Summary
Overview
Work History
Education
Skills
Additional Information
Languages
Timeline
Generic

Olenka B Greenoe

Palm Harbor,FL

Summary

Personable Treatment Coordinator with strong background in dental health advocacy. Trained in closing treatment plans made by oral surgeons and helping patients determine which treatments are best for individual dental needs. Excellent knowledge of basic and advanced dental terminology and comfortable presenting dental information to patients.Manages multiple tasks and works through interruptions.

Overview

10
10
years of professional experience

Work History

Treatment Coordinator

Coastal JAW Surgery
Palm Harbor, FL
10.2022 - Current
  • Created customized treatment plans for patients based on individual needs.
  • Provided support to clinical staff with insurance verification and authorization processes.
  • Resolved any issues related to payment discrepancies or denials in a timely manner.
  • Maintained communication with healthcare providers regarding referrals and authorizations.
  • Provided guidance to patients about their financial responsibility for services rendered.
  • Coordinated the delivery of care between various departments within the facility.
  • Provided education and resources to help patients understand their treatment options.
  • Conducted financial consultations with patient and set up payment plans.
  • Made appointments, contacted patients for follow-ups, coordinated with insurance companies and handled billing issues.
  • Managed patient scheduling, appointment reminders, and follow-up calls.
  • Completed insurance verifications and claim forms for patient intake and processing.
  • Demonstrated flexibility during changes to patient care practice.
  • Received and routed care team messages and documents to appropriate staff.
  • Compiled and maintained medical charts and reports in complex digital databases.
  • Scheduled evaluations and procedures for patients.
  • Liaised effectively with patients, doctors and staff members, assessing medical charts and promoting high level of communication and interaction.

Provider Correspondence

Humana
WFH, FL
03.2022 - Current
  • Perform, research, analyze documentation, and interprete for the provider reimbursement programs for an organization that provides health insurance. Update, maintain, and review fee scheduling and pricing structures.
  • Ensure contracted rates and reimbursement policies are priced and applied accurately. Perform varied activities and moderately complex administrative/operational/customer support assignments, and performs computations.
  • Work on semi-routine assignments. Perform, research, analyze documentation, and interprete for the provider reimbursement programs for an organization that provides health insurance. Update, maintain, and review fee scheduling and pricing structures.
  • Ensure contracted rates and reimbursement policies are priced and applied accurately. Perform varied activities and moderately complex administrative/operational/customer support assignments, and performs computations. Work on semi-routine assignments.
  • Skills: Insurance Claims · Claim Investigation · Claims Administration System CAS · Medicare and Commercial Knowledge · Metavance · MHK

Bilingual Customer Service Representative

Humana
WFH, Florida
11.2020 - 03.2022
  • Currently working under Humana as an Inbound Contacts Representative 2. My positions addresses customer needs, which may include acting on complex benefit needs, resolving grievances, and educating members.
  • As a Humana representative, we document member inquiries and resolutions in accordance with Centers for Medicare and Medicaid compliance criteria.
  • Position entails in receiving calls, making outbound calls, resolving grievances, and, when necessary, following our escalation protocol to address member needs.
  • In the handling of organization/coverage determinations, grievances, and appeals, I would adhere to CMS mandates.
  • Knowledge of technology, systems, and platforms experience. Strong computer skills and the ability to use multiple systems and applications at the same time.
  • Proficient in Microsoft Office applications such as Word, Excel, Outlook/WebEx, Skype, and the use of collaborative platforms for network sharing such as SharePoint and Teams.
  • Experience with vendor applications such as Salesforce and department CRM platforms.

Administrative Assistant

Albany Engineering Corp.
Salt Lake City, UT
09.2016 - 12.2019
  • Answered calls to answer customer questions.
  • Contacted customers via phone and email to confirm deliveries and follow up with inquiries.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Improved customer satisfaction by finding creative solutions to problems.
  • Recognized by management for providing exceptional customer service.
  • Learned to answer phone lines and work the computer system provided by Albany.
  • Handled all delegated tasks, including taking orders for Boeing and making arrangements for Boeing to pick up airplane parts from our company.
  • Earned reputation for good attendance and hard work.
  • Directed customer communication to appropriate department personnel and provided information to resolve inquiries and bolster customer satisfaction.
  • Revised and maintained master calendar to coordinate meetings across multiple time zones.
  • Opened, read and replied to e-mails, letters and correspondence on behalf of executives.
  • Screened phone calls for executives to instantly identify priority clients and filter out spam calls.
  • Managed daily invoices, reports and proposals.
  • Obtained signatures for financial documents and internal and external invoices.

Front Desk Receptionist

Himawari School Age Program
Okinawa, Japan
08.2013 - 10.2015
  • Implemented updated online collection procedures for payment.
  • Improved office efficiency, managing client correspondence, record tracking and data communications.
  • Resolved customer issues quickly and escalated critical problems immediately to manager.
  • Sorted incoming mail and disseminated all correspondence to applicable departments.
  • Pleasantly welcomed visitors, answered phone calls and maintained front reception desk.
  • Elevated customer satisfaction ratings by resolving issues for speedy resolution.
  • Answered daily phone calls on multi-line phone system and transferred calls to appropriate line.
  • Answered phone calls by and asked appropriate questions to determine which department or staff member could be of service.
  • Handled all incoming calls and directed callers to appropriate department or employee.
  • Managed director's calendar and prepared meeting agenda and materials.
  • Created PowerPoint presentations used for diverse business needs.
  • Opened, read and replied to e-mails, letters and correspondence on behalf of executives.
  • Screened phone calls for executives to instantly identify priority clients and filter out spam calls.
  • Tracked completion of key deliverables to consistently meet deadlines.

Education

Associate of Arts -

St. Petersburg College
Clearwater, FL

Bachelor of Arts - Project Management

St.Petersburg College
St.Petersburg, FL

Associate of Science - Ultrasound

Keiser University
Fort Lauderdale, FL

Skills

  • Dental Insurance Expertise
  • HIPAA Compliance
  • Appointment Scheduling
  • Expertise of Payment Plans
  • Secretarial Duties
  • Patient Care Coordination
  • Office Administration
  • Insurance Verification
  • Claims Processing
  • Scheduling
  • Proficient in Excel,Word, WinOMS etc
  • Critical Thinking Skills
  • Attention to Detail
  • Creative Problem-Solving
  • Customer Service
  • Verbal and Written Communication
  • Organizational Skills
  • Documentation

Additional Information

Fluent in English/Spanish

Languages

Spanish
Native/ Bilingual

Timeline

Treatment Coordinator

Coastal JAW Surgery
10.2022 - Current

Provider Correspondence

Humana
03.2022 - Current

Bilingual Customer Service Representative

Humana
11.2020 - 03.2022

Administrative Assistant

Albany Engineering Corp.
09.2016 - 12.2019

Front Desk Receptionist

Himawari School Age Program
08.2013 - 10.2015

Associate of Arts -

St. Petersburg College

Bachelor of Arts - Project Management

St.Petersburg College

Associate of Science - Ultrasound

Keiser University

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Olenka B Greenoe