Parsanda Keys
Joliet,IL
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management, and problem-solving skills. A hardworking and passionate job seeker with strong organizational skills eager to secure a position. Ready to help the team achieve company goals.
Overview
19
19
years of professional experience
Work History
Peer Advisor Coordinator
RESTON, VIRGINIA, Beacon Health Options
06.2012 - 06.2022
- Funding sources
- Perform reimbursement support functions as project requirements and individual aptitudes allows
- Through knowledge of computer usage
- I am required to update our computer systems on patient enrollment,
- Denials, withdrawals, shipments, and caller requests
- Actively participate in ITC and client processes to ensure work is completed in timely, efficient, high quality manner, and performance measures are met
- Transfer calls to program associates, lead associates or operations managers and refer callers to other entities when appropriate.
Advisor, Client Service Representative
American Collection Enterprise Inc
01.2009 - 03.2012
- Responsible for ensuring that the Peer, appeals process is efficiently administered according to regulatory, accreditation, and contractual requirements
- Includes responsibility for creating accurate Peer Advisor records and communicating results with providers and members through written and verbal communication
- Providing clients with prompt resolution of any complaints
- Process all mail, email and fax correspondences
- Demonstrate excellent verbal and written skills
- Understands medical terminology, Act as client/company liaison in regard to debt collections, correspondence and reporting
- Managed 35 client accounts and addressed issues and concerns with collections and adjustments
- Perform all duties in compliance with account management collection policies and procedures
- Providing clients with prompt resolution of any complaints
- Provide validation of debts to debtors when received from clients
- Process all mail, email and fax correspondences
- Post payments reported by the client
- Daily interaction with attorneys , FBI, Asis agency, Military, Mortgage loan companies etc; via mail, phone and fax to verify accounts placed in collections
- Process collectors insurance submissions reporting
- Review collectors accounts for corrections and errors
- Propose and prepare settlement offers from attorney or the debtor to the clients for their acceptance or counter offer
- Run daily work-map reports on all 35 client s accounts for any issues that need to be addressed
Program Specialist
Covance
12.2007 - 11.2008
- Responsible for supporting the operations of intelecenter programs including, but not limited to, reimbursement, Hotlines, patient assistance programs, safety surveillance programs and compliance programs; main focus and Priority is to provide excellent customer service to the patients or providers who require assistance to access our Product(s)
- Screen and process patient assistance applications by determining eligibility and making outbound follow up calls as necessary
- Respond to inquiries regarding pap operations and requests, such as status of patient enrollment status, product shipments, and returns
- Also work with distributors and manufacturers to request and track product shipment
- Respond to phone call inquires, fax, and email requests from customers, who might include physicians and their staff, hospital staff, pharmacists, patients, distributors , Members and clients sales forces
- Conduct outbound calls and respond to inbound inquiries to increase patient s compliance with treatment
- Monitor protocols and product safety
- Respond to inquiries regarding third-party payment
- Research reimbursement cases and relay results to customers
- Conduct insurance verifications, facilitating the prior authorization process on behalf of customers, and perform reimbursement case management to identify insurance and alternative
Surgery Scheduler/ Insurance Pre
Virginia Spine Institute
12.2006 - 12.2007
- Schedule and confirm patient diagnostic appointments, surgeries and medical consultations
- Greet visitors, ascertain purpose of visit, and direct them to appropriate staff
- Operate office equipment such as voice mail messaging systems, and use word processing, spreadsheet, and other software applications to prepare reports, invoices, financial statements, letters, case histories and medical records
- Complete insurance and other claim forms
- Answer telephones, and direct calls to appropriate staff
- Interview patients to complete documents, case histories, and forms such as intake and insurance forms
- Receive and route messages and documents such as laboratory results to appropriate staff
- Compile and record medical charts, reports, and correspondence, using typewriter or personal computer
- Transmit correspondence and medical records by mail, e -mail, or fax
- Maintain medical records, technical library and correspondence files
- Submit workers comps request for authorization
- Correspond with insurance companies
- Knowledge of ICD-9 and CPT codes
Operating Room and Anesthesiologist Technician
St. Joseph Medical Center
03.2003 - 03.2006
- Maintain a proper sterile field during surgical procedures
- Count sponges, needles, and instruments before and after operation
- Wash and sterilize equipment using germicides and sterilizers
- Monitor and continually assess operating room conditions, including patient and surgical team needs
- Clean and restock operating room, gathering and placing equipment and supplies and arranging
- Instruments according to instructions, such as a preference card
- Operate, assemble, adjust, or monitor sterilizers, lights, suction machines, and diagnostic equipment to ensure proper operation.
Education
CERTIFIED NURSE - undefined
ASSISTANT
BAY SPRINGS VOCATIONAL SCHOOL
SPRINGS MS 39422 - undefined
OLYMPIA C OLLEGE
undefined
BURR
Skills
- Mental Illness Treatment
- Peer Support
- Departmental Relationships
- Coping Mechanisms
- Peer Interaction
- Group Sessions
- Skill Development
- Empathetic Listening
- Crisis Intervention
- Emotional Support
- Client Inquiries
- Treatment Documentation
- Coordinating Files
- Client Needs Assessment
- Positive Reinforcement Strategies
- Document Coordination
- Abuse Identification
- Client Correspondence
- HIPAA Requirements
- Financial Records
- Therapy and Counseling
- Advisories
Timeline
Peer Advisor Coordinator
RESTON, VIRGINIA, Beacon Health Options
06.2012 - 06.2022
Advisor, Client Service Representative
American Collection Enterprise Inc
01.2009 - 03.2012
Program Specialist
Covance
12.2007 - 11.2008
Surgery Scheduler/ Insurance Pre
Virginia Spine Institute
12.2006 - 12.2007
Operating Room and Anesthesiologist Technician
St. Joseph Medical Center
03.2003 - 03.2006
CERTIFIED NURSE - undefined
ASSISTANT
BAY SPRINGS VOCATIONAL SCHOOL
SPRINGS MS 39422 - undefined
OLYMPIA C OLLEGE
undefined
BURR
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