Authorized to work in the US for any employer Highly-motivated employee with a desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised, or supervised and quickly mastering new skills.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Benefit Advocate
MyPlanAdvocate
Salt Lake City, UT
07.2022 - Current
I aided member and prospects review health care plan options
I help them evaluate their needs
against the services and coverage they are eligible to receive
I specialized in medicare advantages plan
and Prescription drug plan by obtaining doctors, pharmacy, and or prescription drug list help people
understand their options for prescription drug, vision, and dental policies.
Insight Global Contractor
Member Services
Huntsville, AL
01.2022 - 07.2022
Contract Position for 6 months
I provide assistance to members with benefits, and locate in network providers, solve collections related issues, and process appeals/grievances
Assist providers with inquiries on behalf of the members with par/nonpar benefits, help calculate member copays/coinsurance, check eligibility, provide status of medical, claims, submit discrepancies, and submit pre-certification,prior/retro authorizations.
Vaccination Scheduler
MAXIMUS FEDERAL SERVICES LLC
Reston, VA
04.2021 - 08.2021
Contract position for 4 months
Provide knowledgeable responses to numerous telephone inquiries in a courteous- timely- and professional manner about Covid 19 Vaccination; Help find the most up-to-date- reliable, consistent, and science-based health information on more than 750 health topics- including COVID-19; Utilize databases and written materials to look up and provide information to telephone inquiries; Maintain appropriate documentation of phone inquiries
Scheduled and confirmed appointments.
Entered information into system to update status reports.
Medical Registrar
Mizell Memorial Hospital
OPP, Alabama
11.2020 - 04.2021
Pleasantly welcomed visitors, answered phone calls and maintained front reception desk.
As a interact with customers to handle complaints, process physicians’ orders, and provide information about an organization’s services to patients
I collect verified patient information and verifying insurance, scanned physician orders, insurance cards, driver’s licenses, social security cards, and other private information
While working the patient registration, I handle admissions to hospitals either direct, triaged timed, or admit orders
I am also responsible for gathering copay for pre-registered appointments, such as x-ray, lab, nuclear meds, respiratory
Whether it is ensuring the patient has proper instructions for COVID-19 testing, getting patients registered for Covid-19 vaccinations, or checking on sick family members
Facility Access Screen provide staff, providers, patients, visitors, and vendors with daily access stickers allowing access for a 24 hour period.
Check the temperature of visitors and patients, and patient registration for the emergency room.
Customer Service Representative/Call Center
Sitel
Andalusia, AL
10.2014 - 10.2017
On-Site & Work from Home
I interacted with customers for internet service providers
I provided the customer with knowledge about
products and services
I also took orders for new customers, and upgrade Services for the existing
customers
I responded to customer complaints, escalations calls, and processed refunds or credits onto
customer accounts.
Administrative Assistant
US Army
Hunstville, Al , United States
07.2010 - 07.2016
I answer telephones and transfer to an appropriate staff member, create and modify documents using
Microsoft Office, Excel perform general clerical duties to include but not limited to: assisting soldiers with Tricare, photocopying, faxing, mailing, and filing, maintain hard copy of PPI such as medical, dental
Birth certificate and electronic filing system, and performed any other duties as assigned.
Maintained accurate department and soliders records.
Utilized editing programs to proofread content for typo-free emails, memos and documentation.
Education
Associate - Allied Science- Medical Office Administrator
Lurleen B. Wallace Community College
Andalusia
05.2021
High School Diploma -
Andalusia High School
Andalusia, AL
01.2008
Skills
Accounting and bookkeeping
Calculating and determining the accuracy of financial data
Level of motivation and discipline applied toward work
Identifying and resolving common customer issues
Clearly, and concise verbal and written communication
Knowledge of EHR data, associated privacy regulations, and best practices for EHR use
Performing basic computer operations and troubleshooting common problems
Knowledge of various Microsoft Excel features, functions, and formulas
Certification
Certifications and Licenses
Medical Billing and Coding
Advance Health Management Coding Course
Insurance Producer License Medical Coding Certification Life & Health Insurance License
Additional Information
Awards
Army Achievement Medal June 2013 Outstanding performance of duty during annual training 2013.
Afghanistan Campaign Medal November 2012 For direct participation in combat operations in Afghanistan in direct support of operations enduring freedom
Timeline
Benefit Advocate
MyPlanAdvocate
07.2022 - Current
Insight Global Contractor
Member Services
01.2022 - 07.2022
Vaccination Scheduler
MAXIMUS FEDERAL SERVICES LLC
04.2021 - 08.2021
Medical Registrar
Mizell Memorial Hospital
11.2020 - 04.2021
Customer Service Representative/Call Center
Sitel
10.2014 - 10.2017
Administrative Assistant
US Army
07.2010 - 07.2016
Associate - Allied Science- Medical Office Administrator