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Click here or scroll down to respond to this candidateCandidate's Name PHONE NUMBER AVAILABLEStreet Address EMAIL AVAILABLEQUALIFICATION SUMMARYSelf-motivated, administrative support professional with excellent written and verbal communication skills and keen eye for detail in strategic planning and implementation. Individual who is detail oriented and committed to completing in a timely manner, possessing the ability to multi-task effectively.AbilitiesProblem analysis, decision-making, and critical thinking skillsExtremely productive in high volume, high stress, environmentSelf-starter with a can do attitude; willingness to take on added responsibilityNumerous years of customer serviceProfessional ExperienceMississippi Department of Employment Security, Hattiesburg, MS 39401Benefit Program Specialist I, Employment Specialist II & III July 2016 to July 2024Supervisor: Velvet Pendarvis 601-584-1948Take unemployment claims, conduct non-monetary investigations and determinations at an elevated level of productivity and quality, review claims and prepare responses to employees and claimant inquiriesProvide online support taking UI claims, password reset, work search informationProvide customers information regarding employment benefits and employment services and online supportInterview customers and identify potential eligibility issuesWesley Medical Center, Hattiesburg, MS 39401Admissions Coordinator May 2009 to May 2014Supervisor: Fara Bailey 601-268-8519Create and maintain patient files, including updates to patient demographics and insurance eligibilityEnsure verification of insurance benefits and requests for pre-certification of medical services for billingInterpret insurance benefits details to calculate estimation of chargesMaintain journals and handle accounts receivablesAddress patients billing problemsPrepare required correspondence for medical necessity checks and insurance billingThe Emory Clinic, Decatur, GA 30030Financial Authorization Specialist December 2004 to May 2006Supervisor: Shamra Cooper 404-712-4938(Human Resources)Function as liaison between insurance carriers and physicians offices to resolve precertification, referrals and case related services prior to scheduled appointmentMaintain a professional approach in dealing with confidential, complex medical information and financial issuesProblem-solving skills while working with physicians, claims processors, medical billers and patientsEnsure all patients have been financially cleared for scheduled services resulting in 25% increased payments of claim submission to improve cash flowAwarded Recognition Certificate for Meeting Productivity and Quality AssuranceAlere (Formerly Matria Healthcare, Inc.), Marietta, GA 30067Verification Specialist April 1996 to October 2004Supervisor: Jessica Taylor (770)767-8270Function as single point of contact for Patient Service Centers to maintain precertification and verification of health insurance as it relates to copays, deductibles, stop loss, out of pocket expenses and coordination of benefits for high risk obstetrical/maternity servicesOversee the quality and productivity of work within assign regions to ensure quality assurance of verification resultsPursue all avenues obtaining authorization with case managers; along with negotiating pricing for servicesTrain and oriented new employees; maintain two hour turnaround time; zero missing referrals and customer service complaintsAwarded Recognition Certificate for achieving Zero Missing Referral and Customer Service ComplaintsEducationAlcorn State University, Lorman, MS 39096 Health Science Admin/BS Degree/May 1983Central Michigan University, Mount Pleasant, MI 48859 Health Service Admin/Masters Degree/July 1991American Academy of Professional Coders/National Medical Coding Institute Certificate of Completion/December 1999References References are available upon request |
