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Title Customer Service Medical Receptionist
Target Location US-PA-Darby
Email Available with paid plan
Phone Available with paid plan
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Street Address  Hopkins AvenueGlenolden, PA Street Address
PHONE NUMBER AVAILABLEE-mail: EMAIL AVAILABLEProfessional Experience:Prospect Health Access Network-Chester, PAMarch, 2022 to PresentPosition: Medical Receptionist (Prior Authorization Specialist)Compile and confirm all necessary information needed to ensure optimal reimbursement for outpatient procedure(s) for all Gastroenterology doctors at three In and/or Out-Of-Network HospitalsSubmit all verified information along with correct procedure and diagnostic codes, physician information, facility information, clincals and date(s) of service to insurance company for approvalProvide approval and documentation whenever necessary for all parties to access whenever neededGigNow a Division of EY (Ernst & Young)-WFHJune, 2021 to January, 2022Position: Customer Service RepresentativeHandled incoming callsReturned calls if volume was highResponded to email inquiriesConducted brief but detailed interviews of clients applicants or new hires to determine potential eligibility to participate in various incentivesProvided telephone support on several matters as neededBroadPath Healthcare Solutions-WFHMay, 2020 to May, 2021Position: Patient Care AdvocateHandling patient requests, inquiries, and concerns along with processing patient claims for their prescription program.Making sure patient account information is up to date and keeping patient up to date on their account information.Asurion-WFHAugust, 2019 to May, 2020Position: Customer Care RepresentativeResponsible for handling customer service requests, primarily inbound telephone calls, in a prompt, courteous, and efficient manner; ensuring that the needs of the customer are met, service is rendered and the customer is kept appraised of the status of their request.Handled and processed claims, able to troubleshoot customer service calls (Mobility and/or Retail).Demonstrated up-selling techniques (where applicable) to promote additional services/products.Communicated company policies and procedures to customers.Met key performance indicator goals; received feedback/coaching from the management team including trainers, quality analysts etc.Utilized call center technology to input, track, and report customer issues.Navigated company software programs, use web based search engines and troubleshoot customer issues.Escalated calls outside their scope to appropriate tier of Customer Service support function.Performed select overrides (manual enrollment date holds, airtime, loss date, purchase date remove based on updated responsibilities)Followed directives from Call Center Management (Coaches, Managers, etc.).Maintained excellent relations with all internal and external customers of Asurion.Interacted and assisted with other Customer Service Representatives on the team and various support functions, QA, Customer Satisfaction, Tech Support, etc.Other duties as assigned.Dish Network-WFHNovember, 2018 to June, 2019Position: Tech Agent CS OperationsTech Specialist with satellite media equipment and in home electronics including programming. Troubleshooting and fix issues for customers using probing questions and knowledge while keeping customers happy. Maintain outstanding customer service skills. Use electronic tools to make adjustments to equipment. Requires independent thinking to make immediate decisions on high priced expenses while on the phone with customers. Work with customers to suggest product upgrades and retain customers according to loyalty. Work with other departments to increase profitability and process improvement. Must meet goals and performance metrics.The Adecco Group-Brunswick, GAAugust, 2018 to November, 2018Position: Customer Service AgentService customers needs such as processed refunds, reshipped orders, verified status of orders, processed return labels, refunded fees and whatever necessary to appease the customer and made sure all needs were met via chatProcessed incoming calls ensuring a one call resolution by placing orders, verified shipping information, processed return labels, refunde fees and whatever necessary to appease the customer and made sure all needs were met.Folkston Rehabilitation Nursing HomeJune, 2018 to August, 2018 (Part Time)Position: Laundry/Light Housekeeping AssociateCollected, washed, dried, folded and delivered residents clothes, linens and towelsCleaned residents rooms and bathrooms daily, dusted and adjusted as needed.Dialysis Clinics, Inc. (DCI)-Jacksonville, FLNovember, 2017 to May, 2018Position: Patient Care TechnicianSupported and worked with Clinical Supervisor, Technical Supervisor, Assistant Clinical Supervisor, Charge Nurse and Registered Nurses in commitment to good nursing care of patients with End Stage Renal Disease.Maintained professional working relationship with patients and delivered pleasant, tactful and supportive attitude and impartial treatment for all patients, observing patient rights at all times.Meticulously