Superior verbal and written communication skills Self-motivated individual who works well solo or as part of
Ability to focus under pressure and meet deadlines a team
Exceptional accuracy and attention to detail Salesforce and ROAR proficiency
Adept at multitasking and prioritizing Experience with Microsoft Word, Excel, PowerPoint, and
Skilled at finding resolutions to challenges Outlook
Reimbursement Case Manager, 03/2016Company Name － City, State
Generate and maintain working relationships with offices and pharmaceutical area managers in 16 states Perform outbound calls to payers to obtain accurate product-specific coverage Conduct research to identify appropriate alternate funding sources Follow each case from start to finish to ensure timely delivery of medication to the patient or office Effectively respond to escalated issues or complex cases.
Reimbursement Specialist, 10/2013 to 03/2016Company Name － City, State
Top performer on a production-driven team, consistently exceeding daily and monthly quotas while maintaining an error rate below 1% Perform outbound calls to payers to obtain medical and pharmacy coverage for two specialty medications Accurately input benefit details in Salesforce Design benefit investigation tools and update training materials.
Surgery Scheduler & Biller, 08/2010 to 09/2013Company Name － City, State
Manage surgery schedules for 6 physicians, coordinating all inpatient, outpatient, and in-office procedures at multiple.
Verify medical benefits and initiate required authorizations.
Confirm accurate ICD-9 and CPT codes for office services, surgeries, and deliveries, and post charges.
Receptionist, 08/2008 to 07/2010Company Name － City, State
Greet all incoming patients and provide excellent customer service.
Schedule follow-up appointments and office procedures.
Assist with referrals, scanning, and answer phones as needed.
Customer Service Specialist, 03/2007 to 08/2008Company Name － City, State
Efficiently manage high volume check-in, monitor the flow of patients, and receptively answer customer questions.
Ensure accuracy of demographic and insurance information.
Process patients for discharge and assist with other front office duties as needed.
Education and Training
Bachelor of Science:Business and Marketing,2014University of Phoenix － City, StateBusiness and Marketing
attention to detail, benefits, CPT, excellent customer service, delivery, focus, front office, ICD-9, insurance, Excel, office, Outlook, PowerPoint, Microsoft Word, works, multitasking, research, scanning, Self-motivated, surgery, answer phones, training materials, written communication skills
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University of Phoenix
Job Titles Held:
Reimbursement Case Manager
Surgery Scheduler & Biller
Customer Service Specialist
Bachelor of Science : Business and Marketing , 2014
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