| Candidate Information | | Title | Administrative Assistant Program Manager | | Target Location | US-NC-Wilson |
| | 20,000+ Fresh Resumes Monthly | |
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Click here or scroll down to respond to this candidateSummarySharp, dedicated administrative professional with long-standing and diverse experience throughout multiple industries and capacities. Deadline driven with outstanding organizational and multi-tasking skills. Fast and enthusiastic learner with a strong ability to work independently or as part of a team. Adept in bookkeeping and expense handling. Articulate communicator with direct sales experience. Proactive and reliable, with a meticulously detail-oriented and organized nature.HighlightsFiling & OrganizationAccounts Payable & ReceivableMulti-tasking Expertise60 WPM typingSharePointWorker's CompensationNo FaultCertified Customer Service SkillsWritten & Verbal CommunicationsMS Office, SmartOffice CRM softwareExcelDeadline orientedSalesforceData EntrySchedulingICD-10Market Research & SalesPresentation PreparationStaff motivationContinuing EducationPatient RelationsLive ChatExperienceAshfield Health Care06/2022-PresentPatient Service Representative (Remote Contractor)Performed patient chart verification and updates via Salesforce and MedConnectEnter and update data accurately and efficiently into the companys computer systems and databases.Verify the accuracy of data by comparing it to source documents and performing regular quality checks before triaging.Review and correct any errors or discrepancies in the entered data.Met company productivity requirements of 50 cases daily minimumProvided excellent customer service when calling the patients with any discrepancies and status updates being sure to thoroughly answer any questions and follow HIPAA protocolVerified patient tier exception status with the payerCalled providers to inform them of tier exception requests by their patients and provided all necessary steps to fill out the formConfirmed patients eligibility for medical tier exceptionResponsible for updating patient chart information, creating necessary tasks for the Tier Exception process, and following the company policy for Tier Exception completion in SalesforceAssisted and requested team assistance via Microsoft TeamsCompleted and submitted all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payors.Researched and resolved any electronic claim denials.Effectively utilized various means for collections, including but not limited to phone, fax, mail, and online methods.Effectively transferred patient information from fax to electronic chartsProvided exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.Department of Health and Human Services 08/2020 02/2023Administrative Assistant/Program Management (Temp Solutions) Raleigh, NCMaintains database by entering new site location.Collect, clean, and maintain large datasets from various sources, ensuring data accuracy and integrity.Managed coordination team during pandemic ensuring batch work was completed urgently and thoroughlyOversaw program changes from inception to completion ensuring team had all the training and understanding to complete batchesOrganizing batch information and effectively correcting errorsSchedule team meetings via Teams to train on new software or system processesCreate PowerPoint presentations for training materialsGathering information from paper forms to key into database using various platformsRecording staff completions, entries, and errors.Recording and correcting recipient vaccine administrations.Prepares source data for computer entry by compiling and sorting information.Establishing entry priorities.Processes account source documents by reviewing data for deficiencies.Verifying recipient information through government sources and true people search.Assist callers with Immunization and vaccination records requests or changesContact pharmacy liaisons with inaccuracies and vaccination entry updatesProcessing tickets submitted by phone, email, and SalesforceHope Home Care 02/2019 PresentPCA Personal Care Assistant Long Island City, NYAssisted patient with travel needsAssisted patient with hygiene (bathing, grooming) and dressingCooked for patient according to doctor's ordersRan errands, performed laundry dutiesEnsured patient went for daily walks as could be toleratedPerformed activities prescribed by physical therapistWhen returned home from surgery I dressed and cleaned the woundsDispensed medicationCVS Health08/2019 12/2022Claims Examiner - RemoteWilson, NCAnswer calls to resolve patient, provider or vendor questions and concernsReview, research, analyze, and process complex healthcare claims by navigating multiple computer systems and platforms and accurately capturing the data/information for processingInvestigate missing patient