Amanda Walock
Horace,ND
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Operations Coordinator
Noridian/ SMRC
09.2022 - Current
- Extract daily inventory reports for morning meetings with leadership and project seniors
- Training focused on SME (Subject Matter Expert)
- I maintain our SMRC Support email, where clinical reviewers, call center staff as well as project leads and seniors send question and corrections that are needed for a claim(s) they are working, we have a 72 hour stated turn around time, but have been able to maintain 24-48 hour turn around
- Tracking trends in our provider response documentation to be able to provide companies needs at the end of the option year.
- I help research and respond to all MACs about approving or denying the request for a re-review that the provider sends to each MAC.
- Boosted productivity by establishing effective communication channels between departments.
- Compose and sustain process documents for our ISO library
- Coordination and collaboration with project leads and seniors on all projects.
- OnBase Testing for new projects and working with the OnBase team.
- Instrumental in the reconstruction of our MAC requested re-review process.
- Updated and resolved incidents before, during and after OnBase upgrades.
- Oversee day-to-day operations.
Insurance Specialist
Sanford Health Equip
03.2020 - Current
- Fix and refile Medicare and Medicare replacement claims
- File appeals as needed for issues to ensure proper reimbursement
- Managed approximately 30 incoming calls per day from customers to pay bills, ask about charges, and to update insurance information on file
- Help other departments with questions about billing
Medical Review Specialist
Noridian Healthcare/ SMRC
11.2021 - 09.2022
- I index documents that providers send in for different reviews that we are currently doing
- I help out in the support emails when I am needed, work re-review documents, also am the lead in our MRS indexing chat and helping others when they have questions
- I have new hires shadow me, and recently started to facilitate training
- I have consistently been above our indexing requirements of 9 documents an hour and have been doing between 12-18 an hour
- I have been working operation coordinator duties when I am needed and am always ready to help anywhere and anytime they ask.
Customer Service Rep
WEX Health
10.2018 - 03.2020
- I take incoming calls from consumers that have questions about COBRA and how it works, and also people looking to make payment
- I also reach out on Service Request to advice consumers on updates to their accounts as well as communicate via email with consumers when they email in with questions
- I worked 40 hours a week.
Customer Service Rep
Noridian Healthcare Solutions
03.2018 - 10.2018
- I take incoming calls from providers about their claims and why they were denied
- I receive between 90-100 calls a day, where an average team member usually takes 70-80 calls a day
- I research the reason why the claim was denied and helped get approval for the claim or explain to the provider why it denied
- I work with provider to determine what is needed to process the claim successfully
- I have been recognized by providers for the willingness to go above and beyond to assist them
- I worked 40 hours a week.
Customer Service Rep I
Spherion
06.2017 - 03.2018
- (contracted to work at Noridian Healthcare Solutions) I took incoming calls from providers about their claims and why they denied
- I helped figure out why it denied and let them know how to fix them in order for them to process
- I was hired directly on to the contracted company because of my performance
- I worked 40 hours a week.
Customer Service Representative
Customer Elation
05.2015 - 05.2017
- I did 10-key entry for medical health assessment forms
- I also take calls for a wellness company for health insurance
- I help people with questions about their incentives, and program requirements
- I took both incoming calls, did returned outbound calls and also did emails to customers who emailed in with questions about their profiles and incentives
- We had metrics of 8-10 tickets or emails an hours and I was able to achieve that goal
- I worked 40 hours a week.
Residential Coordinator
Woodstone Senior Living
03.2015 - 04.2015
- I worked with elderly who had dementia and needed daily help with cares
- I worked 40 hours a week.
Direct Support Specialist
Dungarvin
05.2014 - 10.2014
- I helped clients with daily living, showers, cooking, used Hoyer lifts, worked shortly with catheters and ileostomy bags
- I also assisted in passing medication
- I worked 40-50 hours a week.
DSP (Direct Support Professional)
REM
11.2013 - 05.2014
- I helped the consumer with daily grooming, cooked, gave showers, did laundry, passed meds, took on weekend outings
- I worked 40 hours a week.
Education
High School Diploma -
Hutchinson High School
Skills
- Customer Service
- Call Center
- Customer Support
- Hoyer Lift
- Laundry
- Dementia Care
- Alzheimer's Care
- Medication Administration
- Insurance Verification
- ICD-10
- Medical Billing
- CPT Coding
- Process Implementation
- Inventory Oversight
Certification
driver's license
Assessments
Customer service, Proficient, 06/01/21, Identifying and resolving common customer issues
Timeline
Operations Coordinator
Noridian/ SMRC
09.2022 - Current
Medical Review Specialist
Noridian Healthcare/ SMRC
11.2021 - 09.2022
Insurance Specialist
Sanford Health Equip
03.2020 - Current
Customer Service Rep
WEX Health
10.2018 - 03.2020
Customer Service Rep
Noridian Healthcare Solutions
03.2018 - 10.2018
Customer Service Rep I
Spherion
06.2017 - 03.2018
Customer Service Representative
Customer Elation
05.2015 - 05.2017
Residential Coordinator
Woodstone Senior Living
03.2015 - 04.2015
Direct Support Specialist
Dungarvin
05.2014 - 10.2014
DSP (Direct Support Professional)
REM
11.2013 - 05.2014
High School Diploma -
Hutchinson High School