Dedicated Customer Service Specialist providing skills to prioritize and multi-task in fast-paced working environment. Successfully works as part of team to reach personal and business goals. Known for successfully handling escalated customer support issues.
Overview
13
13
years of professional experience
Work History
Prior Authorization Representative
BroadPath Healthcare
WFH, MI
11.2022 - 11.2023
Provided timely feedback to physicians regarding authorization status.
Analyzed claims data from multiple sources to identify areas of potential cost savings.
Maintained accurate records on all prior authorizations requested, received, and denied.
Processed appeals for denials in accordance with established procedures.
Reviewed prior authorization requests for completeness and accuracy.
Educated customers about the prior authorization process including applicable deadlines.
College Representative
NexRep
WFH, MI
06.2021 - 12.2022
Responded to inquiries from potential applicants via email or phone in a timely manner.
Assisted in maintaining the college website by uploading content related to admission processes, tuition fees.
Updated records of accepted applicants into a database system.
Answered incoming calls from prospective students inquiring about admissions requirements and deadlines.
Responded to inquiries from potential applicants via email or telephone regarding admissions processes, financial aid options and other relevant topics.
Maintained detailed records of customer interactions, transactions and comments for future reference.
Client Service Representative
Pomeroy HEALTHCARE
WFH, MI
12.2019 - 06.2021
Adhered to all applicable laws and regulations while performing job duties.
Demonstrated excellent listening skills and empathy towards customers' needs and concerns.
Performed administrative tasks such as filing documents and responding to emails.
Provided customer service support to clients in a timely and efficient manner.
Maintained customer records in the database system.
Resolved customer inquiries and complaints via phone, email, or other communication channels.
Scheduled appointments for patients using the electronic health records system.
Adhered to HIPAA regulations when handling confidential patient information.
Provided customer service by answering inquiries, resolving complaints, and providing general information to clients regarding healthcare services.
Wellness Coordinator
American House Senior Living Communities
Roseville, MI
03.2018 - 11.2019
Collaborated with healthcare providers to arrange screenings for blood pressure, cholesterol levels.
Provided companionship for elderly clients by engaging in conversation and participating in recreational activities.
Performed light housekeeping tasks related to the client's care such as laundry and changing linens.
Helped maintain the safety of the client's environment by removing hazards such as rugs or furniture that could cause falls.
Transported clients to doctor appointments and other errands using wheelchair accessible vehicles.
Monitored vital signs including blood pressure, temperature and pulse rate.
Assisted with ambulation by providing support during transfers from bed to chair or wheelchair.
Medication Coordinator
Brookdale Assisted Living
Nashville, TN
08.2015 - 12.2017
Performed administrative tasks such as filing, faxing, scanning documents.
Responded promptly to pharmacy inquiries regarding new or refill prescriptions.
Maintained accurate records of patient prescriptions, refills, and renewals.
Verified patient medication orders and reconciled discrepancies with physicians.
Collaborated with other healthcare professionals in order to provide comprehensive care for patients.
Monitored vital signs before administering medications.
Certified Nurse Aide
Camelot Nursing Home
Livonia, MI
05.2011 - 04.2015
Maintained patient records including vital signs, intake and output measurements and other data.
Transported patients safely between locations using wheelchairs or stretchers.
Prepared meals for special diets according to instructions from dietitians or physicians.
Ensured that medical equipment was properly maintained according to safety protocols.
Recorded food and fluid intake and output accurately throughout shift.
Assisted patients with daily activities such as bathing, dressing, grooming and toileting.