Work History
Education
Skills
Certification
Timeline
Generic

Malaret Patterson

Healthcare
Tucson,AZ

Work History

Sales Assistant

WellCare/Centene
Winter Haven, FL
08.2019 - 05.2022
  • Support Manager of Medicare Sales, and 8-10 Medicare Sales Representatives
  • Create and organize processes to complete administrative tasks and projects including Medicare/ Medicaid Enrollment processing
  • Collaboration with other teams and departments to resolve Sales concerns
  • Obtains necessary information according to accreditation guidelines
  • Prepares pending files by utilizing appropriate templates
  • Fielded customer questions to share information about products, availability, and pricing
  • Helped customers locate products and checked store system for merchandise at other sites
  • Researched new clients for sales team, inputting contact information into Salesforce
  • Prepared PowerPoint presentations and Word documents for sales presentations
  • Gathered and prepared sales materials in preparation for sales meetings
  • Answered customer questions about products and services, helped locate merchandise, and promoted key items
  • Listened to customer needs and desires to identify and recommend optimal products
  • Developed strong rapport with customers and created positive impression of business
  • Informs Clinical and Sales Teams of referrals and updates them on status of case
  • Track enrollments, RFI issues or concerns, Reports daily sales
  • Assign appointments in Salesforce.
  • Create and Order material flyers, business cards
  • Confirming status of sales and helping resolve customer complaints regarding ID cards, address update, and PCP change
  • Provider credentialing lookup (In Network)
  • Supports Provider Relations Field Reps to resolve claims and payment issues
  • Responds to phone and e-mail inquiries from internal and external customers in regard to sales/service issues
  • Process orders in timely manner through (UPS, FedEx)
  • Provides support during enrollment process, MBI look up
  • Verifies insurance eligibility prior to processing order
  • Worked independently with minimal supervision

Provider Operations Coordinator/Data

WellCare
Winter Haven, FL
05.2019 - 08.2019
  • Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately
  • Supports Provider Relations Field Reps to resolve claims and payment issues
  • Answers incoming telephone inquiries from providers and assist with problem resolution of issues
  • Root cause analysis of operational and health services issues
  • Reviews and processes incoming and outgoing paperwork
  • Including directory updates
  • Provider credentialing applications
  • Contract maintenance forms and other related forms
  • Tracks new contracts through sidewinder
  • Audits configuration loads on new contracts
  • Researched and recommended process improvements designed to mitigate operational and financial risk
  • Supported creation of detailed, technical financial models to value potential acquisition targets
  • Helped solve diverse program problems with in-depth analysis
  • Performed system analysis, documentation, testing, implement user support for platform transitions
  • Analyzed program data to provide input for key decision making strategic planning
  • Validated results and performed quality assurance to assess accuracy of data
  • Generated reports detailing finding recommendations
  • Reviewed performance benchmarks established metrics for future tracking
  • Gathered, organized input information into digital database
  • Documented procedures business processes shared information with appropriate stakeholders.
  • Reviewed financial reports each day and investigated variances with accounting staff to keep records accurate.
  • Performed statistical analyses to gather data for operational and forecast team needs.
  • Collaborated with area managers to evaluate needs and optimize operational plans.
  • Scheduled meetings for senior management team and booked conference rooms.
  • Reviewed financial reports each day and investigated variances with accounting staff to keep records accurate

