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
10
10
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Ascension Group LLC
Austin, TX
08.2021 - 03.2024
Supporting pharmacological services by assembling, stocking, and distributing medications. Maintain records by recording and filing the prescriptions and orders of physicians. Sorting, stocking, and labeling medications and monitoring inventory. Also, respond to the requests of patients and healthcare providers, answering their questions and referring various inquiries to the pharmacist. Complying with rules, regulations, and procedures to help maintain a clean and safe pharmacy, such as by sterilizing equipment and surfaces.
Map Welding
MasTec Advanced Technologies
Giddings, TX
03.2019 - 07.2021
Gather all pipe information. Fabrication must be followed and documented. Collecting and interpreting data. Reporting the results back to the relevant members of the business. Identifying patterns and trends in data sets. Working alongside teams within the business or the management team to establish business needs. Defining new data collection and analysis processes.
Credentialing Specialist & PDM
Centene Corporation
Austin, Texas
12.2016 - 03.2019
Process, track, and file credentialing applications within established standards. Credential and re-credential various providers, including physicians, healthcare delivery organizations, or pharmacies, according to applicable specifications. Maintain and update the credentialing database. Also, create and maintain multiple databases, including contract provider network, prior authorization, third party liability, provider set-ups, and related corrections. Verify all incoming documents submitted from the Practitioner or the Provider. Update delegated provider Medicare and Medicaid documents on a monthly basis, and ensure state compliance.
Medical Coder & Enrollment Specialist
MAP Health Management, LLC
Austin, Texas
05.2014 - 11.2016
Performed billing issues by answering questions to determine and recommend how outstanding accounts should be processed and provides follow up when necessary, maintain patient confidentiality, and follow guidelines as outlined by HIPAA. Submit medical records when needed. Communicates with internal personnel, third-party payors, employer groups, and attorneys to obtain correct patient account information. Maintained and managed six substance abuse facilities with a capacity of up to seventy-five patients and completed all follow-up work. Medical coding duties included coding and billing ICD-9, ICD-10, CPT Codes, HCPCS Codes, and Revenue Codes for psychiatry, behavioral health, substance abuse, and family practice.
Sterile Processing Supervisor/Certified Sterile Processing Technician at Ascension Medical GroupSterile Processing Supervisor/Certified Sterile Processing Technician at Ascension Medical Group