Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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Faness Gamble

Newark,NJ

Summary

Knowledgeable leader and talented problem solver with strong time management and technical abilities. Offering several years of experience in the field overseeing work, maintaining safety and improving operations.

Overview

8
8
years of professional experience

Work History

Patient Service Representative

RWJ Barnabas Health Medical Group
Newark, NJ
06.2023 - Current
  • Acted as liaison between physicians, vendors, insurance companies, patients and their families regarding surgical procedures.
  • Educated patients on pre-operative instructions such as fasting requirements prior to undergoing anesthesia.
  • Entered data into EPIC accurately and timely using ICD-10 coding standards when applicable.
  • Ensure all surgical cases are scheduled in a timely manner in accordance to the Physician or Surgeon's directions and/or calendar.
  • Obtain procedure authorization through various operating sites
  • Maintain & request patient records in compliance with HIPAA regulations
  • Schedule diagnostic tests when medically necessary
  • Resolve patient concerns and complaints in a professional and empathetic manner.
  • Handled incoming mail including sorting letters according to departmental guidelines.
  • Retrieved faxes and uploaded documents to patient charts to assist clinical staff.

Site Manager

BronxDocs
Bronx, US
12.2020 - 04.2023
  • Direct, supervise and evaluate work activities of all personnel
  • Provide appropriate training and mentoring to ensure that BronxDocs standards and Key Performance Indicators (KPI's) are achieved in the scheduling of appointments and facilitation of patient services through telephone, email and direct patient contact
  • Utilize best practices for interviewing and training of new employees, as well as the ongoing development of existing employees
  • Complete prior authorizations and audited providers to ensure compliance with insurance requirements and guidelines
  • Reviewed provider productivity and identified opportunities for optimization and increased efficiency
  • Generate outpatient referrals through multiple insurance portals for continuity of care by specialists or procedures
  • Proactively resolved patient complaints, addressing concerns promptly and effectively to maintain a positive patient experience
  • Hosted weekly team huddles to promote communication, collaboration, and alignment among the facility staff

Head Cashier/Customer Service

Town Shop
New York, US
02.2018 - 12.2020
  • Provided exceptional customer service as the Head Cashier, managing hundreds of customer profiles and ensuring their satisfaction with prompt and efficient assistance
  • Handled customer complaints and concerns with professionalism and empathy, resolving issues to maintain positive customer relationships
  • Contributed to visual merchandising efforts, ensuring a visually appealing and organized store environment that enhanced the customer experience
  • Trained new employees on cash handling procedures, customer service protocols, and store policies, fostering a knowledgeable and customer-focused team
  • Proofread all documentation and materials to ensure accuracy and professionalism, maintaining a high standard of quality in all aspects of the role.

Clerical Assistant/Receptionist - Intern

Bronx Civil Court
Bronx, US
07.2016 - 10.2016
  • Efficiently maintained accurate records, reports, and correspondence, ensured the smooth functioning of court activities and maintained confidentiality of sensitive information.
  • Drafted routine writs, warrants, orders, and judgments, demonstrating attention to detail and adherence to legal procedures
  • Conducted thorough research on case events and history, providing valuable support to the court case and assisting attorneys, representatives of other agencies, and the public
  • Reviewed case files to ensure completeness and organization, facilitating efficient use by the judicial officer
  • Communicated clearly and professionally with attorneys, representatives, and the public, ensuring a positive and helpful experience

Education

BBA - Business Management

Southern New Hampshire University
Hooksett, NH
01-2027

Marketing & Merchandising -

Art Institute - New York, NY

High School Diploma -

Satellite Academy- New York, NY

Skills

  • Insurance Verification & Authorization
  • Attention to detail
  • Project and calendar management
  • Conflict management
  • Coordination of surgeries with hospitals and outpatient care centers
  • Front office operations management
  • Customer service

Accomplishments

  • Employee of the Month March 2015 (For being a punctual, reliable, and motivated employee)
  • BUYER AWARENESS Town Shop | 2019 - Defined the problem and researched options to solve it. Ultimately brought in a product that went on to be one of the best sellers.
  • IMPROVED EFFICIENCY Town Shop| 2018 - Created new systems so employees can communicate more effectively

Timeline

Patient Service Representative

RWJ Barnabas Health Medical Group
06.2023 - Current

Site Manager

BronxDocs
12.2020 - 04.2023

Head Cashier/Customer Service

Town Shop
02.2018 - 12.2020

Clerical Assistant/Receptionist - Intern

Bronx Civil Court
07.2016 - 10.2016

BBA - Business Management

Southern New Hampshire University

Marketing & Merchandising -

Art Institute - New York, NY

High School Diploma -

Satellite Academy- New York, NY

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Faness Gamble