Jerilyn Kunkler

Use Clearwave to check patients information is accurate and up to date
Updating if the patient will have coinsurance and/or a copay prior to their appointment
Notating if the patient has already used that benefit prior to coming to us
Accessing insurance company websites if we did not obtain any patient insurance information with social or last name
Taking patient insurance information over the phone and uploading to Clearwave before call is disconnected to ensure all information needed from patient was given and that there is nothing else needed
Expiring out old alerts that were noted that have already taken place or that does not apply to patient anymore
Understanding the difference between co insurance and copayment to relay message to patients when question is asked
Take calls that are related to where charges are coming from and give patient enough information for them to have no further questions
Record all discussions with patient that could be helpful to other staff members
Transfer patients if they needed to speak about eyewear gallery or ordering contact lens
Take patient credit card over the phone
Posting payments to the correct account and following up with emailing an encrypted receipt or mailing to the verified address
Examine patient statements prior to sending out to look for accuracy
Highlight charges and put statements in envelope each week
Verifying if we have the correct address if patient did not receive statement prior to reaching out for collection call
Make collection calls once a week
Prepare and submit routine and medical claims to insurance companies
Process and submit insurance claims daily
Submit prior authorizations for Medicaid
Make copies, scanning documents into the billing drive to upload with Superior Vision contact lens, and low vision
Follow up on denied claims and contact insurance companies to get the issue resolved
Follow up once a week to check the prior week claims were paid accurately and update
Correspond with insurance companies to resolve payment, requests for additional information, or to discuss denied treatment coverages
Submitting all Medicaid on portal until the new update on Mits is up and running
Reprocessed claims that were submitted prior to coming back without a patients chart notating that the insurance company is expected to pay x amount of dollars
Understanding he correct diagnosis coding with each claim and what codes will be approved for that specific service
Scanning all paid claims into each patients account
Making self-aware of new policies with Superior Vision such as VT now being billed through them as well as Contact Lens/ Fit allowance
Updating contact lens staff if patient is eligible or the contact fit/ lens allowance or if benefit has already been used
Call insurance companies when patient walk in and our system says its inactive – call and verify if this patient is still enrolled or covered for time of service
Sending tasks to correct department supervisors regarding incorrect postings in chart
Taking trainings to ensure proper steps taking with patient information such as HIPPA trainings, and payment handling
Helping new employees with questions regarding insurance companies and if we can take that insurance or not
Starting the process of collections

Operates all required equipment and machinery accurately and safely, prepares, assembles, and sterilizes instruments and supplies according to parameters of sterilization in accordance with The Department of Health records, and monitors quality control and infection control standards.

Provides asset management and support of surgical instruments and trays belonging to or consigned to the facility.

Accurately handles and cares for instruments appropriately, including appropriate selection of cleaning agents, lubricants, examination for function, identification and assembly according to OneSource and preparation for sterilization; retrieves malfunctioning instruments and ensures
repairs are completed.

Correctly peel-packs supplies/instruments, wraps instruments for sterilization, inspect each instrument for use, function, completeness and cleanliness.

Is responsible for reporting damaged or malfunctioning equipment to manager and follow process for replacement.

Comply with all regulatory requirements, including Joint Commission
Standards.
Collecting used and contaminated equipment, instruments, and supplies for sorting and decontamination.
Manually cleaning supplies of contaminants, removing waste matter, and operating and maintaining decontamination equipment.
Preparing and packing decontaminated supplies for sterilization.
Monitoring and operating sterilization equipment.
Examining supplies meticulously to ensure they are properly cleaned and sanitized.
Testing and reporting any issues or problems with the sterilization equipment.
Sterilizing, preparing, wrapping, and organizing equipment into instrument trays for use during medical procedures.
Preparing and delivering all necessary equipment and instruments for surgeries, examinations, medical procedures, and medical carts.
Maintaining records of sterilization procedures, sterilized items, equipment maintenance, and supplies.
Controlling the inventory, reordering supplies, and checking expiration dates.

Caring about meeting each child needs, wants and accommodating to changes
Fast pacing environment as some children move faster in learning than other children and
approach different needs for those who require extra help
Time management Multitasking
Communication Teamwork
Organization Honesty
Providing basic care for children which includes feeding, grooming, and changing diapers.
Developing age-appropriate socialization skills in children
Encouraging positive behavior and good manners
Using various learning methods such as stories, games, and drawing to intellectually stimulate children
Identifying behavioral problems and developing appropriate strategies to address them
Attending staff meetings, conferences, and workshops
Holding regular parent-teacher meetings to address any issues, concerns, or parent complaints
Providing a pleasant, safe, and sanitary environment
Communicating with parents and providing updates on children’s progress
Educate and take care of children
Help in building children’s developmental skills and track their progress
Develop and deliver interactive lesson plans
Establish and enforce behavior rules in the classroom
Offer classroom resources and tools
Adapt teaching materials and approaches to meet children's learning styles and interests
Manage all classroom activities, including breaks, play, lessons, and meals
Maintain positive relationships among the children
Track progress and offer documented reports to families
Implement lesson plans through collaboration with other staff members
Adhere to all sanitation guidelines and health procedures
Facilitate children's activities, including storytelling, games, and songs
Maintain classroom inventories for supplies and materials

This is an inbound and outbound call center position. Service Advocates are responsible for answering inbound calls regarding member's health care needs, while following up on commitments in a timely manner.

