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Patient Care Representative Quality Assu...
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Title Patient Care Representative, Quality Assurance, Funding Analyst,
Target Location US-TX-Dallas
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Candidate's Name
Work ExperienceOrthofixPatient Care and Billing Representative REMOTE May 2018 to December 2022 Educate patients on science and necessity of medical device prescribed for their specific injury. Explain co-insurance and out of pocket expense to patients per their insurance coverage. Provide payment assistance and billing options. Coordinate patient and local sales representatives for fitting of medical device. Troubleshoot functioning of medical device. Place wholesale orders for hospitals, clinics, other medical facilities.Capital One Auto FinanceFraud Prevention Specialist September 2017 to May 2018 Investigate credit bureau alerts reported on Equifax, Experian and TransUnion. Social Security verification. Research Suspicious activity reports and OFAC alerts. Analyze Document concerns. Prevent Anti-Money Laundering. Intercept Identity Theft using Lexis Nexis and Innovis.Customer Service Representative June 2012 to February 2013, March 2016-Jan 2017 Educate customers on finance and refinance programs. Advise customer of offer, requirements, next steps and documents needed. Assist team members with questions regarding quality and policy and procedures. Provide exceptional customer service while exceeding metrics.Quality Assurance Coordinator 2008 to April 2008 Perform audit reviews of vendors, internal funding, and sales to identify and document developmentalopportunities, redundancies, and fraud. Collect data for management to monitor compliance and forecast trends. Offer recommendations to management to minimize cost and reduce risk.Funding Analyst November 2001 to January 2008, Feb 2013-March 2016, Jan 2017-Sept 2017 Collect, review and verify consumer documents. Communicate with consumer and dealership on status of funding. Verify vehicle documents for completeness and pricing accuracy. Ensure all state and federal requirements are met. Investigate potential fraud.Skills Call Center (10+ years) DME (4 years) Medical billing (4 years) Customer Service (10+ years) Customer satisfaction (10+ years) patient satisfaction (4 years) Creative problem solving (4 years) Fraud prevention and detection (9 years) Interpersonal skills (10+ years) Healthcare industry (4 years) Service-level Agreements (10+ years) Phone etiquette (10+ years) Computer literacy (10+ years) Data entry (10+ years) 10 key typing (10+ years) Typing (10+ years) Collaberated problem solving (4 years) Software testing (1 year) Microsoft Word (10+ years) Microsoft Excel (9 years) Analytical skills (9 years) Communication skills (10+ years) Organizational skills (10+ years)

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