Logan Coulston

Using appropriate communication skills to talk to members of United Healthcare to answer any inquiries they may have, file and/or retrieve claims, file grievances, locate documents, call their PCPs, or anything else in the nature of their account with UHC, Medicare, and/or Medicaid.

• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
• Documented and detailed calls and complaints using call center's CRM database.
• Detailed payment options and explained price, receipt and billing details to customers.
• Attended telephone skills and program information training sessions to boost aptitude.
• Maintained and managed customer files and databases.
• Sought out extra training opportunities to enhance customer relationship management abilities.

Primary function is sending correspondence to health care providers and processing documents into the electronic medical record via Home Care Home Base software system.

Excellent computer skills. Excellent interpersonal and organizational skills.

Knowledge of scanner/fax/copier equipment. Phone etiquette skills. Ability to take direction with a multitude of tasks, typing ability 40-50 WPM, Knowledge of medical terminology.

Reliable transportation. Valid and current auto liability insurance.

Performs duties in an office environment. Ability to travel locally and some exposure to inclement weather. Ability to work M-F, 8:00 a.m. – 5 p.m. and flexible to perform occasional overtime when needed.

Ability to handle stressful situations in a calm and courteous manner. Working under stressful conditions to meet deadlines and patient needs. Ability to problem solve and apply critical thinking skills.

Essential Functions:

Demonstrates in-depth knowledge of EMR privacy and confidentiality rules and regulations and adheres to HIPAA requirements, state and federal guidelines.

Notifies physician on vital sign alerts in a timely manner

Notifies physician of missed visits in a timely manner

Verifies receipt of signed documents and entry of medical release codes

Process 485 to physicians requiring mail/hand delivery/scan

Process new order to physicians requiring mail/hand delivery/scan

Tracking of 485 and orders and utilization or order tracking notes/process

Review unsigned orders

Follows up on faxes that need resubmission and ensures physician master updated if applicable

Verifies receipt of Notice of Medicare Provider Non Coverage to Client and other applicable patient notifications

Process episode summary reports to physician

Print patient Medication Profiles and send to client

Processes diagnosis clarification to physician timely

Processes medical records request timely and follows up

Answer telephone, scan documents into client medical record

Assist with other duties as required to organize patient visit information and teaching materials

Communicate appropriately with providers, family members and co-workers

Process all workflow timely and correctly under administrative tasks

Process all workflow timely and correctly under communication tasks

Arrives to work on time with no excessive absences

Observance of organizational policies and processes

Ability to communicate effectively with co-workers

Ability to organize effectively

Ability to manage time effectively

Appropriately attired/groomed

Quality and accuracy of work

Responds well to instructions

Performs effectively under stress

Timely completion of duties

Willingness to accept additional assignments

Demonstrates understanding of HCHB software

Ability to adapt to change

Participates in Blitz and Focus on Us meetings

Worked in the box plant dept of Russell Stover. I would send boxes up to the front of the factory, perform constant quality control checks, made sure my machine was running correctly all times, and was quick at stacking and loading pallets of unused boxes for inventory.

• Managed on-site and off-site installation, repair, maintenance, and test tasks.
• Followed safety procedures to avoid injuries in field.