Camille Watson
Fort Lauderdale,FL
Summary
I am looking for a position where I will use my skills in customer service and data entry, in a company that has upward mobility. I am a highly motivated individual and a self-starter. Skilled coordinator with independent nature and critical thinking skills to manage any problem. Top-notch skills in verbal and written communication, tactical planning and project support.
Overview
8
8
years of professional experience
Work History
Client Service Specialist
CVS/caremark
10.2021 - Current
- Maintained client data accuracy in internal systems by monitoring account information and updating records as needed.
- Performed quality assurance checks on content delivered to clients to ensure accuracy of information provided.
- Worked closely with other departments to ensure timely resolution of escalated client issues.
- Identified opportunities for improvement within the customer service process and recommended changes accordingly.
- Participated in weekly team meetings to discuss performance metrics and areas for improvement.
- Created detailed documentation of all interactions with customers ensuring accurate record keeping.
- Analyzed customer data trends in order to identify potential areas of growth or improvement.
- Provided technical assistance when required, troubleshooting any problems that may arise.
- Resolved complex customer queries quickly and efficiently while maintaining a positive attitude throughout the process.
- Organized resources such as webinars or online events aimed at educating customers on how best to utilize services offered by the company.
- Managed and updated physical and digital client account information to keep records accurate and current.
- Promoted client satisfaction by working with operational teams in proper resolution of service issues.
- Reviewed prior authorization requests for completeness and accuracy.
- Researched medical policies to ensure appropriate coverage of services.
- Assessed insurance benefits and determined eligibility criteria.
- Submitted prior authorization requests electronically or by phone to payers.
- Maintained accurate records on all prior authorizations requested, received, and denied.
- Provided timely feedback to physicians regarding authorization status.
- Responded promptly to inquiries from providers, members, and other departments within the organization.
- Identified opportunities for improvement in existing processes and procedures related to prior authorizations.
- Communicated with internal teams regarding changes in policy or procedure related to prior authorization process.
- Facilitated communication between health plan representatives, providers, and members when needed.
- Evaluated clinical information provided by providers against specific criteria set forth by health plans.
- Notified ordering providers of denied authorizations.
- Followed all Medicare, Medicaid, HIPAA and private insurance regulations and requirements.
- Used MHK, RXCLAIM, PEOPLESAFE to input claim, prior authorization and other important medical data into system.
Support Worker
Arc of Chester county
Pottstown, PA
01.2022 - 05.2023
- Provided emotional and practical support to vulnerable adults.
- Organised leisure activities for clients in the community.
- Accompanied clients to medical appointments and assisted them with their daily needs.
- Assisted clients with personal care, such as showering and dressing.
- Helped clients develop independent living skills, such as budgeting, cooking and cleaning.
- Monitored client wellbeing and reported any changes or concerns to relevant staff members.
- Developed positive relationships with service users and maintained professional boundaries at all times.
- Attended regular reviews of service user's care plans to ensure the best outcomes for each individual.
- Reported any incidents or accidents in accordance with company policy and procedure.
- Delivered one-to-one sessions focused on developing communication skills, problem solving techniques, self-confidence building.
- Administered medication according to company guidelines whilst monitoring its effectiveness.
- Maintained accurate records of client progress using computer systems or paper files in line with data protection regulations.
- Drove and accompanied clients to appointments, shopping and special events for safety and companionship.
- Tracked client behaviors, daily activities, new skills and notable incidents for documentation purposes.
- Worked with leadership, parents and volunteers to establish clear goals and guidelines for group meetings.
- Used knowledge of successful crisis intervention techniques and supportive problem-solving to achieve treatment goals.
- Collaborated with state agencies and benefits coordinators to develop individualized plans for each case.
Patient Service Representative/ Community Health Worker
Community Health and Dental Care
04.2019 - 10.2021
- Helping individuals, families, groups and communities develop their capacity and access to resources, including health insurance, food, housing, quality care and health information
- Facilitating communication and client empowerment in interactions with healthcare/social service systems
- Helping health care and social service systems become culturally relevant and responsive to their service population
- Helping people understand their health condition(s) and develop strategies to improve their health and well being
- Helping to build understanding and social capital to support healthier behaviors and lifestyle choices
- Delivering health information using culturally appropriate terms and concepts
- Linking people to health care/social service resources
- Providing informal counseling, support and follow-up
- Advocating for local health needs
- Providing health services, such as monitoring blood pressure and providing first aid
- Making home visits to chronically ill patients, pregnant women and nursing mothers, individuals at high risk of health problems and the elderly
- Greeting and directing patients to examination rooms
- Scheduling patient appointments and making reminder calls
- Informing patients about delays and waiting times
- Obtaining patients' addresses, contact details, insurance information, and medical histories
- Updating and verifying patient information at every visit
- Assisting patients in filling out patient history forms, consent forms, and payment contract forms, when necessary
- Receiving and processing cash and credit card payments for medical services rendered
- Reviewing patient accounts, identifying delinquent accounts, and collecting overdue payments
- Answering, investigating, and/or directing patient inquiries or complaints to the appropriate medical staff member
- Following up with patients to ensure their inquiry or complaint has been satisfactorily resolved
- Performing administrative and clerical duties, such as filing paperwork, when necessary.
Home Care Manager
Traveling Nurses llc
01.2018 - 09.2020
- Coordinate with other managers to develop cohesive facility operation plans
- Communicate with patients and staff to determine care needs
- Develop database of individual patients care plans
- Prepare staff schedules to ensure that all shifts are covered
- Match patients with the appropriate services
- Evaluate staff performance and provide regular feedback
- Ensure that patient's need safety standards are upheld.
Receptionist
PMSI
Pottstown, PA
03.2016 - 04.2019
- Responsible for welcoming and checking patients into the practice/out
- Register patients according to established protocols
- Verify patient's insurance to ensure its active and retrieve referrals using NaviNet
- Responsible for collecting patient co-pays
- Answer phone calls for the practice/ multi lines
- Fulfill medical record requests and send records to other practices
- Complete other clerical duties as assigned.
Education
Associate of Applied Science - Business Management
DeVry University
Villa Park, IL06.2023
Certified Community Health Worker -
St. Jose
12.2019
Medical Office Secretary -
Antonelli Medical & Professional Institution
01.2016
Montgomery Community College -
01.2014
High school diploma -
Skills
- Microsoft word/PowerPoint
- Personal Screenings
- Foot patrols
- Detail-Oriented
- Paperwork Processing
- Documentation Skills
- Money Handling
- Call Management
- Account Management
- File Management
- Provider Relations
- Database Maintenance
- System Documentation
- Customer Support
- Client Relations
- Database Management
- Sales Strategies
- Outbound Calling
- Payment Processing
Timeline
Support Worker
Arc of Chester county
01.2022 - 05.2023
Client Service Specialist
CVS/caremark
10.2021 - Current
Patient Service Representative/ Community Health Worker
Community Health and Dental Care
04.2019 - 10.2021
Home Care Manager
Traveling Nurses llc
01.2018 - 09.2020
Receptionist
PMSI
03.2016 - 04.2019
Associate of Applied Science - Business Management
DeVry University
Certified Community Health Worker -
St. Jose
Medical Office Secretary -
Antonelli Medical & Professional Institution
Montgomery Community College -
High school diploma -
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