Amanda Bowden
Denison,USA
Summary
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Broker Setup Specialist
Medix Staffing Solutions
08.2024 - Current
- Company Overview: (Temporary Remote Contract)
- Verify the information of benefit managers and brokers by cross-referencing data in our system. Confirm that the benefit manager or broker is associated with the correct group.
- Input verified information into the new web portal to grant access to the appropriate users.
- Perform minor research to ensure accuracy of group associations.
- Maintain accurate and organized records of all verifications and entries.
- Assist with troubleshooting and resolving any issues related to the data entry process.
- Communicate with team members and supervisors regarding progress and any discrepancies found Processed Medicare applications
- Validated the accuracy of data submitted
- Assisted in synchronization of data among multiple systems and application of business rules as they apply to each database
- Answered inquiries and provided information to sales representatives, distributed appropriate paperwork, and fulfilled quote requests to deliver excellent customer support.
Patient Care Coordinator
AdvanTX Home Health /Sher Den Home Health
03.2023 - 08.2024
- Provided assistance with daily activities, such as bathing, dressing, grooming, and toileting
- Prepared meals and snacks according to dietary requirements
- Monitored vital signs; including blood pressure and reports any changes to the appropriate parties
- Assisted with mobility, such as transferring from bed to wheelchair
- Provided assistance with personal care, such as hair and nail care
- Assisted with errands, such as grocery shopping and picking up prescriptions
SCA Rep I Provider Enrollment Specialist
National Government Services
03.2022 - 02.2024
- Ensured accurate entry of data into CMS national database.
- Processed Medicare applications
- Validated the accuracy of data submitted
- Assisted in synchronization of data among multiple systems and application of business rules as they apply to each database
- Increased customer satisfaction by addressing and resolving complaints in a timely manner.
- Enhanced company reputation by providing exceptional customer service and support.
- Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
- Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
- Managed a diverse portfolio of clients, ensuring that each received tailored solutions aligned with their specific requirements.
- Provided valuable input resulting in new opportunities for growth and development.
- Fostered strong relationships with local business leaders, promoting economic development within district.
Dental Provider Service Unit Analyst
Cigna Healthcare
02.2011 - 03.2022
- Explained the plan's policies and procedures to health care professionals.
- Developed and maintained a positive relationship with them and their office in order to provide high quality service.
- Identified qualified health care professionals in a geographic area and through outbound phone calls.
- Negotiated competitive and cost-effective pricing to obtain contracts with these professionals to meet health plan needs.
- Explained the plan's policies and procedures to health care professional.
- Resolved complaints and disputes.
- Remained complaint with policies and procedures.
- Met deadlines to follow quality standards.
- Coordinated and participated in various special projects
- Collected, arranged, and input information into database system.
- Gathered, organized and input information into digital database.
- Optimized customer experience by delivering superior services and effectively troubleshooting issues.
- Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
- Educated staff on organizational mission and goals to help employees achieve success.
- Observed packing operations to verify conformance to specifications.
Patient Coordinator and Script Specialist
Kelley Medical Supply
10.2017 - 08.2018
- Performed patient billing services.
- Processed insurance forms.
- Assigned the correct insurance and procedural codes to bills.
- Contacted HCP to approve prescription for the patient.
- Managed prescriptions sent to HCP's for review.
- Verified patient insurance coverage to ensure necessary procedures are covered by an individual's provider.
- Managed incoming calls from patients, directing them appropriately while maintaining confidentiality at all times.
- Coordinated referrals to specialists as needed, following up with patients to confirm appointments and provide necessary information.
- Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Contributed to the achievement of clinic goals by consistently meeting or exceeding performance metrics related to patient satisfaction and efficiency.
- Supported clinical staff in providing high-quality care by organizing necessary paperwork and ensuring timely access to information.
- Greeted and assisted patients with check-in procedures.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Led cross-functional team to launch new product, exceeding initial sales forecasts.
