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Title Call Center Customer Service
Target Location US-AL-Birmingham
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Pinson, AL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEAuthorized to work in the US for any employerWork ExperiencePatient EligibilityNavigant, a Guidehouse Company - Birmingham, ALJanuary 2022 to Present High Volume call center Screened patients for program Eligibility Assisted patients with the completion applications, assisted in coordinating efforts between the patient, hospital, doctors and third-party agencies to obtain info needed for eligibility process  Scheduled interviews with Social Security for patients and followed thru on completion of interviews  Sent medical records for patients when requested from SSA office Completed Institute Medicaid applications for patients that qualified Assisted obtaining medical and sending records when requested from Medicaid office  Updated demographics to reflect up to date information Abided by all HIPPA rules and regulations Kept accurate and detailed notes regarding information obtained from patients  Researched diagnosis of patients to qualify for Government and State agencies  Verified insurance for commercial and work comp Communicated with Social workers/Case managers to obtain Dr. Letters when needed for patients family to complete SSA interviews Completed SSA interviews for patients when patient is unable Uploaded all necessary documents in system needed for Federal, Government, State and local agencies  Assisted in obtaining signatures for Consent to Treat and Information of Important Message from Medicare forms Approved and denied Financial Assistance applications by verification of income and accurately accounting for all documents submitted by patient that was required Followed up with Emergency room discharged patients to provide Financial assistance or obtain insurance informationLeasing AssistantSomerset Pacific - Temporary job through staffing agency - Boise, ID August 2021 to August 2021 Assisted the Leasing Consultant in daily pre-leasing activities. Completed administrative duties for the office. Obtained prospects and performed cold calls for leasing opportunities. Processed tenants and applicants payments using our Property Management and accounting software systems Worked aging reports Obtained certification in Fair Housing rules Obtained signatures for lease agreements Applied excellent customer service Handled maintenance requests Provided information on leasing terms Developed strong working relationships with clients and colleagues Communicated effectively, strong written and verbal presentation skills used  Problem solved and worked efficiently Applied time management skills daily Learned quickly and enjoyed taking on new clients and projects Accounts Payable/Receivable Clerk - Temporary job through staffing agency CTI Foods - Boise, IDDecember 2020 to March 2021 Printed purchase orders and matched to Invoices Obtained approval and coded invoices Posted invoices and paid through ACH in accounting system Multi tasked with accuracy Managed excel spreadsheets with accurate up to date balances Calculated customer invoices Maintained aging reports Called clients to obtain payments Maintained records of invoices, debts and credit reports Kept organized and detailed documentation of all correspondence with clients  Handled customer disputes regarding payments, credits and invoices Provided administrative support Worked independently and collaboratively in a fast paced environment Used strong communication skills Applied excellent customer service Enforced time management skills Paid strong attention to detail and accuracyBilling Representative - Temporary job through staffing agency Saint AlphonsusSeptember 2019 to November 2020 Obtained verifications and prior authorizations for commercial and work comp insurances  Acted as a liason between physicians, clinic managers, ownership companies and insurance payers  Responsible for audit and recovery of reimbursement deficiencies between payer and Saint Alphonsus Medical Collaborated and took directions from director of clinic business Confirms billing guidelines and claim form requirements, corrected accounts as needed, identified related problems Audited accounts as incorrectly paid by the health plan and followed accounts until resolutions  Audited accounts based on contractual agreements Ran selected reports through system to identify accounts for aud based on contract, account type, procedures or diagnosis, service type, service dates or any other criteria Gathered all signatures on all applications in a timely manner Accounts Payable ClerkVanmark, LLC - Temporary job through staffing agency - Boise, ID May 2016 to August 2019 Prepared work by gathering and sorting through documents and related information  Paid invoices by verifying transaction information. Scheduling and preparing disbursements;obtaining authorization of payment Obtained revenue by verifying transaction information; computing charges and refunds  Prepared and mailed invoices Identified delinquent accounts and insufficient payments Collected revenue by reminding clients of delinquent accounts and insufficient payments  Prepared financial reports by collecting, analyzing and summarizing account information and trends  Maintained accounting ledgers by posting account transactions Verified accounts by reconciling statements and transactions Resolved account discrepancies by investigating documents; issuing stop payments, payments or adjustments Maintained financial security by following internal accounting controls Secured financial information by completing data base backups Maintained financial historical records by filing accounting documents Contributed to team efforts by accomplishing related results as needed Assisted in obtaining product orders, including receiving deliveries Planned and managed logistics, warehouse, transportation and customer service  Directed, optimized and coordinated full order cycles Liaison between suppliers, manufacturers, retailers and consumers Kept track if quality, quantity, stock levels, delivery times, transport costs and efficiency  Planned routes and processes fir shipping in country and out of country shipments RecruiterGem State Staffing - Boise, IDJune 2015 to April 2016 Interviewed candidates for a variety if hib roles Prepared new hire paperwork ensuring legislation requirements were met Posted job descriptions on career websites, newspapers, and universal boards  Followed HR best practices Brought innovative ideas to the company Maintained consistently full recruitment cycle, ensuring that all needs were met for staffing requirements Accurately posted time cards and issued weekly payroll Managed scheduling needs to assure all needs were met Completed employee reviews Maintained excellent customer service skills Assisted in cold calls for business recruitment Assisted in issuing yrly W2's Maintained quality control on issuing equipment Evaluated and screened resumes and cover letters Used tests recruiting tools like tests and Assisted to assess candidates skills  Conducted phone, Skype, Microsoft teams or in person interviews Assisted hiring teams with recruiting and interview questions AR/AP ClerkRichard C Smith, Accounting - Lewisville, TXFebruary 2011 to May 2014 Reconciled payment receipts in multiple ERP systems Resolved issues with billing Account reconciliations Generated client invoices Applied account credits to invoices Followed up with clients regarding overdue balances Applied payments to clients accounts Generated client invoices Analyzed customer payment trends and identified opportunities for improvement  Recorded financial transactions pertaining to business Account reconciliations Worked aging reports Prepared and submitted monthly financial reports Continuously built relationships with clientsBilling Clerk/ReceptionistDr. Dale Jackson - Lewisville, TXMarch 2000 to January 2011 Responsible for answer inbound and completing outbound calls Evaluated physicians schedules to organize appointments Processed high volume of referrals Verified Insurance for commercial and work comp insurances Submitted prior authorizations for required services for commercial and work comp insurances  Collect copayments Performed administrative tasks as needed Answered all patients inquiries in a professional manner Explained benefits (co-pays, coinsurance, deductibles and out of pocket information) to patients  Collected demographic information from patients in person or via phone with accuracy  Confirmed patients appointments and rescheduled cancellations Scheduled procedures Completed patient referrals if needed Responded to emails Organized conferences and meetings for all personnel Greeted patients when arriving for appointments Abided by all HIPPA rules and regulations Assisted in collections of past due payments Provided instructions to patients to ensure that they were prepared for examinations or procedures EducationAdministrative and Business Associates in Business Northwestern State University - Leesville, LAAugust 2012 to May 2014

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