Experienced and goal-oriented medical professional with a track record of consistently meeting and exceeding established goals and objectives related to management, training and education and client relations. Skilled in building long-term relationships with all levels of hospital staffs, outpatient facilities and pharmaceuticals. Achieved significant results related to promoting organizational growth and staff development. Customer-focused communicator with ability to understand and convey complex product information develop rapport, building strong relationship with customers. Motivated and ambitious with excellent interpersonal skills.
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- Experienced and goal-oriented medical professional with a track record of consistently meeting and exceeding established goals and objectives related to management, training and education and client relations.
- Skilled in building long-term relationships with all levels of hospital staffs, outpatient facilities and pharmaceuticals.
- Achieved significant results related to promoting organizational growth and staff development.
- Customer-focused communicator with ability to understand and convey complex product information develop rapport, building strong relationship with customers.
- Motivated and ambitious with excellent interpersonal skills.
- Went to different medical centers, hospitals and pharmacies to educated about new products.
- Attended sales meetings, conference calls and training session when required.
- Researched and studied the latest products and all side effect, ingredients and other misc information.
- Conducted a needed analysis of optional client's current situation and well as financial future goals.
- Answered all questions and concerns from physicians and pharmacies concerning new products.
- Maintained detailed database of prospects and customers, documented calls to facilitate follow up.
- Provided superior customer service utilizing a high-touch, customer approach focusing on collaboration and communication.
- Participated and identified on various of process improvements related to health care system enhancements that helped reduced handle times while ensuring complete and accurate information.
- Worked and collaborated with department training and quality staff to identify system enhancements to meet the needs of each are.
- Worked with Clinical Pharmacist to resolve problems, improve operations and provide exceptional customer service.
- Increased customer satisfaction and repeat business through relentless pursuit of resolutions to problems.
- Processed authorizations for procedures, medications, and diagnostic testing.
- Reviewed and reprocessed denied claims.
- Followed federal/state regulations including Medicaid/Medicare and Commercial insurance for processing of prior authorizations.
- Collected and reviewed all patient forms with appropriate clinical documentation.
- Maintained good communication with the patient, physician, clinical services team, reimbursement services team.
- Assisted in managing day-to-day operations of the clinic.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Accurately inputted all patient and insurance information into company's computer system using Epic Software.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Observed strict procedures to protect sensitive patient information, including medical records and payment data.
- Verified client information by analyzing existing evidence on file.
- Worked with MD's and Nurse Practitioners to resolve problems, improve operations and provide exceptional customer service.
- Adhered to all of the policies and procedures set forth by Aurora Health Care.
- Demonstrated accuracy and thoroughness; monitored own work to ensure quality.
- Reviewed an multitude patient cases per week and verified insurance coverage information.
- Verified insurance coverage/processed prior auths for multiple speciality medications and communicated benefits to patients and physicians office by phone.
- Troubleshooted claims for procedures and analyzed discrepancies and appealed denied claims on the providers behave.
- Performed many tests/procedures and gave injections/vaccines within clinic as ordered under the direction and supervision of Physician.
- Assisted on minor surgical procedures within clinic.
- Assisted in managing day-to-day operations of the facility when needed.
- Exhibited objectivity and openness to others views; contributed to building a positive team spirit; put success of team above own interests; supports everyone's efforts to succeed.
- Registered Medical Assistant (RMA).
Completion of Inbound Closer Accelerator Course through Traffic and Funnels
Certified Inbound Closer
CPR/First Aid
Registered Medical Assistant
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School Attended
- Milwaukee Career College
Job Titles Held:
- Pharmaceutical Representative
- Clinical Insurance Analyst
- Medical Insurance Specialist
Degrees
- Associate
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