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Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONAL PROFILECustomer service oriented professional with healthcare industry experience. Able to coordinate workflows, handle and maintain medical records, and communicate effectively with co-workers, patients, and staff. Follows policies, procedures, and guidelines to ensure quality. Maintains and safeguards patient privacy and confidentiality.Academic Honors: Ultimate Medical Academy Honor RollMember of Alpha Beta Kappa Honors SocietyCertifications: American Red Cross First Aid, CPR, and BLS.Demonstrates independent work initiative, sound judgment, and attention to detail.Strong written and verbal communication skills.Microsoft Office Applications - MS Excel, MS Word, MS PowerPoint, MS Outlook; Typing Speed: 40 WPM.COMPUTER SKILLS3M Coding and Reimbursement System Meditech (EHR) EDCO SolCom EDMSNuance Clintegrity Facility and Physician Coding, Compliance, and AbstractingARGO Enterprise Master Patient Index CIOX Health ROI eSmartlog and Smart LinkKEY QUALIFICATIONSHealth Information Management (HIM) Medical Records Management Release of Information (ROI) ICD CodingCPT Coding Health Information Technology HIPAA Compliance Medical Terminology Document ScanningImaging Record Technology Data Quality Data Management Data Entry Medical RecordsComputer Office Applications Electronic Health Records (EHR) Electronic Medical Records (EMR)Medical Administrative Support Medical Office Procedures Insurance Verification Filing Pharmacology.Anatomy & Physiology Reimbursement Procedures Medical Laws & EthicsCustomer Service Interpersonal Professional CommunicationsEDUCATIONUltimate Medical Academy Associate of Science Degree - Health Information Technology, 2021Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals CertificatePROFESSIONAL EXPERIENCESSpectraforce Technologies/CignaCustomer service representative -Remote06/2023-11/2023Refers prior authorization requests that do not meet the approval specifications to a Pharmacist for clinical reviewApproves prior authorization requests if the data collected meets the approval specifications.Performs research to respond to inquiries and interprets policy provisions to determine most effective response using established departmental procedures, HIPAA regulations, and corporate policies.United States Postal Service-Columbia, SCRCA 02/2022- 05/2022Sorts mail in delivery sequence for the assigned route.Receives and signs for accountable mail.Loads mail in vehicleDelivers mail to customers along a prescribed route and on a regular schedule by a vehicle; collects monies and receipts for accountable mail; picks up mail from customers' roadside boxes.BroadPath Healthcare SolutionsMember Service Representative / Customer Service - Call Center (Remote)Columbia, SC 10/2020 12/2021Member Service Representative / Customer Service - Call Center (Remote)Answer inbound phone calls and assist individuals with purchasing insurance from Marketplace.Provide plan information and Explanation of Benefits (EOB) and document customer interactions.Accept payments, follow HIPAA guidelines, and protect caller privacy and confidentiality.Stay at Home ParentColumbia, SC 03/2020 - 09/2020Showed strong leadership skills and managed household budget.Maintained a fair, consistent set of standards.Successfully foresaw and planned for possible contingencies.Wellpath -Residental Therapeutic AssistantColumbia, SC11/2019 - 02/2020Oversaw day to day activities in housing units, secured facility, and conducted head counts every 2 hours.Worked with sexually violent predators, assisted with rehabilitation, and documented activities.Communicate with coworkers via handheld radios and provided for the overall care and safety of residents.Monitored behavior, mental status, and progress, and completed tasks in a timely manner.Wells FargoCustomer Service RepresentativeColumbia, SC 04/2019 - 09/2019Answered inbound phone calls, assisted customers with bank account needs, and provided technical assistance.Ordered replacement cards, updated account information, and transferred funds between accounts.Provided information regarding account balance, available funds, and deposits, and resolved complaints.UCI Medical Affiliates, Inc.Customer Service Representative - Call CenterColumbia, SC02/2019 - 03/2019Answered inbound phone calls, provided information, and obtained completed consent forms to give information.Transferred callers, provided phone referrals, sent emails, and called back patients as needed.Updated notes in patient charts, scheduled appointments, and helped callers obtain lab results.Stay at Home ParentColumbia, SC 05/2018 - 01/2019Ensured household duties were completed and managed household budget.Coordinated medical care, meals, and social activities.Remained deadline-oriented and reliable while adjusting priorities and managing time wisely.ConvergentCustomer Service Representative - Call CenterDunwoody, GA12/2016-04/2018Answered inbound phone calls and assisted customers with starting, stopping, and transferring service.Responded to billing questions, created emergency work reports, and documented power outages.Provided payment information, documented interactions, provided technical assistance, and updated accounts.LabCorpSpecimen AccessionerSmyrna, Ga.02/016-11/2016Specimen accessioned.Processed and accessioned lab specimens (blood, urine, split ends)Processed, accessioned, and put correct labels on specimens (cytology and Touch)Performed shipping of all specimens to designated location for testing (Burlington, NC and Birmingham, AL)Midlands CenterColumbia, SCHuman Service Assistant06/2013-07/2015Assisted consumers with their ADLs.Bathed, dressed, and washed consumers laundry.Recorded consumers behaviors in the behavior plan logbook.Performed light housekeeWal-Mart Columbia, SCCashier 10/2011-12/2013Provided superior customer service daily.Handled all aspects of cashiering, including responsible money counting, receipt and coupon management, product control and customer appreciation.Kept clean, organized workspace at all timesResponsible and punctual to work schedule and managements needs.Intermedia Marketing, Inc.Columbia, SCCustomer Service Representative06/2006-09/2010Received and greeted thousands of Verizon customers with energy and friendliness.Counseled new and returning clients on various plans, packages and specials.Recommended upgrades to plans for customer satisfaction and company profitability.Made thousands of outbound sales calls to build business.Department of Juvenile JusticeColumbia, SCResidential Specialist Assistant10/2002 02/2005Assisted groups of juveniles with daily dutiesMonitored and documented activities in 15-minute incrementsTransported individuals by van to and from the infirmary.VOLUNTEER EXPERIENCEVillage at Rivers Edge - Columbia, SC 09/2020 - 10/2020VolunteerAssisted in leasing office, completed paperwork, filed documents, noted maintenance orders, and submitted bills.Answered inbound phone calls, took messages, created applications, and assisted with move ins.Maintained and updated files and accepted money order payments.Columbia Urban League - Columbia, SC 06/1996 - 11/1996Stop the Violence VolunteerAssisted the coordinator in recruiting volunteers and helped organized the organizations events.Mentored youth about violence, passed out flyers, and organized and set up events. |
