dsnp navigator resume example with 13+ years of experience
- , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
- (555) 432-1000
- resumesample@example.com
- :
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Reliable employee seeking a position. Offering excellent communication and good judgment. Dedicated professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
DSNP Mentor and Team Lead in Compliance
• Customer Service (10+ years) | • Call Center (6 years) |
Holy Redeemer Health System – Egg Harbor, NJ,
• Responsible for taking calls and written communications from members
• Maintained knowledge and understanding of all systems and processes in order to effectively answer inquiries
• Obtained required information and give appropriate telephone response and/ or system updates
• Researched complex issues across multiple databases and worked with support resources to resolve member issues
• Asked appropriate questions and listened actively to identify specific questions or issues while documenting required information in computer systems
• Created, proofread or edited correspondence and documents for internal and external circulation
• Interacted with sales, pharmacy, and Housecalls staff to coordinate and navigate healthcare needs on behalf of existing or prospective members
• Interpreted and communicated policies and procedures to other parties based on knowledge of the organization
• Intervened with care providers on behalf of member to assist with appointment scheduling or connections with internal specialists for assistance when needed
• Provided education and status on previously submitted pre-authorizations or pre-determination requests
• Assisted members in navigating UnitedHealth Group websites
• Responded to member inquiries and complaints by phone or electronic communication
• Maintained acceptable levels of performance in productivity, quality and schedule adherence
Arthur J Gallagher & Co. – Bellevue, WA,
Worked in high volume 32 doctor facility
• Verified insurance information and referral authorizations
• Worked in various systems
• Communicated with insurance companies to verify coverage
• Prepared and maintained basic financial records
• Collected payments
• Verified accounts with previous balances owed
• Hosted customer service/ patient interaction meetings with fellow coworkers
• Registered new patients and completed encounter forms
• Trained new employees
• Responed to patient inquiries
• Researched and resolved patient complaints
• Received and inventoried goods purchased
• Ordered office supplies and computer equipment
• Preformed general office and administrative duties as needed
• Helped patients navigate through tablet registration systems
• Solved complex patient issues
• Resolved discrepancies by contacting appropriate office to obtain information and corrected any errors
• Worked with Visual Signature Capture EMR
• Independently managed satellite location and urgent care location
• Helped to facilitate doctor/patient work flow
• Handled correspondences which included medical records
Dignity Health – Laveen, AZ,
• Scheduled appointments and follow-ups for twenty providers
• Worked with SAGE Intergy as well as Misys scheduling programs
• Verified insurance coverage
• Assisted with new hire orientation
• Coordinated meetings, workshops, and seminars based on predetermined needs
• Trained all newly hired employees
• Coordinated special projects independently or in cooperation with others groups
• Contacted insurance companies to verify member coverage
• Changed member primary care physician on card to insure maximum coverage for patients • Procured and filed records, researched lost or missing records
• Checked records to verify accuracy
• Worked in call center setting
• Operated multi-line phone with fast resolution
• Copied, faxed, edited, delivered office memos
• Handled large volume mail outs
• Handled and delivered mail, faxes and emails
• Assisted in developing budgets and reconciled financial statements daily
Baltimore Washington Medical Center – City, STATE,
• Verified patient using demographics
• Transported patients throughout hospital for various testing
• Organized patient X-rays and CAT scan films
• Transported laboratory specimens by picking-up and delivering to specified laboratories
• Comforted patients and their families by offering support and encouragement
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Resume Overview
School Attended
- Anne Arundel Community College
- East Carolina University
Job Titles Held:
- DSNP Navigator
- Patient Services Representative
- Administrative Assistant
- Radiology Transporter
Degrees
- Associate of Arts
- Bachelor of Arts
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