Passionate about promoting lasting customer satisfaction by delivering quality service and unparalleled support. Proficient in customer service best practices and related options.
Overview
22
22
years of professional experience
Work History
Health Program Representative
Anthem Blue Cross And Blue Shield
06.2016 - Current
Duties include handling inbound/outbound enrollment call and engagement calls eligible members to provide information regarding program features
Encourage members to participate in Care Management programs by providing information about the program.
Improved patient outcomes by implementing health education programs and providing resources for community members.
Enhanced program efficiency through the development of streamlined processes for documentation and reporting.
Patient Access/ Clerk
St. Elizabeth's Hospital
01.2010 - 01.2015
Duties include ER registration, insurance verification, outpatient registration, answering phones and attending to patients.
Cashier/ Sales Associate
Macy's
01.2004 - 01.2006
Duties included greeting customers, helping them with their purchases and if needed checking merchandise
Setting up jewelry displays and stocking merchandise.
Automobile Inspector
Autocom. Inc.
01.2002 - 01.2003
Duties included inspecting automobiles for any physical damage before they were transported to auto dealerships.
Education
Medical Assistant Certificate -
CALC, Institute of Technology
Fairview Heights, IL
09.2009
High School Diploma General 3.0 -
Belleville East High School
01.2001
Skills
Microsoft Office
Medical Office Transcription/Keyboarding
CPR/First Aid Certified
HIPAA Compliance
Medical Coding/Billing
Pharmacology
Medical Terminology
Oral and Written Communication
Patient Triage
Phlebotomy
Blood borne Pathogen
Vital signs/ Injections/ Culture
ICD- 9CM / CPT
Ability to recognize, define, spell and pronounce basic medical terms along with human anatomy and physiology
Current HIPAA training and certification, specifically tailored to the individual roles within a healthcare organization
Knowledgeable in windows based software program for all aspects of the medical office environment
Skilled in performing correct billing and follow up procedures for all commercial, managed care, Medicare, Medicaid and government insurance programs
Trained on all applicable billing forms including the CMS - 1500, UB92, UB04, and IDPA2360
Qualified to work in the front office with excellent multi-tasking
Performance measurement
Problem-solving
Effective communication
Teamwork and Collaboration
Multitasking Abilities
Personal Qualifications
Prompt, willing to learn and be trained, follow directions well, meet deadlines, open minded, capable to working with others or by myself, well discipline, good organizational and communications skills, and experience.
Medical Director, Commercial Health Benefits, East Region at Anthem Blue Cross and Blue ShieldMedical Director, Commercial Health Benefits, East Region at Anthem Blue Cross and Blue Shield
Customer Care Rep III/Subject Matter Expert at Elevance Health, Anthem Blue Cross and Blue ShieldCustomer Care Rep III/Subject Matter Expert at Elevance Health, Anthem Blue Cross and Blue Shield