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Click here or scroll down to respond to this candidateCandidate's Name
Street Address l PHONE NUMBER AVAILABLE l EMAIL AVAILABLECareer ObjectiveI want to obtain an entry level position in my field of studies that builds upon and utilizes my collegiate, internship and community experiences and activities.Key SkillsExcellent analytical skillsCooperative team memberOutstanding interpersonal skillsComputer proficientQuick learnerMicrosoft Office, Excel, PowerPoint proficiencyStrong verbal communicationCollaborative team memberIssue resolutionEnergetic and organizedExperienceAmerisource Bergen- Roanoke, TX January 2021 to May 2022Patient Service RepresentativeDemonstrate flexibility and adapt to changes in payer, pharmacy and patient assistance program processes and requirementsEstablish relationships with assigned clinic staff, pharmacy and hospital contacts, and keep them informed of patients status and payer challengesProvide integrated services to health system and its component parts to increase prescription capture rate, improve patient outcomes and reduce readmissionsCommunicate patient and provider feedback to PHS management to enhance process improvementto enhance continuity of careProvides temporary coverage to support clients and patients in the event of onsite resource absencesPerforms additional related duties as assignedConifer Health Solutions- Frisco TX January 2020 to February 2021Enrollment ServicesPerform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed.Basic computer skills to navigate through the various system applications provided for additional resources in determining account actionsAccess payer websites and discern pertinent data to resolve accountsUtilize all available job aids provided for appropriateness in Patient Accounting processesDocument clear and concise notes in the patient accounting system regarding claim status and any actions taken on an accountMaintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadershipIdentify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunitiesProvide support for team members that may be absent or backloggedCardinal Health - Lewisville, TX October 2017 to December 2019Sr. Care CoordinatorCreates and completes accurate applications for enrollment with a sense of urgency.Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product must be fully exhausted.Serve as a liaison between client sales force and applicable party. Support team with call overflow and intake when needed.Researching insurance coverage for Medical and Pharmacy coverageApplies advanced skills to resolve complex problems independentlyMay modify process to resolve situationsWorks independently within established procedures; may receive general guidance on new assignmentsMay provide general guidance or technical assistance to less experienced team membersLash Group - Dallas, TX November 2016 to October 2017Benefits SpecialistVerified patient eligibility and claim status; maintained strict patient and physician confidentiality.Review and document prior authorization process, claims, etc. Electronic verification of pharmacy coverage for patients. Collect and review all patient insurance information needed to verify accounts.Teleperformance Call Center, Edinburg TX February 2014 November 2016Comcast Wireless Gateway Technical SupportGreet customers in a courteous, friendly, and professional manner using agreed upon procedures.Listen attentively to customer needs and concerns, demonstrate empathy.Confirm customer understanding of the solution and provide additional customer education as needed.Communicate effectively with individuals/team in the program to ensure high quality and timely manner of customer requests.Prepare complete and accurate work and update customer file.Effectively transfer misdirected customer requests to an appropriate party.Probe for and confirm understanding of requirements or problemsConvergys Call Center, Pharr, TXSept 2013 Nov 2013Sales & Service AssociateGreet customers in a courteous, friendly, and professional manner using agreed upon procedures.Listen attentively to customer needs and concerns, demonstrate empathy.Confirm customer understanding of the solution and provide additional customer education as needed.Communicate effectively with individuals/team in the program to ensure high quality and timely manner of customer requests.Prepare complete and accurate work and update customer file.Effectively transfer misdirected customer requests to an appropriate party.Probe for and confirm understanding of requirements or problems.EducationUniversity of Texas Pan American2010-2013Major: BS -General Studies Minors: Sociology, Kinesiology and RehabilitationTyler Junior College2008-2010Major: Associates Degree - General Studies |
