Infusion Intake Coordinator Resume Example Bioscrip Inc

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

Excellent analytical skills
Cooperative team member
Outstanding interpersonal skills
Microsoft Office Software: Word, Excel, Outlook and PowerPoint.

Active listening skills
Attention to detail
Strong verbal communication
Quick Learner

Work Experience

Bioscrip IncTampa, FLInfusion 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.

UBC Express ScriptsLake Mary, FLSr. 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.

HF Management ServicesLake Mary, FLCOB 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 ServicesLake Mary, FLProvider 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 ScriptsLake Mary, FLPatient 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 HospitalSanford, FLDietary 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, Sanford, FL, 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

Resume Overview

Companies Worked For:

Bioscrip Inc
UBC Express Scripts
HF Management Services
Express Scripts
Central Florida Regional Hospital

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

Infusion Intake Coordinator Resume Example

Resume Score: 90%

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