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Click here or scroll down to respond to this candidateCRCandidate's Name
EMAIL AVAILABLE PHONE NUMBER AVAILABLE Tampa, Florida Street Address
Hardworking and motivated individual, with over 5 years of experience in medical oce work. Eager to lend combined knowledge and skills to enhance work performances. Best known for detailed & punctual skills pertaining to insurances; examining and processing claims, including break-downs for eligibility & benets. Committed to achieving company goals, being a team player and growing professionally. OSHA ComplianceMultitasking and OrganizationHIPAA ComplianceHealth and Safety RegulationsCustomer ServiceInsurance claims & eligibilityWritten/Verbal CommunicationAttention to DetailComputer ecientWorks Well Under PressureBlue Cross Blue shieldEnrollment Technician10/2023 - CurrentVerify enrollment status by making changes tomembership records, research, and resolving enrollment system discrepanciesRequest or terminate ID cards for client portals via Microsoft outlook emailManaged between 60-100 Insurance case loads a day at minimum and saving all les into sections under group numbers and/or Prexes.Navigated multiple web sites and portals to input or change data from multiple healthcare/ medical oces via Microsoft ExcelConducted detailed research to evaluate current benet oerings, identify gaps, and recommend solutions for improvementManaged the annual renewal process by evaluatingexisting plans against new oerings from carriersPerformed administrative duties such as ling paperwork and inputting data into computer systems accurately and ecientlySummarySkillsExperienceVirginia Hospital CenterPatient Care Representative01/2023 - 08/2023Demonstrated excellent organizational skills byscheduling follow up appointments, ordering supplies and maintaining medical equipment inventoriesMaintained accurate medical records in accordance with HIPAA regulations, while ensuring the condentiality of all patient informationUtilized electronic health records systems prociently for documentation purposesManaged billing processes by verifying insuranceeligibility and obtaining pre-authorization for services rendered,Provided administrative support to management sta, including scheduling meetings and appointments,preparing agendas, taking minutes, and maintaining records.Prociently managed incoming calls, emails, andcorrespondence within established timeline.Demonstrated expertise in providing customer service and administrative support to a busy front oceenvironmentEnlyte-Genex Services LLCCustomer ServiceRepresentative03/2022 - 01/2023Reviewing documents in all US states, for those ling for workers compensation and disability programs.Managing an inventory of claims to evaluatecompensability/liability for each client and alsodetermining their eligibility upon the requirements of each claim.Creating letter templates to mail out to providers of hospitals and medical oces in which each patient has/ had been treated, during the time that the disability, or worker's compensation case has begun.Provided excellent customer service through calls and emails to resolve client complaints in a timely manner. Meeting once a week with management and teammembers via Microsoft Teams, to better resolve errors and share updates on new information within the company Maintaining communication with providers and clients regarding the status of New Client, program inquiries. Medstar Georgetown UniversityHospital, Lombardi CancerCenterAdministrative Assistant02/2021 - 03/2022Demonstrating excellent organizational skills byscheduling follow up appointments, ordering supplies and maintaining medical equipment inventories. Maintained accurate medical records in accordance with HIPAA regulations, while ensuring the condentiality of all patient information.Utilized electronic health records systems prociently for documentation purposes via IDX and Aria software. Managed billing processes by verifying insurance eligibility and obtaining pre-authorization for services rendered. Scheduled appointments and maintained patient records. Demonstrated prociency in performing administrative duties such as data entry, answering phones, ordering supplies, and managing patient records. Prioritized patient needs identied through phone, electronic, and walk-in communication to comply with established guidelines. Provided administrative support to management sta, including scheduling meetings and appointments,preparing agendas, taking minutes, and maintaining records.Midtown Neurology LLCFront oce Coordinator02/2016 - 01/2021Scheduled appointments, answered phone calls andchecked patient queue for all new appointment inquiries. Utilized strong organizational skills to manage multiple tasks simultaneously with accuracy and eciency. Prociently managed voicemails, emails, andcorrespondence within established timelines and performed general oce duties such as ling documents,photocopying materials, faxing documents, ordering supplies.Updated patient demographics, eligibility and insurances over the phone and online, using the provider tools section on commercial insurance websites. Demonstrated expertise in providing customer service and administrative support to a busy front oceenvironment. Adeptly handled condential information according to company policies and procedures.Lincoln University of PennsylvaniaBachelor of Science in Health Science/ Administration 05/2016Employee of the month award at Midtown NeurologyExceeded target percentage goals at oce for Virginia Hospital Center Education and TrainingAccomplishments |
