Alyssa Jones

• Include initial assessment scheduling, collection of necessary demographic and insurance information, handling of referrals and clinical history to properly match patient to most appropriate provider
• Mange over 60 calls per day
• Ideal candidates should be able to quickly learn and adapt to intake department processes and technology
• Technology includes Electronic Health Record (EHR), appointment scheduling, phone, and contact center systems
• Handle intake department interactions via phone (Inbound and Outbound), email, voicemail, faxes, and chat
• Assist new patients establishing care with providers
• Intake Assessment
• Scheduling initial appointment
• Obtaining patient clinical historical, demographic, and insurance information
• Monitoring , Processing and managing of referral paperwork
• Assess patient needs to match patient to appropriate provider
• Insurance verification
• Contact referral source, patient, and/or provider office to obtain additional information that is required to complete verification of benefits and/or prior approvals
• Communication with patient and provider regarding delays in processing referral or prior authorization
• Balanced incoming load from high-volume telephonic reporting system with great time management and multitasking abilities
• Assisted with entering and transcribing medical notes from providers
• Directed treatment to network providers under direction of nurse case manager, claims adjuster or certified EMT
• Obtained notes and information for nurse case managers and adjuster
• Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations

• Interview contribution matters and make determinations regarding employers account ;interview and correspond with employers, attorneys , and accountants to obtain information concerning employers liability wage issues.
• Interview claimants returning at specified intervals to certify claimants for continuing benefits
• Investigate requests from employers to make adjustments to employers accounts.
• Assist in processing deposits and quarterly contribution and wage reports.
• Study new and revised agency procedures , rules, laws regulations and other program changes contained in manuals to maintain currency of knowledge and information.
• Assists applicants in filling out forms, using knowledge of information required or native language of applicant.
• Escalations
• Schedules unemployment insurance claimants for adjudication interview when question of eligibility arises.
• Answers questions concerning registration for jobs or application for unemployment benefits
• Claim processing .
• Address over 50 customer inquires and complaints per day.
• Reported policy changes and company conditions affecting customer satisfaction

Precertification

• Pre certification
• Contact doctors
• CRP coding& medical coding.
• Complete diagnosis
• Contact insurance companies and verify coverage , insurance verification.
• Registration and scheduling patients.
• Benefit verification
• Financial clearance

Patient Care Tech

• Inbound /outbound call handling
• Clerical support
• Educating patients on financial responsibility and financial options.
• Pre visit collections.
• Obtained patient vital signs and reported results to staff nurse or physician, noting changes from prior measurements

• Performed daily tasks for clients such as cleaning residences cooking, shopping and washing clothes..
• Often called on to care for long-term clients and establish friendly rapport.
• Maintained daily log of all client activities and turned that log into supervisor at end of week.
• Provide crisis intervention and emotional support.
• Enrollment services
• Client coordinating
• Time sheet entry
• Insurance verification
• Data entry

Office coordinator

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• Receptionist
• Maintain files and records with effective filling systems
• Follow office workflow procedures to ensure maximum efficiency.
• Monitor office expenditures and handle office contracts
• Deal with client complaints or issues.
• Monitor office supplies and inventory placing orders.

• Order medical supply for members
• Benefit verification
• Take inbound & outcall's from member representatives, Doctors, and medical providers
• Order prescription refills
• Review benefits and change medical benefits
• Print and organize member information.
• Respond to question
• Responds to questions and complaints and resolves issues via email and over phone from both internal and external customers for all communities and plans by following operational processes and procedures.
• Issues letters and forms to members and providers as assigned.
• Quickly and accurately answered customer questions, suggested effective solutions and resolved issues to increase customer satisfaction 90%

• Engage with clients and establish trusting , collaborative relationships directed towards a goal of competitive employment in community job settings with workers who have disabilities.
• Make outbound calls to clients and answer lines
• File important documents
• Create data base
• Process mail and copy documents
• Create packages to mail out
• Stamp and seal documents
• Case management
• Documentation review
• Provide outreach services as necessary to clients when they appear to disengage from services.
• Support assisting clients in maintaining employment writes job support plans with clients and coming up with job support plans.
• Developed recruiting strategies to identify qualified candidates and build network

• Answer telephones in professional manner; greet client families and their guests and ensure their comfort
• Setting up appointments
• Contacting families, and contacting hospitals
• Maintains cleanliness of reception area, conference rooms, viewing rooms, chapel, restrooms, and administrative areas within funeral home.
• Be in conduit of information in and out of funeral home.
• Assist in administrative side of completing, checking for accuracy and filing of necessary forms and documents associated with death including insurance, social security, military, death certificates, etc.
• Working with client families to prepare and submit obituaries to newspapers.
  Other business related duties as assigned.