Data Entry Specialist

USAP
Maitland, FL
02.2015 - 05.2019
  • Complete all assigned data entry requests/tasks within required timeframes while maintaining high level of quality
  • Entry and verify data that have been uploaded
  • Check data accuracy in certain departments/systems
  • Check error data and investigate from source
  • Verify insurance eligibility and healthcare claims including ICD-10 and CPT codes using FHMG hospital systems
  • Keep and maintain entry equipment such as computer, printer, and copying machine
  • Record data of customers in period of time
  • Check health insurance to make sure accuracy
  • Trainer/Compliance teams
  • Reviewed and updated client correspondence files and database information to maintain accurate records.
  • Managed documents by organizing forms, making photocopies, filing records, preparing correspondence, and creating reports.
  • Managed workflow scheduling, data entry, and accuracy verification for large data projects.
  • Identified data entry errors and reported to necessary departments.
  • Corrected data entry errors to prevent duplication or data degradation.
  • Evaluated source documents to locate needed information.
  • Built and maintained tracking databases for variety of measuring aspects.
  • Organized, sorted, and checked input data against original documents.
  • Followed established procedures to enter and process data correctly.
  • Created and maintained data entry logs to track data entry activities.
  • Secured and protected data from unauthorized access by complying with security protocols.
  • Entered data into various computer systems accurately using Microsoft Office Suite.
  • Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately
  • Performed various administrative functions, including filing paperwork, delivering mail, sorting mail, office cleaning and bookkeeping
  • Assured timely verification of insurance benefits
  • Accurately inputted all patient and insurance information into company's computer system
  • Reviewed patient cases per week and verified insurance coverage information
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures
  • Determined appropriateness of payers to protect organization and minimize risk.
  • Works independently
  • Corrected data entry errors to prevent later issues such as duplication or data degradation.
  • Scanned documents and saved in database to keep records of essential organizational information.

Trainer

TSC Solutions
Rockledge, FL
02.2012 - 01.2014
  • Train new customer service representatives /sales/outbound/inbound -Managing schedules -
  • Fixing web-clocks -Applying PTO/ call-outs/ Holiday Pay -Floor changes (moving agents do different areas) Daily use of MS Excel, MS Word, TCM, TCS, and Power Point -Trained New Hire
  • Classes on Workforce presentation -Knowledge of back end of CCA for reporting and gathering data
  • Watching representatives to avoid work avoidance -Perfect Attendance -
  • Managed over 500 representatives -Managed attendance of call center -Managing floor when Manager
  • Out -Daily use of outlook -Quality Assurance/Metrics/Guidelines
  • Gathered and organized supplementary material to support structured lessons
  • Tracked attendance and progress against goals for each participant.
  • Mentored new hires, resulting in stronger staff development and increased productivity.
  • Performed continuous evaluations of content and plans to enhance delivery and improve effectiveness.
  • Scheduled and taught in class and online courses to increase learning opportunities.
  • Tracked attendance and evaluated progress for assigned trainees.
  • Implemented diverse instructional methods, optimizing trainee engagement.
  • Developed effective training plans based on department needs and objectives.
  • Introduced standardized training for cohesive learning environments.
  • Recruited and trained new members of guest service team.
  • Educated clients on proper use of products and systems.

Human Resources Assistant

TSC Solutions
Rockledge, FL
02.2010 - 03.2012
  • Recruiting candidates -Interview candidates -Drug test new/current employees -Responsible for
  • I-9 documentation -Set-up/Track Inventory of Benefits Materials -Knowledge of HR Principles &
  • Legal Requirements
  • Edited drafts created from speech recognition software
  • Determined information to be included in reports
  • Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures
  • Attentively listened to recorded materials, transcribing it verbatim
  • Corrected grammar, spelling and syntax mistakes
  • Transcribed sensitive documents with complete confidentiality
  • Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system
  • Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
  • Organized new employee orientation schedules for new hires.
  • Delivered friendly assistance with new hires throughout interviewing and hiring process.
  • Filed paperwork, sorted, and delivered mail and maintained office organization.
  • Screened applicant resumes and coordinated both phone and in-person interviews.
  • Conducted new hire orientation to verify completion of appropriate paperwork, recording information on human resources database.
  • Answered and redirected incoming phone calls for office.
  • Created and completed personnel action forms for hires, terminations, title changes and terminations.
  • Checked references for potential candidates.
  • Assisted with creating employee handbooks and manuals.
  • Processed documentation for employee actions such as new hires, grievance resolutions and terminations.
  • Set up orientations and initial training for new employees.

