To obtain a position that will afford me the opportunity to acquire and employ skills needed to succeed in the healthcare field
Overview
16
16
years of professional experience
Work History
Provider Services Representative
UnitedHealthcare
08.2021 - Current
Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
Streamlined operations by managing a high volume of incoming calls for medical providers seeking information or assistance.
Acted as a liaison between providers and company leadership, effectively communicating concerns and feedback to facilitate continuous improvement initiatives.
Improved patient satisfaction by efficiently handling authorization requests and promptly addressing inquiries.
Provided exceptional customer service by answering questions, resolving issues, and guiding patients through the authorization process.
Verified eligibility and compliance with authorization requirements for service providers.
Input all patient data regarding claims and prior authorizations into system accurately.
Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
Managed a high volume of incoming calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Medical Assistant
SIRM
04.2019 - 04.2020
Sanitized, restocked, and organized exam rooms and medical equipment.
Obtained client medical history, medication information, symptoms, and allergies.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Performed medical records management, including filing, organizing and scanning documents.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Prepared lab specimens for diagnostic evaluation.
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
Medical Assistant
Mercy Hospital St. Louis
06.2016 - 11.2018
Sanitized, restocked, and organized exam rooms and medical equipment.
Obtained client medical history, medication information, symptoms, and allergies.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Documented vital signs and health history for patients in clinic and hospital environments.
Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Completed EKGs and other tests based on patient presentation in office.