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Click here or scroll down to respond to this candidateCandidate's Name
Street Address 16th Avenue SPhenix City, AL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEAuthorized to work in the US for any employerWork ExperienceClaims AnalystAspirion Health Resources-Columbus, GAJuly 2023 to PresentThey compile and analyze claims-associated data and perform related duties including tracking trends, noting patterns, and watching to detect any irregularities. They may perform or oversee investigations to validate the legitimacy of claims or verify the accuracy of invoiced amounts. Front Desk AssociateColumbus Pediatrics-Columbus, GAJanuary 2022 to December 2023Patient Demographics. Updated in system. All office duties and clerical duties. Clean waiting area for patients, while getting patients ready to see Doctor. Sales Floor AssociateDollar Tree-Columbus, GAFebruary 2023 to May 2023Get stockroom ready for shipment. Get all shipment off truck and place in correct categories in stockroom. Place stock on shelves on continuous basis. Help with all floor assignments and projects. Store Managero Cato Fashions-Thomaston, GAAugust 2021 to November 2022Fulfill all managerial duties including make work schedule, payroll, work assignments, receive shipment, etc. All office duties are performed.Patient Access AssociatePiedmont Healthcare-Columbus, GAMay 2020 to September 2021Update patient demographics and verify medical insurance. Perform all office duties, as well as, maintain professional customer service in hospital setting. Intake SpecialistValley Health Systems-Columbus, GAJune 2018 to May 2020The Intake Specialist verifies benefits, complete all paperwork for patients to get them prepared and ready to see the provider. All office and clerical duties. Maintain area in lobby and waiting area. Customer service duties as well as all office duties.Customer Service RepresentativeAfni-Opelika, ALMarch 2018 to April 2018Customer Service for cellular phone company Verizon Wireless. Basic assistance with billing, phone troubleshooting and complete cellular phone issues. Claims Representative IIIAnthem Blue Cross and Blue Shield of Georgia-Midland, GA November 2000 to September 2017Manager: Tammie Cota, 207-822-580 may be contacted. CUSTOMER SERVICE REPRESENTATIVECUSTOMER SERVICE: Self organizes provider and plan call backs, work communication logs daily, assists team members with outstanding projects all done with minimal management. Develop and reviews communication logs with agency clients and service providers. Performs follow-up activities as necessary or as directed. Ensure that call quantity and quality is maintained at acceptable levels. Communicates with other company plans and providers. Regularly multi tasks adjustments, customer service, process claims for 101 and 102 plan BPM, B2, FILENT, Navigate FITFUL/ITSA systems, host and home issues. Communicates with provider representative with any issues which pertain to both members and providers alike. Handles special project requested by the supervisor. Has significant call center experience and performs all clerical duties as well as business experience. Accurately document employee actions, completes member and provider conversations, and implements timely and effective resolution of concerns.Owner and ManagerScott's Tire and Auto-Phenix City, ALJune 1992 to November 2000PHONE NUMBER AVAILABLE May be contactedOFFICE MANAGER/CUSTOMER SERVICEMANAGEMENT: Uses continuous evaluation of incoming and outgoing data materials to assess and manage office and shop workforce so that the high volume of service call are managed effectively and timely. Adjusts staffing needs accordingly to determine the most effective and cost sensitive staffing level that best meets the needs of the company. Assesses staff training and capabilities to ensure that projects are well within acceptable knowledge base for shop and administrative staff members. Tracks and identifies training needs to improve performance and service delivery and makes recommendations to the owner to maximize efficiency and customer support. Serves as store manager in the absence of the owner while providing additional support services as needed. CUSTOMER SERVICE: Continuously manages real time customer service data such as First-In-First-Out (FIFO). Identifies service needs that may cause severe delay in customer services and coordinates with the customer methods of resolution. Identifies non-productive service provides and develops corrective action plans or process additional training needs.EducationBachelor's in General StudiesColumbus College - Columbus, GAJune 1992High School DiplomaCentral High School - Phenix City, ALJune 1985Skills EXCEL (10+ years) MICROSOFT EXCEL (10+ years) MICROSOFT OFFICE (Less than 1 year) MICROSOFT POWERPOINT (10+ years) OFFICE 2010 (10+ years) CSR Call Center Customer Service Customer Care Data Entry Office Management Hospital Experience Training & Development Medical Records Epic HIPAA Medical terminology Medical office experience Medical scheduling Multi-line phone systems Typing Training & development Customer service Epic Medical terminology Clerical experience HIPAA Hospital experience Medical records Retail sales Store management Office management Microsoft Excel Computer skills Microsoft Office Organizational skills Medical receptionist Time management ICD-10 CPT codingCertifications and LicensesCPR/AEDJune 2019 to June 2021Certified Professional CoderAdditional InformationSKILLSOffice 2010, Advanced PC Training, Microsoft Excel, Microsoft PowerPoint, B2, Nasco, Qcare, HART site, PMIS task sheets and other Anthem knowledge to perform daily processing and adjusting. |
