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Click here or scroll down to respond to this candidateCandidate's Name
EMAIL AVAILABLE PHONE NUMBER AVAILABLE Freedom,PA Street Address
SummaryI have over 20 plus years experience in the healthcare field along with customer service roles. I looking for a company that offers personal and professional growth.SkillsCredit card payment processingCall Center OperationsClerical supportOffice equipment proficiencyCustomer relationsConflict mediationMicrosoft Office expertiseProblem-solving abilitiesInbound and Outbound CallingShipping and receiving understandingHigh-energy attitudeRetail sales customer serviceAdaptive team playerStocking shelvesOrdering and stocking medicationsVerifying ordersResolving customer issuesInsurance VerificationProblem-solving skillsSupporting pharmacy operationsInsurance billingLabeling prescriptionsHIPAA complianceUnderstands medical proceduresMedical terminology knowledgeMedical terminologyStocking suppliesPatient schedulingData entryCommunicating with patient familiesExperienceHighmark Wholecare Pittsburgh, PACustomer Service Representative04/2022 - 04/2023Documented customer correspondence in CRM to track requests, problems and solutions.Upheld quality control policies and procedures to increase customer satisfaction.Asked probing questions to determine service needs and accurately input information into electronic systems.Made outbound calls to obtain account information.Answered incoming telephone calls to provide store, products and services information.Analyzed customer activity to promote safe and secure environment.Explained benefits, features and recommendations to maximize client retention.Reviewed account and service histories to identify trends and resolve issues.Answered customer questions and addressed concerns resulting in reduction in customer complaints.Relayed customer feedback to cross-functional teams to improve products and services.Upheld privacy and security requirements for customer information.Rustic Charm Gift Shop PAOwner/Designer02/2013 - CurrentPromoted business on social media platforms to maximize brand identity and generate revenueOversaw staff hiring, initiating new training and scheduled processes to streamline operationsSet pricing structures according to market analytics and emerging trendsSupervised performance of workers with goals of improving productivity, efficiency and cost savingsDe-escalated problematic customer concerns, maintaining calm, friendly demeanorUpheld quality control policies and procedures to increase customer satisfactionProvided outstanding service to new and long-standing customers by attending closely to concerns and developing solutionsConsulted with customers to resolve service and billing issuesAnswered incoming telephone calls to provide store, products, and services informationMade outbound calls to obtain account informationUpsold products and services to address customer needs and maximize salesAnswered inbound calls, chats and emails to facilitate customer serviceSet up and activated customer accountsAnswered customer questions and addressed concerns resulting in reduction in customer complaintsTrained new employees on procedures and policies to maximize team performance.Med-Fast Pharmacy Aliquippa, PAPharmacy Technician/Billing Specialist/Insurance Verification Specialist02/2010 - 02/2013Requested scripts from doctors and verified insurance and codingTeamed with peers, technicians and pharmacists to prioritize and complete ordersAssisted pharmacist with clearing high volume of prescriptions and responded to customer questionsInterpreted and processed medication orders under supervision of pharmacistReceived and verified daily incoming drug inventories, reported discrepancies and logged items into inventory systemRefilled medications, offered insight into over-the-counter products and verified insurance benefitsTransmitted claims to insurance companies for payment and reconciled EOBsPrepared prescription transfers to other pharmaciesFlagged potential side effects and allergies to prescribed medications for patientsVerified prescriptions and drug labels, documents, and packagesMaintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromisesMaintained clean and organized pharmacy shelving and work areasCompleted and filed patient paperwork, updating records in system with insurance carrier changes and allergy informationPrepared prescription labels, promoting accuracy in medication administration and dosingAdhered to regulatory guidelines for workplace safety and customer confidentialityWorked with insurance companies to process claims, resolve problems and obtain paymentsEstablished and updated patient profiles, medications and insurance detailsConsulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requestsCompiled customer demographic, allergy and medical history backgroundProcessed prescription transfer requests from competitorsEducated patients on prescription instructions and answered questions regarding drug side effectsProvided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skillsNotified ordering providers of denied authorizationsCoordinated resolutions for issues and appealed denied authorizationsCollaborated with internal departments to provide account status updates.Wexford House Nursing Center Pittsburgh, PAUnit Secretary01/2007 - 02/2010Executed clerical tasks and assisted with unit duties to keep departments running smoothlyManaged unit call reception and routed calls to correct departmentProvided patient information to facilitate timely admissions and dischargesMaintained strong and trusting rapport with patients and all healthcare staff to build relationshipsAnswered phone calls to provide assistance, information and medical personnel accessMonitored unit supply levels and notified management of ordering needsRetrieved physicians' paperwork, including lab test requestsScheduled and confirmed patient appointments for diagnostic, surgical and consultation servicesTranscribed doctors' orders, including medication and lab test requestsConducted patient intake interviews to collect medical information and insurance detailsFacilitated timely execution of lab tests and medication refillsManaged physician calendar, scheduling patient appointments and proceduresOversaw collection of admission, billing and processing documents to meet organizational expectationsInterviewed patients to obtain medical information, weight and height measurements and vital signs to aid physicians with patient care planningAddressed, documented and responded to incoming correspondences to address client queriesUpdated group medical records and technical library to promote smooth office operationsDrafted and distributed memos and emails for entire unit.Coventry Health Care Cranberry Township, PACustomer Service Representative01/2006 - 02/2007De-escalated problematic customer concerns, maintaining calm, friendly demeanor.Documented customer correspondence in CRM to track requests, problems and solutions.Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.Asked probing questions to determine service needs and accurately input information into electronic systems.Consulted with customers to resolve service and billing issues.Processed documentation and troubleshot discrepancies to build client rapport.Escalated customer concerns, issues and requirements to supervisors for immediate rectification.Made outbound calls to obtain account information.Explained benefits, features and recommendations to maximize client retention.Answered inbound calls, chats and emails to facilitate customer service.Upheld privacy and security requirements for customer information.UPMC Passavant Hospital - McCandless Pittsburgh, PACritical Care Technician04/2002 - 04/2006Maintained thorough, accurate and confidential documentation in electronic medical records.Worked toward team goals of medical unit and accounted for department and system-specific metrics.Evaluated intensive care patients, recognized and addressed complications and coordinated treatment with other members of critical care team.Liaised between patients, families and care staff in care delivery.Answered phones, scheduled appointments, greeted patients and ordered supplies.Kept facility stocked with necessary supplies, equipment and instruments.Verified appointment times with patients, preparing charts, pre-admission and consent forms.Prepared patients for examinations, taking vital signs and updating medical histories.Transmitted physician's orders to patients, counseling on execution and addressing follow-up questions.Assisted patients in preparation for examinations, assessing and recording vital signs.Monitored medical supply levels to confirm sufficient stock, promptly placing replenishment orders before depletion.Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.Completed clinical procedures and gathered patient data for interpretation by physician.Positioned patients for optimal comfort prior to procedures.Education and TrainingNorth Hills School of Health Occupations Pittsburgh, PACertificate in Medical Assistant06/1996Quaker Valley High School Leetsdale, Monaca, PAHigh School Diploma06/1990Some CollegeNursing |
