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Click here or scroll down to respond to this candidateCandidate's Name
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EMAIL AVAILABLE PHONE NUMBER AVAILABLEEducation: SNHU, Bachelors in Business Management Information systems expected May of 2020Schenectady County Community College, Medical Billing and Coding Certification expected Fall of 2019Lansingburgh High School, Troy, NY H.S. Diploma June 2012Skills Client Management: Oversee all orders and status for top accounts, empathize and advocate for, nurture and ensure a long relationship between organization and client. Communication: Provide updates and consultation across a variety of platforms to ensure client is up to date with all aspects. Analytic: Create actionable insights from data for management and clients including per client analysis specific to their industry, and strong attention to detail. Leverage Technology: Use a variety of reporting tools including web dashboard, Microsoft office suite, SAP, and EDI. Leadership: Coordinate all aspects of staffing for evening shift, train and onboard new employees into culture and internal systems.Relevant Professional Experience Evening Coordinator July 2018 to Present Comfortex Window Fashions, Watervliet, NYOversee all call center operations during evening coverage hours, Coordinate and ensure the appropriate handling of department work flow, including but not limited to, status checks, rushes, return follow-up, faxed order entry, and miscellaneous offline projects.Customer Service Account Specialist August 2016 to Present Comfortex Window Fashions, Watervliet, NYI manage and support top accounts within the company which included weekly reporting on orders, communicating with clients about their status. Administering special programs specific to key client. Advocate for my clients within company during production and policy changes while anticipating impact of these processes.Event Planner January 2014 to Present Self-EmployedTailored event planning including budgeting, scheduling, site selection, acquiring necessary permits, coordinating transportation and parking, arranging for speakers or entertainers, decor, event security, catering. Coordinate with third party vendors, and contingency options.Utilization Management Specialist November 2015 to June 2016 Anthem, Albany, NYI was responsible for coordinating cases for pre-certification and prior authorization review. Which involved determining contract and benefit eligibility; provides authorization for inpatient admission, outpatient pre- certification, prior authorization, and post service requests; Referring cases requiring clinical review to a Nurse reviewer.Customer Service Specialist III January 2014 to November 2015 Maximus, Latham, NYI processed applications for health care coverage via the telephone processing enrollments into QHPs, plan changes, and disenrollment.. Assisting Brokers and Navigators with inquiries and eligibility and enrollment issues as appropriate and in understanding plan details to clients over a variety of communication channels as well as explaining and helping process insurance and Managed care plans. |
