, , 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
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.
- 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)
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- 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
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07/2022 to Current Consumer Access Specialist-PreAccess Northwell Health – Uniondale, 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:
02/2018 to Current E Band Officer Western Dental – Huntington 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.
10/2021 to 03/2022 Radiology Imaging Support Viejas Enterprises – Alpine, 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.
08/2020 to 03/2021 Clinical Pharmacy Specialist TotalMed Staffing-REMOTE – City, 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.
10/2018 to 02/2019 Patient Care Coordinator Aerotek-Contract – City, 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
07/2017 to 12/2018 Premier Support Technician Asurion – City, 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.
01/2017 to 08/2017 Reservation Agent Bluegreen Vacations – City, 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
11/2015 to 02/2017 Tier II Technical Support/ Mentor Convergys Paypal Corp – City, 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
03/2015 to 07/2016 Park Operations Sea World – City, 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.
Expected in 06/2016 : Medical Assistant
Florida Technical College - Orlando, FL
GPA:
Expected in 01/2013 High School Diploma:
St. Croix Educational Complex High School - Kingshill, VI
GPA:
Typing Certificate Present
Cosmetology
OSHA Certified Present
CPR/First Aid/AED
Food Handler Certification
- Flexible Availability
, Authorized to work in the US for any employer
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