Organized and dependable worker successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet department goals.
Overview
41
41
years of professional experience
Work History
Customer Service Representative
St Josephs Hospital Health Center
10.2019 - Current
Assisting in training new CSRs, and sharing best practices.
Ensured compliance with HIPAA regulations when handling patient information.
Providing exceptional customer service to our internal and external customers.
Created a quick training guide to assist in cross-training PCT staff.
Provides support to nursing and physician staff.
Arranging wheelchairs, stretchers, or taxi transportation for discharged patients.
Assisting Emergency department staff, patients, and their families/visitors, providing information and directions.
Ordered, procured, and replenished all office and medical supplies, as required.
Printing, faxing, scanning, and requesting patient information from other facilities, calling for services from other departments.
Assisting the emergency room providers with contacting the on-call provider for consultations.
Sending patient information for inter-facility patient transfers.
Initiate STEMI and Stroke calls.
Initiating work orders and troubleshooting issues with the copier/fax machine.
Respond to complaints and concerns regarding hospital services and/or care and ensure that concerns are handled properly.
Receive critical lab & radiology reports for the providers.
Various tasks as requested.
Prevention Specialist & Senior Adult Coordinator
Syracuse Community Connections
11.2016 - 12.2021
Provided information and awareness on alcohol and tobacco, and other drugs.
Document all program activities as required and submit program reports and records according to the agency's established deadlines.
Provide information and assistance to individuals over the age of 60 to help them remain independent at home.
Schedule and provide transportation for medical appointments
Make referrals and connect older adults with services such as health, legal, transportation and housing.
QUALITY CONTROL AUDITOR
EXCELLUS BLUE CROSS BLUE SHIELD
05.2005 - 06.2016
Conduct claim reviews of prepayment and post-payment claims to ensure processing accuracy.
Performed special-focused audits and reviews as requested by other departments.
Managed multiple simultaneous audits without sacrificing attention to detail or compromising timelines.
Communicated effectively across departments regarding any findings from audits so that necessary adjustments could be made promptly.
CUSTOMER SERVICE REPRESENTATIVE AND QUALITY CONTROL
EXCELLUS BLUE CROSS BLUE SHIELD
01.1990 - 01.2005
Answered customers' telephone and written inquiries
Implemented claims adjustments to claims when necessary
Trained new customer service representatives
Monitored phone calls to ensure accuracy.
DENTAL CLAIMS EXAMINER & SR. CLAIMS EXAMINER
EXCELLUS BLUE CROSS BLUE SHIELD
06.1983 - 01.1990
Process dental claims accurately and on a timely basis
Delivered excellent customer service by addressing patient inquiries regarding claim status, coverage details, and billing concerns on time.
Processed and recorded new policies and claims.
Assisted in training new employees, providing mentorship and guidance on company policies, procedures, and best practices for effective claims examination.
Education
Clerk Typist Certificate - Business
Bryant And Stratton
Syracuse
04.1983
High School Diploma -
Henninger High School
Syracuse, NY
06.1978
Skills
Professional Telephone Demeanor
Quality Control
Critical Thinking
Quality Assurance Controls
Epic
Clerical Support
Communication Skills
Multi-line Phone Systems
Self-Directed
Timeline
Customer Service Representative
St Josephs Hospital Health Center
10.2019 - Current
Prevention Specialist & Senior Adult Coordinator
Syracuse Community Connections
11.2016 - 12.2021
QUALITY CONTROL AUDITOR
EXCELLUS BLUE CROSS BLUE SHIELD
05.2005 - 06.2016
CUSTOMER SERVICE REPRESENTATIVE AND QUALITY CONTROL
EXCELLUS BLUE CROSS BLUE SHIELD
01.1990 - 01.2005
DENTAL CLAIMS EXAMINER & SR. CLAIMS EXAMINER
EXCELLUS BLUE CROSS BLUE SHIELD
06.1983 - 01.1990
Clerk Typist Certificate - Business
Bryant And Stratton
High School Diploma -
Henninger High School
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