:
High School Diploma: , Expected in 01/2013
St. Croix Educational Complex High School - Kingshill, VI
GPA:
Certifications

Typing Certificate Present

Cosmetology

OSHA Certified Present

CPR/First Aid/AED

Food Handler Certification

Additional Information
  • Flexible Availability , Authorized to work in the US for any employer

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Resume Overview

School Attended

  • Florida Technical College
  • St. Croix Educational Complex High School

Job Titles Held:

  • Consumer Access Specialist-PreAccess
  • E Band Officer
  • Radiology Imaging Support
  • Clinical Pharmacy Specialist
  • Patient Care Coordinator
  • Premier Support Technician
  • Reservation Agent
  • Tier II Technical Support/ Mentor
  • Park Operations

Degrees

  • Some College (No Degree)
  • High School Diploma

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