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Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEMotivated, personable business professional with 15+ years of experience in healthcare and customer service roles. Accustomed to handling sensitive and confidential information. Tactful with professionals and non- professionals of all levels. With my skill set Ive had to demonstrate and produce accurate and high-quality reports in order to meet stringent deadlines. Identifying trends and implementing enhancements to the current daily processing workflow to create a seamless future state of business. Analytical, result-oriented professional with proven success in streamlining procedures, improvements, increasing department efficiencies through effective business strategies.Training/Computer SkillsMicrosoft Office Suite, emailing, web browsing programs, widows operating systems, AS/400, PowerTrak, MedManager, MedVantage and internal billing systems. Professional ExperienceReading Truck Reading, PA 5/19 - 12/23Customer Service Specialist II Leading customer service representative providing exceptional support to external customers. Coordinate and analyze customer order/load details to minimize freight cost by utilizing all space for each delivery. Interactive with other departments to ensure equipment availability for alignment with each customers order dates. Monitor all current activity to provide feedback and new ideas to aid in the improvements of the department and company for efficiency and cost effectiveness. Excellent organizational skills required to work under pressure to manage multiple tasks ongoing. Demonstrates analytical skills for resolving all customer requests. Ability to collaborate with customers while utilizing multiple messaging platforms to interacted internally to provide customer satisfaction.MedRisk, Inc. King of Prussia, PA 8/16 5/19Senior Provider Relation Specialist Liaison and manage Corporate Accounts resolving contractual disputes and service issues with providers. Ensure deliverables are met and adhered to accessing, researching and documenting a variety of provider databases to maintain demographic, credentialing and contractual information. Educate providers on policies and procedures as it pertains to network participation. Verification of licenses and malpractice policies in accordance with state laws. Maintain and ensure client data is accurate and up to date within each client portal. Recommend modifications and improvements on operations process, systems, policies and procedures MedRisk, Inc. King of Prussia, PA 02/2013 08/2016 CDT Analyst II Responsible for updating and verifying information for cases that already exist in MedManager Open new cases that includes contacting adjustors, medical providers and account representatives. Improve current workflow and consistency of the daily responsibilities. Maintain and ensure client data is accurate and up to date within each client portal. MedRisk, Inc. King of Prussia, PA 01/2011 02/2013 Bill Review Coordinator Manage, provide consultation services including measurement and controls Monitor and maintain several queues on a daily basis Equipped to work in many queues such as Bills NIS, Nones, CM waiting for CSC, IP waiting, Bill waiting for CSC, missing information queue. Work with various business units in connection with the ensuring process are implemented with a seamless state of businessNova Records a Cornerstone Company, Norristown, PA 06/2009 01/2011 Customer Service Specialist Process client requests that consist of highly confidential medical records, legal files and all classified files. Manage a five-line switch board to answer client concerns and handling client requests. Attend compliance and management meetings to ensure the handling of all client sensitive correspondence is handled properly.Coventry Health Care, King of Prussia, PA 02/2008 02/2009 Associate Technical Claims Specialist Process adjustments in accordance with policies and procedures in an accurate and timely manner. Servicing customers by processing claims and electronic work queues including HFCA 1500 and UB92. Excelled in meeting and exceeding customer service requirements. Reviewed pending claims to determine the appropriateness of the claim status. Take responsibility for completing assignments and bringing all outstanding issues to closure. Maintain production, claims quality standard, accurate and complete documentation. Aerotek, Wyomissing, PA 05/2007 010/2007Administrative Assistant (Reading Hospital) Interpret and process many duties handed down from directors and department heads. Work closely with doctors in the ER and the Sleep Center. Excelled in meeting and exceeding customer service requirements. Review and inputting the details of EEGs, dictation of doctor notes, billing requirements for many insurance companies using ICD-9 codes. Setting up appointments and meeting venues outside of the hospital facility. Waste Management, Gilbertsville, PA 09/2003 05/2007 Inbound Service Associate Improve supplier relations and inventory controls by effectively managing procurement activities. Increase department efficiencies through the implementation of a quality management system. Teaming with departs to establish procedures, follow up calls, metrics and accountability. Establish internal billing station and building and internal billing team. Streamline procedures enabling project results to be compared to original proposals by instituting an effective plan for comparison and evaluation charts. EducationMontgomery County Community College Healthcare Administration (present) Berks Technical Institute Computer Science and Technology (July 2001 to July 2002) ReferencesAvailable upon request |
