Karen Columbo
Whitehouse Station,NJ
Summary
Hello everyone!!
I am an Advocate for 4Me Representative for Medicare Advantage PPO plans, receiving up to 30 calls a day. As their advocate I am assisting them with their questions and concerns. This can include benefits, medical claims, prescription claims, post discharge benefits, Organization Determinations and Appeals.
I am a dedicated, determined and experienced Advocate looking to take my knowledge to the next level.
Overview
11
11
years of professional experience
Work History
Advocate4Me Representative
United Health Care Services
09.2021 - Current
- I am an Advocate for members with Employer Group Medicare Advantage Plans for CalPERS, University of California, SOAR and State of Alabama. Managing up to 25 calls per day.
- I have received my certificate as a Compliance Champion and Culture Ambassador.
- Currently an EEX committee member creating a safe place for our employees to voice their concerns.
- Pod leader for Team Davis during our resolution huddles.
Medical Receptionist, Prior Authorization Specialist
Mid Jersey Orthopedics
09.2016 - 04.2019
- Register and schedule patients for Orthopedic Surgeons and Neurologists
- Obtain insurance prior authorizations for all surgeries.
Surgical Coordinator
Atlantic Spine Center
09.2015 - 09.2016
- Schedule surgeries for Spine Surgeons
- Order and assist patients with their preoperative testing and clearances.
Medical Assistant
Hunterdon Orthopedics
09.2013 - 09.2015
- Assist surgeons with orthopedic and post-operative care.
- Managing up to 50 incoming calls and emails per day.
Education
Other - Radiography, Mammography and Cat Scan
Clara Maass School of Radiologic Technology
Belleville, NJ09.1986
High School Diploma -
Nutley High School
Nutley, NJSkills
In my current position I have become proficient in Maestro, Genesys, Webstation, Knowledge Central, Knowledge Library, ICUE, Employer Group SharePoints, Renew Rewards User Manager and MARX
Nickname
KC
Timeline
Advocate4Me Representative
United Health Care Services
09.2021 - Current
Medical Receptionist, Prior Authorization Specialist
Mid Jersey Orthopedics
09.2016 - 04.2019
Surgical Coordinator
Atlantic Spine Center
09.2015 - 09.2016
Medical Assistant
Hunterdon Orthopedics
09.2013 - 09.2015
Other - Radiography, Mammography and Cat Scan
Clara Maass School of Radiologic Technology
High School Diploma -
Nutley High School
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