Summary
Overview
Work History
Skills
Affiliations
Timeline
Generic

Edward Clarke

Cincinnati,OH

Summary

Dynamic Financial Assistance Specialist with extensive experience at UC Health Hospital, excelling in eligibility determination and case management. Proven ability to enhance patient support while maintaining confidentiality compliance. Skilled in data entry and adept at fostering positive relationships with medical staff, ensuring seamless service delivery and timely benefit renewals.

Overview

21
21
years of professional experience

Work History

Financial Assistance Specialist

UC Health Hospital
Cincinnati, OH
03.2023 - Current
  • I explain eligibility details to the patient with kindness and respect.
  • I will interview the applicants to obtain additional information, as needed.
  • I will gather patients' income and asses information to help determine if the patients meet eligibility requirements.
  • While conducting an interview, I will explain the County's guidelines for determining eligibility criteria.
  • I verify with the surrounding states within the area to check for additional benefits the patient may or may not have, which may disqualify patients from receiving the County's benefit program.
  • I will then grant, modify, or deny assistance based on key information and eligibility determination.
  • I work the latter part of my workday, following up with patients to ensure the timely renewal of benefit services.
  • I provide ongoing patient support for patients looking for direction or guidance.
  • I provide and support the medical staff, the registration team, and the lab while maintaining a positive working relationship with the staff and management.

Registration Eligibility Representative

The Christ Hospital
Cincinnati, OH
06.2018 - 07.2020
  • I dedicate 90% of my day to meticulously organizing and addressing registration coding errors. This crucial work involves identifying patterns in the erroneously collected data. Through this in-depth analysis, I have developed targeted training programs for our satellite offices, empowering them to rectify these problems effectively.
  • Additionally, I allocate 5% of my time to inputting client information and files into databases, ensuring thorough review, and tracking for future reference.
  • Moreover, I actively participate in essential meetings, training sessions, conferences, and workshops to continuously enhance our operations and stay updated on best practices.

Customer Service Lead

Mercy Hospital
Cincinnati, OH
01.2015 - 06.2018
  • Enhanced productivity and customer service levels.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Trained new team members on proper service methods and evaluated service delivery using a quality assurance program.
  • Provided expertise, knowledge, services, policies, and procedures to customers.
  • Answered incoming calls and emails, providing frontline customer support, or assistance with product and service transactions.
  • De-escalated problematic customer concerns, maintaining a calm, friendly demeanor.
  • Worked with senior leadership to address and resolve disciplinary issues, and boost overall team success.
  • Assisted operators with handling calls and took over escalated concerns to deliver expert solutions.
  • Handled customer inquiries and complaints in a professional manner.
  • Answered inbound calls, chats, and emails to facilitate customer service.

Representative I

Triplefin, LLC
Cincinnati, OH
02.2013 - 01.2015
  • Conducted product demonstrations to prospective clients, highlighting features and benefits tailored to their needs.
  • Consistently met daily performance goals set by management team members.
  • Escalated unresolved issues to appropriate departments for further investigation.
  • Processed customer orders and collected payment information.
  • Determined consumer needs to provide products and services appealing to larger market.
  • Assisted customers with order placement, returns, exchanges, and refunds.
  • Provided customer service by answering product and service related questions.

Representative II

Humana, Inc.
Cincinnati, OH
05.2004 - 09.2011
  • Assisted customers with inquiries about health insurance policies and coverage options.
  • Facilitated continuing service by processing changes in beneficiaries and analyzing policy loan applications.
  • Explained coverage options to potential policyholders, answering questions or concerns.
  • Performed administrative tasks such as filing documents, updating databases, and preparing correspondence.
  • Assisted members to enhance current plans with supplemental benefits to boost sales.
  • Resolved customer complaints or escalated them as necessary in a timely manner.

Skills

  • Case management
  • Medicaid services
  • Eligibility determination
  • Data entry
  • Document proofreading
  • Confidentiality compliance

Affiliations

  • I spend my free time walking, exercising and looking and eating a variety of cultural foods to enjoy.
  • I like spending time developing my musical skills and talents practicing my bass guitar in my studio.

Timeline

Financial Assistance Specialist

UC Health Hospital
03.2023 - Current

Registration Eligibility Representative

The Christ Hospital
06.2018 - 07.2020

Customer Service Lead

Mercy Hospital
01.2015 - 06.2018

Representative I

Triplefin, LLC
02.2013 - 01.2015

Representative II

Humana, Inc.
05.2004 - 09.2011

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Edward Clarke