documented patient information and data in record, in accordance with established policies and procedures.Determined patient care priorities and organized work load efficiently and effectively.Verbalized and understood terminology related to dialysis and the dialysis patient.Delivered prescribed dialysis treatment according to physician orders and nursing assessment.Obtained and recorded patient vital signs and machine readings according to facility policies.Sets up and tore down the dialysis blood system.Monitored and assessed patients during the course of treatment, documented changes in patient condition and other pertinent data and informed charge nurse. Recognized and communicated problems during treatment to charge nurse.Calculated patients weight loss to reach dry weight.Along with other team members, provided for meeting the emotional needs of the patient and significant others as they were confronted with the psychological impact of chronic hemodialysis. With the primary nurse, encouraged development of realistic attitude and goals through the understanding of renal disease.Relayed equipment malfunctions to Technological Supervisor and recorded all equipment malfunctions.Operated and maintained the water treatment system.Handled inventory.Performed laboratory work.Fresenius Medical Care (Dialysis of the Golden Isles)November, 2016 to August, 2017Position: Patient Care Technician (PCT)Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.Welcomed assigned patients and inquired as to their wellbeing since their last treatment. Report any complaints or observations to the nurse supervisor.Evaluate vascular access for patency and report any unusual findings to nurse supervisor.Obtain necessary pre- and post-treatment vital signs and weight. Report unusual findings to nurse supervisor.Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.Perform administration of Heparin as delegated or as allowed by state law.Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.Monitor patients response to dialysis therapy and report any unusual findings to nurse supervisor.Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.Discontinue dialysis treatment according to established procedures,Evaluate patient prior to termination of venous access - standing & sitting blood pressure.Obtain Hemostasis and apply appropriate dressings.Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.Perform and record Pre and Post dialysis evaluation, weight and vital signs with initial identification.Responsible for calculating and entry of individual patients dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits (NVL) 160.Recorded accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.Reported any significant information and/or change in patient condition directly to the nurse supervisor.Observed patient, and conducted machine safety checks according to facility policy. Reported any change or unusual findings to the nurse supervisor.Performed and documented any intervention for unusual patient status and document patients' response to intervention.Evaluated patients vascular access during treatment including arterial and venous monitoring pressures, provided appropriate intervention as needed, documented and reported any unusual findings to the nurse supervisor.Obtained all prescribed laboratory testing and prepare specimens for collection.Fresenius Medical Care (Dialysis of the Golden Isles)June, 2015 to November, 2016Position: Unit SecretaryPrepared and typed routine correspondence, form letters and reportsAnswered telephone & routine calls to appropriate personGreeted visitors and patients as applicable and conducting them to the appropriate location or person asneededSet up and maintained filing systems and basic databases as applicableCompleted forms and reports as required by the various company offices and outside vendors and agenciesRecorded the minutes of meetings and providing the resulting documents as necessaryMade copies of correspondence and other printed matter as required by managerDistributed incoming mailMaintained calendar and daily schedulesScheduled appointments & arranging meetingsMaintained inventory of the necessary officeAssisted with various personnel administrative functions as neededActed as backup to other clerical personnel in office as neededAssisted with various projects as assigned by direct supervisorDesk and personal computer work and interaction with patients, facility staff and physiciansCapital Credit Protection LLC in Jacksonville, FLFebruary, 2015 to May, 2015Position: Director of EnrollmentIncoming calls from customers to enroll into programVerified customers' personal informationPulled credit reports/scores and conveyed same to customersEntered customers' information into 3 different systemsCreated and maintained customer filesMonitored deadlines to cancel membershipsMonitored enrollment dates to ensure enrollment within 24-48 hoursMaintained enrollment logsTrained and supervised enrollment teamEnsured all customers' questions and concerns have been addressed by close of callFresenius Medical Care Rx in Franklin, TNJanuary, 2013 to November, 2014Position: Patient Service CoordinatorChosen by