insurance paymentsMaintain charts in salesforceAssisted with patient billing concernsTriage cases after verification for adjudicationCalled patients for missing information to update chartsCalled payers to update patient insurance chartsCollected and reviewed all patient insurance benefit information, to the degree authorized by the SOP of the program.Provided assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications.Platinum Health Care 02/2010 02/2020Executive Administrative Assistant Flushing, NYInterview, hire and train staffManage office services by organizing office operations and procedures, designing filing systemsPreparing Payroll ReportsPrepare memos, schedule meetings, scan documents and input informationCoordinate employer's meetings with vendorsTransport/deliver medical records to various sitesMaintain employer's scheduling and court calendarVerified insurance and managed Accounts Payable/ReceivableOptimize patient satisfaction, provider time, and treatment room utilization by scheduling appointments accordingly.Greeting claimants and visitors, in person or on the telephone; answering or referring inquiries.Maintains patient accounts by obtaining, recording, and updating personal and financial information.Recording and collecting patient charges; controlling credit extended to patients; filing, collecting, and expediting third-party claims.Maintains office flow by notifying provider of patient's arrival, reviewing service delivery compared to schedule and reminding provider of service delays.Maintains business office inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, scheduling equipment service and repairs.Verifying Workers Compensation or No Fault exams for IME appointments.Detailed system allowing debt cap of $25,000 to be rectified. All debts owed paid in a 12 month period.SD Protection Inc 03/2018-07/2018Temporary Night Safety AgentConduct foot patrols to identify at-risk behaviors of the guestsRespond to reports by guests outside of tour group regarding at-risk behaviorMaintain communications with other agents to ensure all stations worked togetherProvided appropriate dispute resolutions when necessaryProvided public safety by maintaining order, responding to emergenciesKept detailed record of incidents and hourly patrol details.Law Office of Joseph A Marra, PLLC 06/2012-08/2015Legal Secretary/Intake Specialist Yonkers, NYInitiate procedures to grant, modify, deny, or terminate legal representation, or refer applicants to other agencies for assistance.Interview and investigate applicants for legal representation to gather information pertinent to their applications.Frequently communicate with attorneys, paralegals and legal secretaries in order to process and adjudicate new casesRecord, compile and enumerate factual data and detailed evidence of potential claimsOn behalf of the law firm, provide the initial contact with potential clients for Personal Injury, Workers Compensation, Social Security Disability, and Mass Tort claims via phone, walk in, or email.Eye Care Advantage Inc 3/2005-1/2011Sales/Delivery Queens, NYSuggested eyewear for patients, sold eyewearDelivered orders and responsible for house calls for the handicap and elderlyResponsible for booking and confirming patientsPhoned patients for late payments on glasses left in store before sent in to be dismantledVerified patients insurance and collected paymentEntered all patients' information in INFOCUS systemDispensed glasses and adjusted framesInventory control, managing supplies in the office as well as ordering suppliesUtopia Records 11/2003 - 12/2007Office Assistant/Marketing/Promotion Brooklyn, NYSupervised interns and responsible for all office duties (i.e. answering phones, making copies/faxes, routing mail, ordering supplies, etc.)Scouting talent both on the street team and at clubsScheduling meetings, interviews and auditions, overseeing interviews/auditionsCalling clubs/high schools/colleges for Internship as well as radio stationsCreating presentations for photo shoots and marketing ideas, also the makeup artistArranging travel plans on the ground and in the air for CEO as well as ArtistsUniversal Survey Center 10/2001-08/2005Call Center CSR New York, NYResponsible for phoning clients to follow up on ticket submissionsAssisted prospective clients in managing their accountsDispatched customer calls to appropriate company departments for unresolved questions and concernsCommunicated with distraught customers, resolving concerns and questions, decreasing negative customer reviews by 46%Address customer service inquiries in a timely and accurate fashion.Give accurate and appropriate information to answer questions, troubleshoot issues, and resolve complaints.Professional Development06/2002 - Continental AcademyReceived HS Diploma8/2023 - Southern New Hampshire UniversityBS - Human Services |
