Highly motivated, accomplished healthcare professional, looking to join a team where I can apply my skills and learn a new field.
Overview
14
14
years of professional experience
Work History
Customer Service Navigator (Remote)
UNITED HEALTHCARE
03.2021 - 10.2024
Responsible for a panel of over 700 United Healthcare Medicare and Medicaid members
Received inbound calls and made outbound calls daily
Researched and resolved member’s claim issues
Reviewed medical benefits with the member ensuring the member was educated on all available benefits
Researched available community resources for the member including resources for utilities, food and shelter
Ensured compliance standards were being met while documenting member’s grievances and appeals
Discussed and compared alternate plans available if the member’s current plan was not meeting their needs
Worked to resolve medical coordination of benefits issues
Maintained a relationship with members over time to ensure their needs were continuously met
Attended training courses on a regular basis for skill enhancement
LASIK Technician/Refractive Surgery Coordinator
SKYLINE VISION CLINIC AND LASER CENTER
07.2020 - 09.2020
Assisted in the examination of prospective refractive surgery patients for a variety of procedures, including LASIK, PRK, Intraocular Collamer Lens Placement, and Clear Lens Extraction
Performed multiple diagnostic tests including the Wavelight Vario Topolyzer, Pentacam Topography, IOL Master and Tonometry
Performed Wavelight Contoura calculations
Educated prospective patients on the different types of refractive surgeries available and the associated risks, benefits and alternatives
Prepared surgery paperwork including consent forms, detailed pre and postoperative instructions and operative reports
Reviewed pre and postoperative instructions, financing options and consent forms with the patients
Scheduled surgeries and postoperative appointments
Pre-Op Technician/Surgery Coordinator
EYE ASSOCIATES OF COLORADO SPRINGS
04.2011 - 03.2019
Prepared patients for upcoming ophthalmic surgery - reviewing instructions, preparing and reviewing consent forms and history and physical forms
Performed multiple diagnostic tests including IOL Master, A-Scan Biometry (Immersion technique) and Pentacam Topography
Prepared Intraocular Lens Calculations including Toric IOL and Post-Refractive Surgery
Scheduled a variety of ophthalmic surgeries including Cataract, Pterygium, Blepharoplasty, and Laser
Worked closely with both Scheduler and Purchaser at Pinnacle Surgery Center providing surgery schedules, patient demographics, insurance information, special lens orders
Assisted in training new employees to the surgery department
Ordered and arranged delivery of post-surgery gifts for six ophthalmologists
Attended ophthalmic equipment training/courses whenever available
Education
Certified Medicare and Retirement Professional -
United Healthcare
01.2023
Nidek Epic Training - undefined
Marco Technologies
01.2006
Sterile Technique Course - undefined
Colorado Springs Surgery Center
01.2001
Two Years at the University -
University of Colorado At Colorado Springs
01.1993
High School Graduate -
Coronado High School
01.1991
Skills
Enthusiastic Personality
Interpersonal Communication Skills
Quality Customer Service
Able to complete projects on time with a high attention to detail
Good rapport with patients of all ages and backgrounds
Excellent knowledge of MARx, EHR/EMR Experienced with ICD-10 and HIPAA Guidelines