Carol Brown
Austin,TX
Summary
Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires and providing customized solutions to build loyalty.
Overview
10
10
years of professional experience
Work History
Customer Service Representative
DSHS Laboratory
Austin
03.2022 - 09.2022
Medical Records/Documents Imaging
St. David's Medical Center
Austin
03.2021 - 09.2022
Contract Specialist IV
PERK PERFORMERS AGENCY/HHSC DADS
AUSTIN
08.2023 - Current
- Prepared monthly reports summarizing the status of contracts under management
- Ensured compliance with contractual terms, conditions, and regulations
- Conducted detailed reviews of contract documents to ensure accuracy and completeness
- HHSC Medicaid Chip Services (MCS) AS Contract Specialist IV work on HIGH PRIORITY ASSIGMENTS
- Reports to the Health Plan Manager located in the Managed Care Contracts and Oversight (MCCO)
- Performed general clerical duties such as photocopying, faxing, mailing and scanning documents
- Maintained files and filing, keeping sensitive information confidential
- Helped managers in other departments with projects as needed
- Created spreadsheets and maintained databases utilizing Microsoft Excel
- Developed and maintained filing systems for confidential documents and records
- Created, maintained and entered information into databases
- Operated electronic mail systems and coordinated flow of information, internally, and with other organizations
- Generated regular reports on project progress utilizing spreadsheet software applications like MS Excel and Access
- Utilized strong organizational skills to prioritize tasks efficiently while meeting deadlines
- Retrieved requested medical records in a timely manner while maintaining confidentiality of protected health information
- H.I.M
- (Health Information Management) Retrieve/Reconcile medical records and loose documentation from ancillary departments, facilities, vendors, etc (ER-Emergency Room, IP-Inpatient Admit in the Hospital, SD-Same Day Procedure/Outpatient Patient Collection
Medical Records/Documents Imaging (PRN)
St. David's Medical Center
Austin, TX
09.2022 - Current
- Self-motivated, with a strong sense of personal responsibility.
- Excellent communication skills, both verbal and written.
- Skilled at working independently and collaboratively in a team environment.
- *H.I.M.(Health Information Management) Document Imaging consist of Handling and Work with various type of Confidentiality and HIPPA (Health Insurance Portability and Accountability ACT).
*Utilized knowledge of HIPAA regulations to ensure privacy and security standards were met for patient records.
*PHI (Protected Health Information). - *Assists Hospital Staff with requests for information on discharged and active.
*Responsible for reporting lost charts and spacing to the Director.
*Protects Patient Health Information Data such as medical histories, diagnoses and symptoms test results. - *Retrieve/Reconcile Medical Records loose documentation from ancillary departments, facilities, vendors, etc (ER-Emergency Room, (IP)-Inpatient Admit in the Hospital, (SD)- Same day Procedure/Outpatient.
- Worked well in a team setting, providing support and guidance.
- Passionate about learning and committed to continual improvement.
- Managed time efficiently in order to complete all tasks within deadlines.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Worked effectively in fast-paced environments.
- Strengthened communication skills through regular interactions with others.
Customer Service Representative II
DSHS Laboratory
Austin
02.2023 - 03.2023
Texas Works Advisor III
Health & Human Services Commission Department
Austin
09.2022 - 01.2023
Insurance Verification/Authorization Department
St. David's Ambulatory Surgery Center
Austin
04.2020 - 08.2021
Patient Collection/Authorization
St. David's Ambulatory Surgery Centers
Austin
04.2018 - 04.2020
Referral Specialist/Authorization
St David's Heart & Vascular
Austin
08.2016 - 04.2018
Registration Specialist/Verification
St David's Heart & Vascular
Austin
11.2015 - 08.2016
H.I.M Tech/Medical Office Specialist
St David's Heart & Vascular
Austin
11.2014 - 11.2015
Education
High School Diploma -
Johston High School
Austin, TX 06.2023 - 07.2023
Skills
Document filing
Contact - Skills
- Excellent Customer Services
- Skills to Healthcare Providers & Recipients
- Insurance Verification
- Administrative Assistant IV
- Medicare & Medicaid Eligibility and Various Health Plan
- Familiar with Obamacare Eligibility and MAP Program
- Outreach Specialist/Enrollment
- Referral/Authorization Specialist
- Medical Records Specialist
- Call Center Representative
- H.I.M (Health Information Management) Department
- Contract Specialist IV
- Enrollment and Eligibility Representative
References
- Christina Davis, Supervisor, (512) 206-3600, Christina.davis@hcahealthcare.com
- Nora Tijerina, Supervisor, (512) 709-1873, nora.tijerina@hcahealthcare.com
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Accomplishments
**One of My Goals was to Work for Texas Health & Human Services
* Texas Advisor or *Eligibility Specialist
*Teenage Parents & *Medicaid Recipients @ the age 15 years
*What H.H.S.C. Medicaid Eligibility Offer *Explain Health Benefits
*I was to Scared to ask questions
* never worked Healthcare Environment *1st job was Dan's Hamburgers
My Goal was to be come TX Advisors or Eligibility Specialist to get the Knowledge & Training & Skills, explains What TX Medicaid Offer Healthcare & Vision & Dental, Medical Transportations.
*What's the different *Checkup & *TX Medical Checkup
*How to verify Healthcare benefits.
Thanks God everything I know working for Temp Job & Agencies & Hands on Training, Remember I was TX Medicaid Recipients, It felt so Good to say I ACHIEVED MY GOALS and I CRIED still looking for New Challenge's.
Timeline
Contract Specialist IV
PERK PERFORMERS AGENCY/HHSC DADS
08.2023 - Current
High School Diploma -
Johston High School
06.2023 - 07.2023
Customer Service Representative II
DSHS Laboratory
02.2023 - 03.2023
Medical Records/Documents Imaging (PRN)
St. David's Medical Center
09.2022 - Current
Texas Works Advisor III
Health & Human Services Commission Department
09.2022 - 01.2023
Customer Service Representative
DSHS Laboratory
03.2022 - 09.2022
Medical Records/Documents Imaging
St. David's Medical Center
03.2021 - 09.2022
Insurance Verification/Authorization Department
St. David's Ambulatory Surgery Center
04.2020 - 08.2021
Patient Collection/Authorization
St. David's Ambulatory Surgery Centers
04.2018 - 04.2020
Referral Specialist/Authorization
St David's Heart & Vascular
08.2016 - 04.2018
Registration Specialist/Verification
St David's Heart & Vascular
11.2015 - 08.2016
H.I.M Tech/Medical Office Specialist
St David's Heart & Vascular
11.2014 - 11.2015
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