Pharmacy Clerk
P&S Pharmacy
09.2001 - 04.2003
- Customer Service representative
- Greeted customers, answering phones, taking prescriptions, confirming insurance information, and handling payments
- Inventory
- Receiving and unpacking orders, pricing drugs, stocking shelves, reviewing inventory, and making regular inventory checks
- Patient files
- Maintaining patient files, updating them with new prescriptions, insurance, or personal information
- Communication
- Informing customers of available prescriptions and informing pharmacists when the store is running low on certain medications
- Other
- Filing records, delivering prescriptions and over-the-counter drug orders to patients' homes, and tidying up the pharmacy
- Established and maintained patient profiles, updating organizational database with current information.
- Trained new employees on pharmacy procedures, policies, and safety protocols to ensure consistent quality across the team.
- Helped maintain a safe environment within the pharmacy by adhering to company guidelines regarding security measures and fraud prevention techniques.
- Monitored inventory levels to inform pharmacists of shortages and facilitate resupply.
- Confirmed customer information and insurance eligibility for prescriptions.
- Contributed to increased sales by recommending appropriate over-the-counter products based on customer needs.
- Maintained accurate records of drug inventory and orders for pharmacy customers.
- Provided exceptional service to diverse customers through clear communication, empathy, and cultural sensitivity skills.
- Processed incoming drug orders by checking deliveries against paperwork and updating computer system.
- Answered customer questions regarding prescribed medications, over-the-counter products, and insurance coverage.
- Assisted in inventory management, ensuring adequate stock levels for high-demand medications.
- Streamlined pharmacy operations by maintaining a clean and organized work environment.
- Reduced wait times for customers with prompt prescription filling and effective communication between pharmacists and patients.
- Collaborated with pharmacy team members to address customer concerns or inquiries promptly and professionally.
- Counted and labeled prescriptions with correct item and quantity.
- Safeguarded patient privacy by maintaining strict adherence to HIPAA regulations during all customer interactions.
- Stocked shelves with medications and other pharmacy items for consistent availability.
- Verified prescription information prior to entry in pharmacy computer system.
Education
Associate of Applied Science - Medical Administration
Grayson College
Denison, TX05-2026
Certificate - Medical Assistant
Grayson College
Denison, TX05.2023
Some College (No Degree) - Pharmacy Technician Program
Grayson College
Denison, TXBachelor of Arts - Interdisciplinary Studies
Southwestern Oklahoma State University
Weatherford, OK05.2010
Skills
- Data collection, management and analysis
- Problem analysis and problem solving
- Planning and organizing
- Judgment
- Detail oriented and organized
- Customer service orientation
- Teamwork
- Strong work ethic
- Strong communication, analytical and problem solving
- Computer skills
- Relationship building
- Critical thinking
- Data gathering
- Documentation expertise
- Decision-making
- Customer service
- Team collaboration
Accomplishments
- Achieved successful login through effectively helping with setup the broker portal.
- Resolved product issue through consumer testing.
Certification
- EKG Technician Certification (2023-02-02)
- BLS Certification (2023-02-19)
- Phlebotomy Certification (2023-03-09)
- Certified Clinical Medical Assistant (2023-05-11)
Timeline
Broker Setup Specialist
Medix Staffing Solutions
08.2024 - Current
Patient Care Coordinator
AdvanTX Home Health /Sher Den Home Health
03.2023 - 08.2024
SCA Rep I Provider Enrollment Specialist
National Government Services
03.2022 - 02.2024
Patient Coordinator and Script Specialist
Kelley Medical Supply
10.2017 - 08.2018
Dental Provider Service Unit Analyst
Cigna Healthcare
02.2011 - 03.2022
Pharmacy Clerk
P&S Pharmacy
09.2001 - 04.2003
Bachelor of Arts - Interdisciplinary Studies
Southwestern Oklahoma State University
Associate of Applied Science - Medical Administration
Grayson College
Certificate - Medical Assistant
Grayson College
Some College (No Degree) - Pharmacy Technician Program
Grayson College
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