Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Seeking a position that offers professional challenges.
Overview
17
17
years of professional experience
Work History
Clinical Support Specialist
Florida Blue - Blue Cross Blue Shield Of Florida
Jacksonville, FL
11.2023 - Current
Served as a reliable resource to both healthcare providers and patients alike, addressing questions or concerns promptly and knowledgeably.
Completed necessary reports and documentation on time and to specifications.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Handled the Continuity of Care request and trained on how to process the request from providers.
Handled the non-par reports.
Working daily fax request and attaching to proper request.
Assisting with high call volumes while maintaining professionalism.
Field Support Specialist
Maxim Healthcare Services, Inc
Jacksonville, FL
09.2021 - Current
Complete background checks for onboarding nurses
Input documentation to complete payroll
Comply with ACHC requirements
Handle documents regarding Subpoenas
Requesting authorization for new patients/current patients
Contacting doctors to complete orders for patients
Send reminders to nurses regarding required requirements
Maintain timelines and accuracy
Display flexibility to adapt to quarterly policy changes and database re-organization
Respond to nurse inquiries and provide technical assistance over phone and in person
Office Administrative Assistant
Baptist Primary Care
12.2020 - 09.2021
Assisted patients with scheduling imaging/labs
Obtained authorizations for referrals
Created and updated physical records and digital files to maintain current, accurate, and compliant documentation
Delivered top-notch administrative support to office staff, promoting excellence in office operations
Routed business correspondence, documents, and messages to correct departments and staff members.
Provided clerical support to company employees by copying, faxing, and filing documents
Responded to inquiries from callers seeking in formation
Front Office Receptionist
Cancer Specialists Of North Florida
08.2018 - 11.2020
Contacted patients PCP for referrals
Scheduled labs/chemo appointments
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance
Answered multi-line phone system and enthusiastically greeted callers
Directed incoming calls to internal personnel and departments, routing to best-qualified department
Minimized errors in medical paperwork by checking terminology and complying with insurance policies
Front Office Assistant
Riverside Pain Physicians
11.2014 - 07.2018
Lead of front desk
Collected patients copay/balances
Filed documentation
Handled escalations
Sent in and requested prescriptions electronically as per MD request
Coordinated master schedule by booking and rescheduling appointments and balancing workloads
Developed and implemented office policies to enhance efficiency in operations
Volunteered to help with special projects of varying degrees of complexity
Medical Referral Specialist
Baymeadows Healthcare
01.2012 - 06.2014
Verified insurance benefits and eligibility for procedures before referring clients
Scheduled appointments with specialists on behalf of clients
Partnered with other departments to provide top-notch service to clients
Coordinated with medical staff and patients to find cost-effective options for services
Certified Pharmacy Technician
Walmart Pharmacy
08.2007 - 01.2012
Retrieving prescription orders
Counting, pouring, measuring and weighing tablets and medications
Completing cash register transactions
Taking inventory of over-the-counter medications
Accountable for awareness on the latest medicines and their availability
Education
St. Johns River State College
St. Augustine , FL
Skills
Basic Computer Skills
Proficient in Microsoft Office
Skilled at Electronic Medical Record
Medical Terminology
Experienced in Insurance
Safety Protocols and Risk Management Including HIPAA Guidelines