Dedicated Eligibility Referral Specialist II with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision. Passion for helping people receive benefits that will give them opportunity to better their lives.
Overview
21
21
years of professional experience
Work History
Eligibility Referral Specialist II
Lorain County Job And Family Services
03.2019 - Current
Conducted interactive interviews with public assistance clients and processes applications to determine initial and ongoing eligibility for public assistance programs.
Streamlined referral processes for increased efficiency, resulting in timely appointments for clients.
Verified insurance benefits and eligibility for procedures before referring clients.
Managed high-volume referral requests by prioritizing tasks and maintaining organized records.
Conducted regular audits of referral records to maintain compliance with industry regulations and company standards.
Conducts investigations of possible fraud by exploring inconsistencies in past and present reported information.
Attends meetings, State Hearings, conferences and training sessions.
Regulatory Affairs Specialist IV
INVACARE
01.2012 - 01.2018
Conducted quality assurance and compliance with applicable regulatory requirements including internal reviews and data analysis
Ensured accuracy of MDR submissions
Performed quality assurance for content review of reporting ability decisions to ensure accuracy
Communicated with providers and end users to gather information to complete records and product malfunctions
Participated in quality checks to ensure areas were fully prepared for audits and FDA inspections
Prepared device history records (DHR's)
Managed the quality mailbox
Reviewed every email and processed in a timely manner
Reviewed product orders to make ensure accuracy
Investigated returned products.
Team Lead-Customer Service Representative
TELETECH HOLDINGS INC.
01.2009 - 01.2012
Assisted customers with cell phone payments
Processed changes to customer cellphone accounts
Provided technical support for cellphones
Listened and evaluated phone calls made by team members
Provided feedback to team members for improvement when needed.
Medical Secretary
NORTH OHIO HEART | OHIO MEDICAL GROUP
01.2004 - 01.2009
Performed administrative office work to support the Ohio Medical Group practice within the company
Supported group staff of 5 doctors, 10 nurses and 3 technicians other members
Answered incoming and outgoing phone calls
Scheduled testing and appointments for patients
Collected co-pays managed cash
Coordinated daily doctor schedules
Checked insurance eligibility for patients
Processed referrals to insurance companies for approval
Trained in billing and coding CPT and ICD9
Called in prescriptions to pharmacies in a timely manner
Social Services Worker II at Butler County Department of Job & Family Services - Adult Protective ServicesSocial Services Worker II at Butler County Department of Job & Family Services - Adult Protective Services