Medical Transcriptionist

Holmes Regional Medical Center
Melbourne, FL
12.2004 - 02.2012
  • Correctly transcribe report using Dictaphone from physicians
  • Corrected grammar, spelling and syntax mistakes
  • Transcribed sensitive documents with complete confidentiality
  • Attentively listened to recorded materials, transcribing it verbatim
  • Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system
  • Determined information to be included in reports
  • Edited drafts created from speech recognition software
  • Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures
  • Expertly transcribed medical reports for variety of physicians in hospital setting
  • Translated medical jargon into correct terminology
  • Submitted electronic/paper claims documentation for timely filing
  • Checked patient records to verify information accuracy
  • Entered transcribed materials into electronic health records system
  • Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data
  • Maintained compliance with legal and medical requirements, internal protocols and oversight committee standards
  • Maintained strict patient and physician confidentiality
  • Demonstrated outstanding communication skills in dealing with physicians
  • Reviewed documentation for compliance with requirements and accuracy of information
  • Demonstrated excellent skills to understand diverse accents and dialects.
  • Attended training associated with role to improve skills and boost speed.
  • Assisted in maintenance of medical charts and/or electronic medical record filing, Op Reports, test results and home care forms.
  • Followed all HIPAA rules and regulations regarding patient confidentiality.
  • Recorded information using word processing, dictation and transcription software and equipment.
  • Corrected grammar, spelling and syntax mistakes in medical records.
  • Translated medical jargon into correct terminology.
  • Performed qualitative analysis of records for accuracy, internal consistency and correlation of recorded data.
  • Worked cohesively with physicians and other clinical staff to complete transcriptions.

Customer Service Representative

TSC Solutions
Rockledge, FL
02.2010 - 03.2010
    • Assisted customers with billing, payments, new orders, and escalated issues-Chat department (assisted customers via chat)-Operated CCA, Quick-tel, H20, and Viper-Set up new customer accounts-
    • Team Player.
    • Responded to customer requests for products, services, and company information.
    • Updated account information to maintain customer records.
    • Offered advice and assistance to customers, paying attention to special needs or wants.
    • Provided primary customer support to internal and external customers.
    • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
    • Answered customer telephone calls promptly to avoid on-hold wait times.
    • Answered constant flow of customer calls with minimal wait times.
    • Participated in team meetings and training sessions to stay informed about product updates and changes.
    • Processed customer service orders promptly to increase customer satisfaction.
    • Handled customer inquiries and suggestions courteously and professionally.
    • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
    • Clarified customer issues and determined root cause of problems to resolve product or service complaints.
    • Analyzed customer service trends to discover areas of opportunity and provide feedback to management.
    • Tracked customer service cases and updated service software with customer information.
    • Educated customers about billing, payment processing and support policies and procedures.
    • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
    • Investigated and resolved customer inquiries and complaints quickly.

Non-Invasive Cardiology Technician

Health First's Holmes Regional Medical Center
Melbourne, FL
10.2000 - 12.2004
  • Examined patients for symptoms indicative of heart disorders using medical equipment-
  • Schedule appointments/surgeries-Performed stress test-Monitor patient vitals and heart rate-
  • Performed signal average, Holter monitors, Event monitors
  • Direct calls through to appropriate areas-Assist with recalls-Secretarial Duties, data entry-Able to track all employees pay sheets-Assist with inbound/outbound calls.
  • Updated account information to maintain customer records.
  • Answered constant flow of customer calls with minimal wait times.
  • Contributed to diagnosis of pulmonary disorders by evaluating patient pulmonary systems using spirometers and other respiratory testing equipment.
  • Conducted electrocardiogram, echocardiogram, phonocardiogram and stress tests by using electronic test equipment and recording devices.
  • Tracked findings of procedures such as EKGs using manual and automated recording devices

Education

High School Diploma -

Cocoa High School
Cocoa, FL
08.1988 - 1991.02

Dipolma - Cardiology Tech

Health Care Dimensions
Palm Bay, FL
03.2003 - 02.2004

Skills

Medical recordsundefined

Certification

CPR Certification

Timeline

Sales Assistant

WellCare/Centene
08.2019 - 05.2022

Provider Operations Coordinator/Data

WellCare
05.2019 - 08.2019

Data Entry Specialist

USAP
02.2015 - 05.2019

Trainer

TSC Solutions
02.2012 - 01.2014

Human Resources Assistant

TSC Solutions
02.2010 - 03.2012

Customer Service Representative

TSC Solutions
02.2010 - 03.2010

Medical Transcriptionist

Holmes Regional Medical Center
12.2004 - 02.2012

Dipolma - Cardiology Tech

Health Care Dimensions
03.2003 - 02.2004

Non-Invasive Cardiology Technician

Health First's Holmes Regional Medical Center
10.2000 - 12.2004

High School Diploma -

Cocoa High School
08.1988 - 1991.02
Malaret PattersonHealthcare