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Title Customer Service Prior Authorization
Target Location US-PA-Gibsonia
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Pittsburgh Pa, Street Address
(Street Address ) PHONE NUMBER AVAILABLEEMAIL AVAILABLEHEALTHCARE QUALIFICATIONSProviding exceptional customer service determining customer needs and providing appropriate solutionsFamiliarity with pharmacy terminology, prescription medications, and insurance coverage (Medicare, etc)Assist customers and communicate with Supervisors via phone, email, and chat platformsPhone triage utilizing multiple computer systems simultaneously on multiple screens while on phone with membersRefill requestsUtilizing problem solving/critical skills and business analytic strategiesTrained in Salesforce, Compass, PeopleSafe and other CRM tools to manage adherence, call lists, and track progressAssist clients with daily living activities in home/facility Administer medicationsMeal preparation Therapeutic exercisesCompanionshipWound Care/Palliative CareFront/Back office duties Clean/Stock exam roomsResponsible for patient flow of office Follow-up callsPhlebotomy/Injections Hospice careCollect payments/ Bookkeeping Medication managementInventoryClient liaison supportBilling and Coding HousekeepingPersonal Services Small businesses/organizations Insurance/Prior AuthorizationsADDITIONAL EXPERIENCEHandle all general office duties/business affairsBalance ledgersInsurance and BondsCity travel to/from demolition sitesAccounting/Bookkeeping Secure/Complete contractsMeet/Greet ClientsBuilding/Residential BlueprintsObtain building permitsSecure licensing/title transfersCollect paymentsBank depositsFollow-up callsLiaison for owner, bldg. inspector, lawyerItemizing/SpreadsheetsInitiate all PA1 Call before you dig requestsBalanced owners business checking/ business credit accountsEDUCATIONSuranceBay Anti-Money Laundering for the Insurance Industry03/07/2024Insurance Department Commonwealth of PennsylvaniaLines of Authority: Life, Fixed Annuities, Accident, Health\MedicareEffective: 02/23/2023 - 10/31/2025Point Park UniversityBA Business Management 2008-2010Western School of Health and Business CareersMedical assistant of Specialized Technology 2004-2006CCAC South CampusUltrasound Technician 2003-2004HISTORYCVS Caremark Pharmacy Benefits Representative 10/2023-05/2024Family First Life (Final Expense)/Aetna Supplemental Sales Agent (Independent) 02/2XXX-XX-XXXXManageable Meanings Office Administration 04/2021- 02/2023Private Duty Client (No Contract) Hospice Care 08/2021- 06/2022Hands 2 Help Home Health Aide 06/2020-08/2021Security Systems of America Dispatch 11/2019-5/2020AeroTec. Benefit Verification Specialist (contract) 11/2016-2/2017Caremaxx LLC Nursing Assistant 02/2016-09/2016Private Duty Nurses Aide 01/2014-07/2015Private Duty Nurses aide 02/2014-03/2015Allen Demolition LLC Office Administrator 12/2014-03/2015The Care Registry Nurses Aide 05/2013-11/2014Hands 2 Help Seniors Services Personal Care Attendant 10/2012-06/2013Care Unlimited LLC Nurses Aide 04/2011-06/2012Patients First Healthcare Solutions Nurses Aide 01/2010-11/2010Shadyside Dermatology Medical Assistant UPMC Temp Services 08/2009-01/2010

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