Supervisor to individually begin and assist in development of new Refills Management Project (Pilot Project)Developed and maintained effective relationships through effective and timely communicationTook initiative and action to respond, resolve and follow up regarding customer service issues with all patients in a timely mannerResponsible for acting as the primary contact between FreseniusRx patients and all FreseniusRx departments and collaborated with department personnel to ensure that all of the patients questions and prescription needs are met while providing superior customer serviceFielded daily inbound calls and made routine outbound calls, assisting patients, physicians, and clinicals staff with understanding of the FreseniusRx processes, benefits of using the pharmacy, as well as addressing any questions or concerns. Consulted Pharmacist for patient counseling and consulted Supervisor regarding any escalated issues of complex questions, when necessaryContacted pertinent patients on a routine/monthly basis to confirm current prescriptions, changes in prescriptions, or any additional prescriptionsReviewed patients medication needs and advised of early/late refills due per prescriptions from physiciansAfter verifying insurance, financial obligations and answering any questions, escalated further questions and concerns to appropriate department to ensure resolutionEducated patients and FMS staff regarding FreseniusRx services and procedures to appropriately set expectations and ensure a positive patient experienceUpdated RxKey patient/customer records with all appropriate and necessary documentationReviewed medication shipment activity and recommends inactivation when indicatedEnsured prescription validity with patient and much more.Bimmer-Benz Auto Service in Riverdale, GAJune, 2013 to October, 2013Position: Office ManagerGreeted customersPrepared work ordersReceived and processed paymentsScheduled service appointmentsLight collectionsOffice inventoryCreated and maintained customer files and kept them up to dateAssisted customers in person and via telephoneLaw Offices of Michael Bergin in Fairburn, GASeptember, 2007 to May, 2012 (Office Closed Down)Position: Paralegal/Office ManagerScreened potential clients through incoming telephone calls and walk-ins; Scheduled and conducted interviews;Created and maintained client/office files ensuring accuracy and up to date information;Drafted legal documents including motions for pleadings, discovery, requests for medical records and court filings;Typed and proofread correspondence, medical and legal documents;Interacted with courts, law, insurance and medical personnel;Researched;Maintained attorney calendar;Arranged coordination of meetings;Client billing;Processed mail and inventory control.Independent Contractor  (P/T)October, 2006 to December, 2011 (Part Time as Available)Position: Independent ContractorHandle calls for a variety of products and services from customer service to order processing on behalf of some of the nations top companies in the wireless, retail, internet, restaurant, and other industries.Fulton County Solicitor General in Atlanta, GAJune, 2005 to July, 2006 (Temporary)Position: Court Support SpecialistPulled caseload relevant to upcoming court dates and prepared calendars for court;Generated, processed and distributed subpoenas, Victim/Witness Letters and Arrest Warrants to appropriate parties for upcoming court dates;Generated required paperwork in courtroom with regard to handling all cases such as Defendants Guilty Pleas, dead docketing of cases and more;Responded to court orders and other relevant documents in the court system;Processed complex legal matters and/or documents as prescribed by established court guidelines;Responded to inquiries by telephone and/or in person from attorneys and general public regarding cases;Continuously reviewed and updated calendars to ensure accuracy;Interacted with courts, law, insurance and medical personnel;Interpreted policies and procedures;Established workloads and prioritized work assignments.Law Offices of Christopher L. Walker, P.C. in Riverdale, GAJanuary, 1999 to June, 2005Position: Office Manager/ParalegalScreened potential clients through incoming telephone calls and walk-insPrepared new suitsScheduled and conducted interviewsCreated and maintained client/office files ensuring accuracy and up to date informationDrafted legal documents including motions for pleadings, discovery, requests for medical records and court filingsTyped and proofread correspondence, medical and legal documentsInteracted with courts, law, insurance and medical personnelResearchedMaintained attorneys calendarArranged travel and coordinated meetingsClient billing/collectionsHandled all personal injury casesProcessed mail and inventory control.Education: Office Technology:Shorter University in Riverdale, GA Microsoft OfficeAugust 2010Bachelor of Science Degree CandidateShorter University in Riverdale, GAMay 2008 to August 2010Associate of Science DegreePJA Paralegal School in Upper Darby, PAOctober 1989 to January 1990Advanced Paralegal StudiesParalegal Certificate

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