Acts as a single-point-of-contact for the member. Explains member plan of benefits, member's rights and responsibilities in accordance with contracted arrangements, claim status information, benefit coverage, plan eligibility, dental, vision, pharmacy, HSA, provider details, care management, on-boarding, tool usage and available programs/resources.

Owns the members concerns all the way through to resolution no matter where that might take us. You will be interacting with providers, clinicians, pharmacists, and many other professional's in an effort to provide total satisfaction and resolution to the member.

Consistently seek to build trusting relationships with members by understanding their needs and health aspirations.

Deliver a suite of services to members that support easy navigation of the healthcare system, from providing personalized next best action recommendations, to maintaining individual data accuracy and integrity.

Assists the member in finding their health ambition.

Connects the member with additional administrative and clinical resources as needed Uses proactive, predictive and preventative analytics to service members.

Provides high-quality, customer-focused telephonic service using knowledge of procedures and systems to meet and/or exceed customer satisfaction.

Coordinates with clinicians to compile the member's Care Plan and conduct adherence follow-up.

Works with case managers for members requiring urgent or emergent service, or services rendered in a setting other than a practitioner's office.

Service Advocates will proactively make outbound calls to engage members and assist them along their health care Journey.

Handle sensitive member information with discretion Prioritizes effectively to meet member service goals / deadlines

Resolves member issues, while effectively making the right decisions for our members

Collaborate with colleagues and co-workers to deliver a world class customer experience

Use Clearwave to check patients information is accurate and up to date
Updating if the patient will have coinsurance and/or a copay prior to their appointment
Notating if the patient has already used that benefit prior to coming to us
Accessing insurance company websites if we did not obtain any patient insurance information with social or last name
Taking patient insurance information over the phone and uploading to Clearwave before call is disconnected to ensure all information needed from patient was given and that there is nothing else needed
Expiring out old alerts that were noted that have already taken place or that does not apply to patient anymore
Understanding the difference between co insurance and copayment to relay message to patients when question is asked
Take calls that are related to where charges are coming from and give patient enough information for them to have no further questions
Record all discussions with patient that could be helpful to other staff members
Transfer patients if they needed to speak about eye wear gallery or ordering contact lens
Take patient credit card over the phone
Posting payments to the correct account and following up with emailing an encrypted receipt or mailing to the verified address
Examine patient statements prior to sending out to look for accuracy
Highlight charges and put statements in envelope each week
Verifying if we have the correct address if patient did not receive statement prior to reaching out for collection call
Make collection calls once a week
Prepare and submit routine and medical claims to insurance companies
Process and submit insurance claims daily
Submit prior authorizations for Medicaid
Make copies, scanning documents into the billing drive to upload with Superior Vision contact lens, and low vision
Follow up on denied claims and contact insurance companies to get the issue resolved
Follow up once a week to check the prior week claims were paid accurately and update
Correspond with insurance companies to resolve payment, requests for additional information, or to discuss denied treatment coverages
Submitting all Medicaid on portal until the new update on Mits is up and running
Reprocessed claims that were submitted prior to coming back without a patients chart notating that the insurance company is expected to pay x amount of dollars

Maintains additional patient packets.
Updates patient charts, graphs vital signs, heights and weights
Answers phone, screens calls, refers calls, takes messages, greets and assists visitors
Transcribes physician orders and has knowledge of order entry system
Monitors patient destination and location of patient charts
Answers intercom promptly and communicates patient needs to appropriate nursing staff
Maintains department records and statistics
Complete PKU for new born babies
Creates the baby into a medical record account
Rings bell as a baby has been born
Transports termed pregnant women to the 2nd floor
Use a walkie talkie to communicate when I am away from my desk
Call a lab member to drawl blood
Gather insurance card
Fax over papers to other facilities if requested
Call on call Dr. in if emergency
Learned all the codes for a hospital
Took CPR classes to better myself incase of an emergency
Makes photocopies and faxes documents
Completes other administrative work as needed
Collaborates with medical and administrative staff
Maintains the confidentiality of all patient records
Follows all hospital policies and procedures

Boosted customer satisfaction by providing exceptional service and addressing concerns promptly.

Enhanced store appearance for increased sales by maintaining cleanliness and implementing strategic merchandise displays.

Performed weekly schedules to ensure coverage
Promotes customer service by ensuring associates are greeting and assisting customers.
Maintains a visually appealing store, ensuring proper housekeeping.
Cleaned floors every hour.
Cleaned and stocked bathroom every hour.
Pickup cart was a term we called it and we would go around store every hour and place items that were out of place into cart and by end of night the cart had to be empty.
Assist with all store functions and day-to-day store activities as directed by the Store Manage.
Training new hires on company policies and procedures such as safety regulations and cash handling procedures.
Completed multiple training videos on how to perform my role.
Ensuring that the store is stocked with new merchandise, including seasonal items.
When closing store, running the whole daily deposit to the bank.