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Click here or scroll down to respond to this candidateCandidate's Name
Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLESUMMARYI have more than 8 years of experience in healthcare and 15 in customer service. EXPERIENCEIntake Coordinator, Appeals & Grievances Department 06/2011 Present Healthfirst New York, NYCreate events in A&G system platform for each issue received.Categorize events in A&G platform in order to facilitate triage of work to other downstream A&G departments.Makes critical decisions to classify member and provider complaints/appeals based on line of business and appeal rights.Finalize all new work and disposition any and all documents that are pending on each business day as required.Identify and escalate priority and expedited issues to management. Billing Clerk 05/2006 06/2011Video Monitoring Services New York, NYSent clients invoices with special procedures using Great Plains data entry system.Applied account numbers (coding) and manually priced clients orders.Ensured VMS services, discounts, pricing and terms were appropriately invoiced according to rate cards and monthly invoicing procedures.Sales Associate 08/2004 05/2006Brooks Brothers New York, NYUnderstood and demonstrated product knowledge, selling and operational skills to maximize sales.Engaged customers to the advantages of opening and utilizing the Brooks Brothers credit card.Assisted in maintaining a clean, neat and organized store environment. Receptionist 02/2004 - 08/2004Hiro Haraguchi Hair Salon New York, NYWorked in client relations, greeting and assisting clients with their needs.Booked appointments for clients while managing multiple hairdressers schedules.Handled money transactions and ensured register and receipts were balanced at close of business. SKILLSLanguagesSpanishComputerMicrosoft Office (Word, Excel, Outlook), Macess, CareEnhance Clinical Management Software (CCMS), MHS, OnContact, Interaction Desktop (IVR), TruCareEDUCATIONManhattan InstituteNew York, NYCertificate in Coding and Medical Billing06/2004 07/2004Monroe CollegeBronx, NYMajored in Hotel and Restaurant Management09/1997 01/2000 |
