Dedicated individual offering a diverse background of skills and experience developed through outstanding work performance and education. Outstanding oral, written and interpersonal communications skills. Works well in a team environment, takes initiative to complete assignments independently when necessary. Quick learner that welcomes new challenges. Detail-oriented Account Specialist focused on resolving issues and maintaining customer loyalty. Strong critical thinking skills with a methodical approach.
Overview
9
9
years of professional experience
Work History
Web Support IT Account Specialist
Discover Card LLC
12.2022 - Current
Answer web support calls, emails, or online chat regarding website troubleshooting, site updates, plugin updates, server or hosting issues, email creation and troubleshooting, etc
Assist with identifying the root cause of problems; manages and resolves issues in a constantly changing environment
Provides assistance to card members by answering questions, resolving technical problems and maintain a company’s network, software and computer equipment
They are also called desktop support technicians or computer support specialists
Service desk analyst
Facilitating access to information and where appropriate, resolving issues by using remote access software and referring issues to a senior colleague when appropriate
Elevate unresolved issues to second line support when necessary.
Prior Authorization Rep
Anthem BCBS
01.2021 - 06.2021
This position is responsible for verifying and documenting all of the patient’s health insurance eligibility, benefits, coverage/non-coverage information and initiation/extension of authorizations
Verifies health insurance coverage and benefits for assigned payers etc., Blue Cross Blue Shield, commercial, worker’s compensation, and government/state insurance plans and determines patient’s responsibility
Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations and medical codes.
Prior Authorization Rep
BJC Hospital
03.2020 - 11.2020
Requires a high level of attention to detail along with a high degree of accuracy
Key components of the process include validation of the following: patient information, scheduled test/surgery information, and insurance information
Ensures that the authorization detail placed in the patient’s medical record is accurate
Expected to utilize critical thinking skills to research and resolve any mismatch in information which could involve various orders/scheduling, registration and insurance systems
Additionally, departmental processes around data capture must be followed and appropriate
Provides Authorization support for multiple BJC Hospitals
Responsible for supporting the Ancillary Authorization (scheduled outpatient services), Surgery Authorization (scheduled surgical procedures), or the NOA (Notice of Admission) processes within the BJC Pre-Arrival Team.
Youth Counselor
Hoyleton Youth and Family Services
03.2019 - 11.2020
Provides supervision, support, direction and behavior management to cottage residents
Assists residents with activities of daily living including personal hygiene, housekeeping, laundry, recreation and studying
As appropriate, allows residents to assist with meal preparation and clean up
Intervenes in times of conflict and stress in order to diffuse aggressive or inappropriate behavior
May be involved in physical restraints or seclusions
Records and maintains necessary records including Shift Summaries, incident reports, medication logs, clothing records and others as required by policy
Plans and accompanies residents to recreational activities both on and off campus
Maintains continuous supervision of each youth during all off campus activities
Transports youth to medical appointments, court hearings, home visits and other activities and appointments
Participates in cottage reviews, helps to develop behavior management strategies; reviews records of incoming residents; consults with cottage therapist to enhance understanding of the resident's emotional and mental health status.
Patient Coordinator
Memorial Hospital
01.2016 - 03.2019
Patient Registrar
Insurance Verification
Obtains patients signatures when necessary
Accurately completes computer data entry
Scheduling
Customer Service
Pre Registration for all Departments.
Patient Access
St Elizabeth Hospital
06.2015 - 01.2016
Patient Registrar
Customer Service
Obtains patients signatures when necessary
Performs billing and bookkeeping functions including collections of co-payments and providing receipts, posting and balancing daily sheets