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Click here or scroll down to respond to this candidateCandidate's Name
Orange Park, FL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEWork ExperienceEligibility Clerk Sr.Jacksonville Transportation Authority - Jacksonville, FL December 2021 to PresentReview and process clients para transit applications for A.D.A and TDLS services. Who are in need of transportation services that mentally, physically disabled. Along with explaining to clients the different types of services that are available to use, Such as Connection's, ConnectionPlus, UZURV and ReadiRide. Help assist in setup for face to face interviews. Does initial assignment of evaluations for eligibility process. Review all required paperwork is documented and signed. Follows up on any pending referrals until complete. Contacts client by mail to notify of approvals or denials. Types correspondences, general memoranda for the eligibility clients. Along with responding back to emails daily. Process visitors passes for clients needing services coming into JAX or leaving JAX. Along with other administration work. Patient Access RepresentativeNYC Health + Hospitals - Jacksonville, FLMay 2020 to October 2021 Answer inbound calls from patients about making scheduling medical appointments. Submit medication refills, Send over referrals need for patients. Update insurance and run insurance authorizations/approvals. Update patients chart with correct demographics, phone numbers. And handle call back request when needed. Screen patients for COVID-19,vefiy contact or illnesses associated with COVID-19. Patient Access Services RepresentativeFormativ Health - Jacksonville, FLDecember 2018 to September 2019 Assists patients in scheduling appointments for clinical and office visits. Identifies specific patient needs to determine appropriate appointment type, location and urgency. Obtains necessary demographic and insurance information. Verifies insurance coverage and other related data with third party carriers for scheduled appointments/ procedures. Determines if patient requires language interpretation, wheelchair and/or transportation accommodations and facilitates scheduling of services. Triage's specific and complex inquiries to appropriate resource. Provider Enrollment SpecialistPay Span Health Care - Jacksonville, FLJanuary 2018 to November 2018 Responsible for contacting doctor offices, medical facilities, and pharmacies, and other insurance companies to retrieve medical records by negotiating medical fees, verifying record availability and expediting records retrieval in a timely fashion. Perform pre-registration, insurance verification, for scheduled services and 48 hours prior to the date/ time of the patient's appointment. Retrieve medical records by phone, fax and/or mail. Negotiate fees, maintain case history in I7, including facility file updates. Review registration codes, payer codes and pin numbers for active status, for payments. Utilizes payer websites and/or eligibility vendor to obtain real time eligibility and benefit detail Receive inbound phone calls from facilities and maintain voice mail messages from inbound calls. Customer Service RepresentativePRUDENTIAL - Jacksonville, FLJuly 2014 to November 2017 Provide product information for Hartford Life Insurance, Answer calls from policy holders, clients, insured's, beneficiaries and/or financial advisors about policy information. Answer questions about premium payments, send out correspondence, update mailing address beneficiaries, statements, riders, terms/types of policy. Run and explain illustrations on policy's to determined life of policy and different death benefit changes if requested. Handle whole life, term, universal life and variable life insurance policies. Review inactive policy's in AWD for number validation. Make sure there was no works objects in PRU AWD. Keep track on spread sheet records.EducationHigh school diplomaCapella UniversityMarch 2024 to PresentDIPLOMASANDALWOOD HIGH SCHOOLSkills Microsoft Excel HRIS Microsoft Word EMR systems |
