Hardworking Patient Care Coordinator bringing 5+ years of experience in healthcare. Expertise includes practice administration and program management. Excellent consensus builder with successful record of reaching positive patient care solutions.
Overview
6
6
years of professional experience
Work History
Authorization Rep./Patient Care Advocate
Alorica/Express Scripts
06.2022 - Current
Take inbound calls , View claim history, Follow Hippa Guidelines
Provide prior auth stats, complete Prior authorizations ,Verify benefit coverage info , provide copay amounts, maintain 100% quality score, input data , assist with schedule specialty medications, data entry.
Connected patients with available community and charitable resources.
Completed documentation of care, hospital actions, and patient activities.
Reviewed each step of patient care and made proactive adjustments to avert issues.
Customer Service Rep
Hgs/ Aetna
08.2021 - 06.2022
Inbound/Outbound calls, effective listening, Assists with claims,Break down benefits of insurance plan,Empathize with members
Reach out to Doctors offices,Resolve customers issues,Access multiple database, Critical thinking and research,Adhere to company policy and average handle time.
Answered and managed over 50 customer calls per day promptly to avoid on-hold wait times.
Customer Service Rep
Conduit Global/ Verizon Wireless
05.2020 - 08.2021
Inbound/Outbound calls, performed troubleshooting devices,Activate devices
Investigate accounts,Provide detailed information, deescalate calls,Accept payments,Sales , Problem Solve, Meet company standards/ Company goals.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Handled increased customer inquiries and suggestions courteously and professionally.
Customer Specialist
Concentrix/Humana
04.2017 - 05.2020
Inbound/Outbound call center , Provide members with information on pharmacy home delivery for prescription savings on copays
Refill medications and provide information on stages of their plan, Build rapport,Meet daily goal requirements.
Requested escalation for unresolved issues.
Analyzed customer service trends to discover areas of opportunity and provide feedback to management.
Education
High School Diploma -
Asa Philip Randolph
Jacksonville, FL
06.2013
Skills
World-Class Customer Service
Patient Care
Effective Communication
Multitasking
Computer Skills
MS Word, Excel, Outlook, Microsoft
Office, with proficiencies in
Multiple internet databases
Problem Solving
Critical Thinking
Hippa Awareness
Active listening
Team Player
Leadership
Customer Satisfaction
Accomplishments
Recognized as a consistently helpful and supportive professional by patients and staff alike.
Increased departmental transparency and opened up communication channels to improve team collaboration.