Summary
Overview
Work History
Education
Skills
Timeline
Generic

MONETTE FARRAR

Ellicott City,Maryland

Summary

A highly experienced individual seeking a position within the healthcare setting to exhibit my medical terminology knowledge, hands on experience, and versatility in the medical field.

Overview

19
19
years of professional experience

Work History

Provider Web Support Specialist

Provider Web Support Specialist
01.2012 - 01.2021
  • Assists providers with registering accounts online to obtain claim information, EOBs, member benefits and copay information
  • Properly diagnose problems and guides users through problem resolution
  • Provided account management to all new and incoming providers
  • Provided technical support and instruction to all staff members
  • Troubleshoot issues and problems by coordinating maintenance within CWS and related equipment and software
  • Support clients by focusing on their application and technical web related issues
  • Help clients by troubleshooting problems and finding resolutions
  • Assisted with product testing on behalf of XL Health
  • Assisted other team members with resolutions requirements

Provider/Member Service Specialist

XL HEALTH CORPORATION
01.2010 - 01.2012
  • Solely provided claim status to members and providers
  • Retrieved deductible and co-pay information for new patients
  • Mailed HIPAA certification, updating enrollment and termination information
  • Provided benefits for par and non-par providers
  • Responded to claims and health services requests to set up PNOF's for Claims, RAF's and TAR's for all lines of business
  • Assisted the finance department with returned EOP's and checks by researching new mailing addresses for providers and updating systems
  • Provided an elevated customer experience to generate a loyal clientele
  • Addressed an average of 80 customer inquiries and complaints each week
  • Followed up with customers on unresolved issues
  • Reported policy changes and company conditions affecting customer satisfaction

Disease Management Coordinator

NATIONWIDE BETTER HEALTH
01.2002 - 01.2010
  • Handled multifaceted clerical tasks as administrative support to the Disease Management Nursing team
  • Coordinated telephone interviews with patients and entered their information into a patient database to be assessed by the nursing team
  • Communicated effectively with multiple departments
  • Worked with facility personal to establish care strategies for chronic diseases that are prevalent in the community
  • Planned and developed, as well as implement and direct, a program that provides services for disease management
  • Coordinated a database of statistics and narratives for tracking progress and efficacy of treatments and program outcomes
  • Oversaw educational literature for patients and for staff
  • Developed and led outreach to the community through lectures, health fairs, and other public events
  • Provided direct patient care within the parameters of the program you have developed
  • Educated and trained staff in new methods of approach for chronic disease management

Education

Some college courses -

COMMUNITY COLLEGE OF BALTIMORE COUNTY
Essex, Maryland

High School Diploma - Business Administration

Southern Senior High School
Baltimore, MD
06.2001

Skills

  • Website Maintenance
  • Web Analytics
  • Quality Assurance Testing
  • Web Accessibility
  • Web development
  • Customer Service
  • Problem-Solving
  • Attention to Detail
  • Problem-solving abilities
  • Microsoft Windows and Office
  • Multitasking
  • Excellent Communication
  • Organizational Skills
  • Network support
  • Effective Communication
  • Remote Technical Support
  • Help Desk Support
  • Customer Support

Timeline

Provider Web Support Specialist

Provider Web Support Specialist
01.2012 - 01.2021

Provider/Member Service Specialist

XL HEALTH CORPORATION
01.2010 - 01.2012

Disease Management Coordinator

NATIONWIDE BETTER HEALTH
01.2002 - 01.2010

Some college courses -

COMMUNITY COLLEGE OF BALTIMORE COUNTY

High School Diploma - Business Administration

Southern Senior High School
MONETTE FARRAR