GIOVANNELLA BORESOFF
Lutz,FL
Summary
Dynamic professional with extensive experience in healthcare management at CareCentrix, excelling in team leadership and customer service. Proven track record in eligibility verification and project oversight, enhancing operational efficiency. Adept at coaching teams and implementing best practices, ensuring high-quality service delivery and compliance with healthcare policies.
Overview
21
21
years of professional experience
Work History
Lead- Coordinator Implementation and Transition Management
CareCentrix
06.2016 - Current
- Abides by and demonstrates the company Mission - Vision - Values through both behavior and job performance on a day-to-day basis
- Contacts health plans or payers to gather policy benefits/limitations and completes eligibility and benefits verification to ensure services provided will be covered by the carrier
- Documents all communications and decisions into a computer database or on a manual form
- Work is based off excel spreadsheet and or emails , Verified and authorize scripts
- Provides great customer service via the phone queue
- Manage a team of 13 associates within department
- Instrumental in ensuring development by means of delegating, coaching and accountability
Customer Care Representative I
Anthem/Amerigroup
10.2015 - 05.2016
- Responsible for overseeing the needs of the members and their health insurance
- Provide excellent customer service on a daily basis
- Responsible for providing resources to the members
- Verifying that the members are active with their Health Ins and redirecting them to the correct agency for enrollment or disenrollment
Coordinator (Temporary Position)
CareCentrix/Aerotek
05.2015 - 08.2015
- Abides by and demonstrates the company Mission - Vision - Values through both behavior and job performance on a day-to-day basis
- Documents all communications and decisions into a computer database or on a manual form
- Work off excel spreadsheets , Verified and authorize scripts
Cashier/Greeter/Sales Assoc.
Home Depot
01.2013 - 04.2015
- Assist customers with purchases, process returns, open credit accounts, and handle customer payments to apply to their accounts
- Ensure all customers have what they need to complete their task/job
- Provide great customer service
- Greet customers as they enter the store, and assist them with finding products
- Opened and closed registers each morning
Staffing Coordinator/Human Resources
American Elder Care
12.2008 - 04.2012
- Prepare complex reports for Home Health care organizations and insurance companies, ensuring full compliance with agency requirements and tight deadlines
- Maintain patient/personnel files, set up interviews, conduct job fairs, run a variety of reports on potential employees
- Design and deliver a series of classes for the aides on a monthly basis, educate employees on proper lifting techniques and a variety of classes dealing with the elderly
- Responsible for ensuring that the patients would receive proper care from the C.N.As, H.H.As, PTs, LPNs and RNS
- Communicate with Doctors' offices on a frequent basis
- Staffed aides for the Medicaid Diversion Program
Manager of Family Services
New Economics for Women
09.2007 - 09.2008
- Provide impeccable customer service for pregnant teens and single mothers
- Build a rapport with a caseload of 30 troubled teens
- Develop and implemented strategic monthly activities to involve the residents
- Conduct one-on-one meetings with the residents
- Refer residents to a variety of agencies to better themselves
- Participate in several community functions with the city
- Enter information into the computer system
Office Manager
Amour Senior Home Care
09.2004 - 09.2007
- Manage all aspects of day-to-day operations of the office
- Handle marketing to potential clients and facilities
- Network with hospitals and coordinate patient/caregiver schedules
- Manage the finances, including accounts payable/receivable, invoicing, billing, and budgeting
- Supervise the C.N.A.s and Home Health Aides
- Set up and maintain caregiver/patient files
Education
High School -
Saint Gregory High School
Cypress Community College
N. Orange Community College
Skills
- Microsoft Excel
- Eligibility verification
- Data documentation
- Customer service
- Team management
- Coaching and training
- Conflict resolution
- Time management
- Healthcare policies
- Performance evaluation
- Project oversight
- Team communication
- Document management
- Team collaboration
- Project assistance
- Clear communication
- Information collection
- Multitasking and organization
- Problem-solving
- Deadline management
- Best practices implementation
- Relationship building
- Team oversight
- Project coordination
- MS office
- Document control
- Vendor coordination
- Discretion and confidentiality
- Project Support
- Workflow management
- Attention to detail
- Data entry
- Administrative oversight
- Task prioritization
Timeline
Lead- Coordinator Implementation and Transition Management
CareCentrix
06.2016 - Current
Customer Care Representative I
Anthem/Amerigroup
10.2015 - 05.2016
Coordinator (Temporary Position)
CareCentrix/Aerotek
05.2015 - 08.2015
Cashier/Greeter/Sales Assoc.
Home Depot
01.2013 - 04.2015
Staffing Coordinator/Human Resources
American Elder Care
12.2008 - 04.2012
Manager of Family Services
New Economics for Women
09.2007 - 09.2008
Office Manager
Amour Senior Home Care
09.2004 - 09.2007
High School -
Saint Gregory High School
Cypress Community College
N. Orange Community College