Laura John
Hartselle,AL
Summary
Dedicated and focused Admin. As well as a CSA, CSR who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Seeking a role of increased responsibility and authority. An experienced PSR, CSR, with manager skills, over 10yrs of experience. A well rounded leader, that adapts easily to change. Also 7yrs Experience and knowledge of medical terminology, medication scripts, authorizations, insurance verification, physical therapy documentation.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Navigator Marriott Account
Cigna
09.2023 - Current
- Customer Assistance, One Guide, trained on OAP plans, HBHP benefit, handling calls with the upmost respect for our members, guiding our members to help with whatever they need or what issues they maybe having. Making things easier for the member. Trained with Evicore and Truecare. Sending claims to be adjusted, reviewing authorizations, going over the member’s benefits. Going above and beyond for the members, making sure not only to answer all of their questions but also that they understand all that was discussed. Handled Direct messaging, provided the highest level of service. Pre-enrollment experience, Warm transferring to other departments or vendors to make sure that the member gets to the correct person that they are asking for. Listen to members and build a personal relationship with them so that they feel more at ease. Setting up tickets when needed, going over BH benefits. Making sure to read the full benefits including the deductible and out of pocket as well as any accumulators so that the member fully knows what they are responsible for. Educating the member on new things and resources that are available to them that they may not know that they have.
CSA-Customer service advocate
Cigna
07.2022 - 09.2023
- Customer assistance, JPMC Dedicated team, One Guide trained, Proclaim, medical, handling high call volume, answering questions about claims, Healthcare coverage, auths, in and out of network doctors, providing a helpful environment for a member to get accurate information about their health questions, Escalated Team, Open call specialist, handling CSA and other claim adjustments, trained with Evicore and Truecare. Handling MRA, HCSA, HRA, FSA accounts. Knowledge of wellness activities and coaching programs within the system. Helping members navigate through the MyCigna page. Being a resource for members as well as educating them on their benefits and eligibility. Setting up tickets for mm’s that are have any tech issues.
PSR - Patient Service Representative
UPMC
11.2020 - 07.2022
- Billing, helping assist patients, front office duties, scheduling, insurance verification, proof of insurance, cover extra offices, administrative duties, Authorization requests, setting up new patients, setting up payment plans, experience with electronic charts, making new patient charts, working in an office with two Physical Therapist, and four Pelvic floor therapist. Answering the phone, taking messages and calling patients back. CPR Certified, Act 34, Act 33, Act 31, Act 73 all completed.
Administrative assistant/Office Manager Assistant
SMA Deer Lakes Medical
09.2011 - 11.2020
- Medical terminology, medication refills, medication terminology. Made copies, sent faxes and handled all incoming and outgoing correspondence. Working under three doctors per day, Prior auths, referrals for gateway, scanning files, in charge of back phone line for Dr’s, verifying insurances such as navi-net, upmc, rad-md, health solutions, Answering phones and scheduling patients for three high volume offices, working with programs such as Microsoft Word, EMR All Scripts, Tyger, Excel, power point.Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.Received and screened a high volume of internal and external communications, including email and mail.
Massage Therapist/PT aide/Office Manager
Phoenix Rehabilitation and Health Services
02.2007 - 09.2011
- Front office duties, Massage Techniques, lifting patients, helping with exercises, filing charts, making new charts, answering phone calls, working with Microsoft Word, scheduling patient's appointments, cleaning, Ultra sound, Estim, Aquatic therapyManaged the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.Made copies, sent faxes and handled all incoming and outgoing correspondence.Organized files, developed spreadsheets, faxed reports and scanned documents.Massage Therapist/Chiro. Assistant
A.K. Valley Chiropractic
05.2002 - 02.2007
- Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues. Massage techniques, answering the phone, taking appointments, assisting the doctors, setting up X-rays, filing and pulling charts, ultra sound and Estim.Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.
Education
Associates - Massage Therapy / Business (License in Massage therapy)
Career Training Academy
New Kensington, PA05.2002
High School - undefined
Kiski Area High School
01.2001
Skills
- Team coordination experience
- Emergency response training
- Vessel traffic services
Accomplishments
Accomplishments
- Compliment calls
- Bonuses
- continuing education
- high audit scores
- promoted
Certification
N/A
CUST
- Willing to relocate: Anywhere
- Authorized to work in the US for any employer
- Act 34, Act 33, Act 31, Act 73 all completed.
Timeline
Navigator Marriott Account
Cigna
09.2023 - Current
CSA-Customer service advocate
Cigna
07.2022 - 09.2023
PSR - Patient Service Representative
UPMC
11.2020 - 07.2022
Administrative assistant/Office Manager Assistant
SMA Deer Lakes Medical
09.2011 - 11.2020
Massage Therapist/PT aide/Office Manager
Phoenix Rehabilitation and Health Services
02.2007 - 09.2011
A.K. Valley Chiropractic
05.2002 - 02.2007
Associates - Massage Therapy / Business (License in Massage therapy)
Career Training Academy
High School - undefined
Kiski Area High School
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