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Click here or scroll down to respond to this candidateCandidate's Name
Kannapolis, NC Street Address
Phone: PHONE NUMBER AVAILABLE Email: EMAIL AVAILABLE LinkedIn: LINKEDIN LINK AVAILABLE ObjectiveAs an experienced healthcare professional, I am dedicated to enhancing the quality of life and well-being of the members I serve. With both clinical and non-clinical expertise, I aim to make a positive impact in the healthcare customer service industry. Work ExperienceHealth Navigator/DCP Care CoordinatorBlue Cross Blue Shield of Tennessee (Remote-Seasonal Contract) May 2023 to October 2023 Coordinated discharge planning for DSNP Medicare/Medicaid members. Scheduled appointments, arranged transportation, and provided outreach services. Discussed health needs with members based on care plans, concerns,coverage and/or EOB. Provide follow-up calls to participants upon discharge. Provide follow-up calls to providers, hospitals, and medical offices to ensure claims are submitted for claim processing and coding applied accurately Assist members in care management and various other needs. Using independent problem-solving skills to make sound decisions in assessing the needs of the callers by giving accurate information and providing first call resolution Ability to learn new workflows and tasks quickly Computer multitasking - working on numerous screens while staying engaged with customers.Case Manager (Remote -Seasonal Contract)McKesson Corporation Change Healthcare October 2022 to February 2023 Performed healthcare information and medical claims processing. Handled healthcare billing and collection services. Provided financial guidance regarding hospital, HMO, and clinical services to patients, their families, and third-party representatives. Contacted insurance companies to verify eligibility coverage for drug benefits. Assisted with claims processing and denial resolution. Demonstrated ICD-10 knowledge and expertise in medical terminology. Served as a liaison between special drug program patients and their insurance providers. Ability to learn new workflows and tasks quickly Ability to work independently and be a team player Computer multitasking - working in numerous screens while staying engaged with customerCustomer Service Representative (CSR) (Remote -Seasonal Contract) FEMA/Maximus October 2022 to December 2022 Assisted disaster relief survivors in registering for disaster relief assistance. Assisted with alternatives for other optional relief help. Demonstrated active listening skills and strong attention to detail. Offers empathy and excellent customer service techniques during times of need & crisis. Independant remote worker with little to none supervision in a high-volume call center role.Account Maintenance Specialist (Remote Seasonal-Contract) Vanguard/Randstad Charlotte, NC October 2021 to July 2022 Thriving in a high-volume call center for the #1 mutual investment firm. Performed and assisted with online registration, e-services, and account maintenance. Supported overall IRA, Roth IRA, and non-IRA accounts. Offered assistance with tax forms and various other client needs and requests. CNA - Certified Nursing Assistant (Travel Contract) Impact Health Biometric Testing, Inc. USA SC July 2021 to October 2021 Performed Covid Rapids and PCR testing at drive-through sites. Demonstrated excellent customer service skills while interacting with patients. Contributed to patient care and teamwork.Healthcare Technician/Care Partner/CNA (Permanent-Position) Atrium Health Cabarrus Concord, NC September 2020 to April 2021 Behavioral health tech/ nurse assistant on lockdown geriatric behavioral health unit @ Atrium Health Cabarrus Hospital. Contributed to patient care, safety, admissions, discharges and teamwork. Skills Healthcare Information Processing: Proficient in medical claims processing, healthcare billing, and collection services. Insurance Verification: Experienced in contacting insurance companies to verify eligibility coverage for drug benefits. ICD-10 Knowledge: Familiar with ICD-10 codes and medical terminology. Active Listening: Skilled in active listening and strong attention to detail. Customer Service: Excellent customer service skills, especially during times of need. High-Volume Call Center Experience: Able to work independently and under supervision in a fast-paced call center environment. Education RCCC- 1997-2002 32 credit hours of pre-requisites obtained for ADN NC/CNA certification 09/2002 thru 05/2023 Medication aide certification 7/2019-2021 BLS-2023-current***References Upon Request*** |
