Infusion Intake Coordinator Resume Example
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INFUSION INTAKE COORDINATOR
Professional Summary
Hard-working, advanced entry-level college student looking to apply my education and experience to a job in Healthcare.
My areas of proficiency include: working in an Infusion Pharmacy, Specialty Pharmacy and Managed Medicare and
Medicaid programs. I have effortless verbal and written communication skills, a pleasing personality with a helping
nature and professional attitude. I provide superior coordination and customer service in everything I do.
Skill Highlights
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Work Experience
Iconma, L.L.C.Spring Hill , TNInfusion Intake Coordinator08/2015 to 03/2016
- Coordinated entire intake process as necessary with referral sources, patients, and internal team members.
- Performed the following functions: Data entry, verified benefits and eligibility and documented all interactions with physicians, office staff and patients in the CPR+ system.
- Processed complete referrals and new orders based upon current contracts and information from payer sources including obtaining appropriate authorizations/reauthorizations for services where required.
- Completed fees and services appropriately on new admissions, changes, or additions to therapy on ongoing patients.
- Calculated copayments from Medicare and self pay patients.
- Provided quotes to hospitals for charity pay.
- Collection of payment for services and generated payment arrangements for patients.
Giant Eagle, Inc.Sarver , PASr. Reimbursement Associate01/2015 to 08/2015
- Review incoming referrals for completeness and confirm FDA requirements are met.
- Triage and respond to incoming calls from patients, insurance companies, physicians, sales reps and pharmacies.
- Complete insurance verification, prior authorization and appeals on behalf of the physician.
- Reviews requests from physicians and pharmacists based on benefit plan design, client specifics and clinical criteria to determine whether the medication needs prior authorization.
- Maintaining accurate and complete documentation of all inquiries for continuous improvement.
City Of ChattanoogaChattanooga , TNCOB Specialist04/2014 to 01/2015
- Review, verify and validate State reports for other insurance coverage such as: Third Party Health Insurance - NYS Medicaid, Medicare Secondary Payer - MSP, Third Party Liability - NJS Medicaid and HMS Cost Avoidance.
- Data entry of COB information in Power MHS to reflect other insurance coverage.
- Supports upper management and servers as a liaison to internal departments.
- Verify insurance/pharmacy benefits and scopes.
HF Management ServicesCity , STATEProvider Service Representative04/2011 to 04/2014
- Leadership roles including: side by sides with reps, leading weekly team meetings, assisting with supervisor projects, creating and implementing team goals.
- Handling of all New Jersey authorization issues for entire department of 70 reps including: escalations, updates, appeals, review and reprocessing of claims.
- Review medical insurance policy to determine coverage.
- Provide limited instructions on proceeding with claim denials and corrections.
- Answer telephone inquiries regarding claims and fee schedules.
- Review claims adjustments such as recoupments with providers.
Express ScriptsCity , STATEPatient Care Advocate07/2009 to 03/2011
- Answer telephone inquiries in a call center setting.
- Process medical insurance claims, posting bill amounts and calculating copayments.
- Confer with customers by telephone, provide information about products or services, enter orders and cancel accounts.
- Follow up to ensure appropriate changes were made to resolve customers' concerns.
- Educate patients and prescribers on available copay assistance programs for medications.
Central Florida Regional HospitalCity , STATEDietary Assistant12/2008 to 05/2009
- Assess nutritional needs, diet restrictions and current health plans to develop and implement dietary-care plans and provide nutritional counseling.
- Advise patients and their families on nutritional principles, dietary plans and diet modifications, and food selection and preparation.
- Monitor food service operations to ensure conformance to nutritional, safety, sanitation and quality standards.
- Inspect meals served for conformance to prescribed diets and standards of palatability and appearance.
- Communicate with customers regarding orders, comments, and complaints.
Education and Training
High School Diploma2006Seminole High, City, State, USA
Accomplishments
Sales
- Consistently generated additional revenue by going over and beyond to aid the company in superior customer service.
Customer Assistance
- Worked with company systems such as CPR+ and diligently completed all assigned tasks, working overtime as needed.
- Being recognized by the Manger of Pharmacy Operations for my outstanding leadership and work performance.
Skills
- Microsoft Office Software: Word, Excel, Outlook and Powerpoint
- Public Relations Software: Power MHS and CPR+
- Additional skills include: Data entry, Documentation, Leadership, Multi-tasking, Organization, Advanced problem solving and Outstanding verbal and written communication skills
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Resume Overview
School Attended
- Seminole High
Job Titles Held:
- Infusion Intake Coordinator
- Sr. Reimbursement Associate
- COB Specialist
- Provider Service Representative
- Patient Care Advocate
- Dietary Assistant
Degrees
- High School Diploma 2006
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