Rachel Stacey
Christopher,IL
Summary
Dedicated and ambitious individual with a strong work ethic and a desire to learn. Effective at working independently or as part of a team to foster collaboration. Seeking a position to continue personal growth and contribute to employer and client success. Current developmental specialist experienced in designing and delivering impactful training programs that drive organizational success. Proven track record of creating engaging content and facilitating dynamic training classes aligned with company objectives. Adaptable to changing business needs and skilled at fostering a collaborative team environment.
Overview
15
15
years of professional experience
Work History
Developmental Specialist
HCSC-Blue Cross & Blue Shield
08.2017 - Current
- Benefits & Eligibility: Taking calls from providers to provide member eligibility and policy benefits and requirements for coverage
- Claims: Taking calls from providers to assist with claims processing information and adjustments. Requires knowledge of systems and policy to correctly adjust and advise the providers
- Peer to Peer Customer Advocate Specialist: Taking calls from providers to assist in scheduling peer-to-peer reconsiderations for the Texas House Bill 3459 as well as completing the necessary follow up based upon the peer-to-peer determination. Requires knowledge of policies and systems to check the requirements and eligibility of each case based on the Texas House Bill guidelines
- Developmental Specialist: Responsible for assisting with development and support of staff by monitoring and auditing job performance, determining developmental needs, providing training and feedback, making suggestions to enhance procedural and corporate trainings.
Reception/ Lab Tech
Christopher Rural Health Planning Corporation
02.2016 - 08.2017
- Receptionist: Checking in patients, entering in patient & insurance info, answering phones, and other office duties
- Lab Tech: Drawing patient specimen, handling and packaging specimens, entering charges/procedure codes and diagnose codes, general cleaning, and transferring lab orders to our outside processing lab, familiar with all personal protective equipment and sterilization
Billing/Reception/Optician
Marion Eye Center & Optical
07.2014 - 02.2016
- Running registers/handling money, answering phones
- Interaction with the general public
- Inventory prep
- Preparing insurance claims
- Measuring and ordering corrective lenses for patients
- Making appointments and entering all of patients required information into our medical system
Reception/ Billing
SIH Medical Services
08.2010 - 07.2014
- Receptionist: Checking in patients, entering in patient & insurance info, answering phones, and other office duties
- Account Rep: Posting payment from insurances & patients, reading EOB’s, sending claims, talking with insurances, correcting claims, running claims through a clearing house, running statements
- Charge Entry: charge entry, located progress notes, some experience in flipping code to correct codes
- Also, cross-trained in NexGen and Practice Partner
Education
Phlebotomy Certification -
John A. Logan College
Carterville, IL02.2017
CNA Certification -
Rend Lake College
Ina, IL08.2007
High School Diploma - General studies
Christopher Community High School
Christopher, IL05.2007
Skills
- Positive attitude
- People skills
- Patience
- Independence
- Organization
- Time management
- Computer proficiency
- Technology familiarity
- Office equipment proficiency
- Collaborative teamwork
- Adaptive learning techniques
- Goal oriented
- Customer service
- Decision-making
- Staff development
- Team building
- Processes and procedures
- Project management
- Public speaking
- Business administration
Accomplishments
- Received a Stellar Achievement Award by creating the Peer to Peer Inventory Team and workflow and maintained our inventory goal with accuracy and efficiency.
- Selected as a lead on the Peer to Peer inventory team and created workflows and training peers to assist with the inventory tasks.
Timeline
Developmental Specialist
HCSC-Blue Cross & Blue Shield
08.2017 - Current
Reception/ Lab Tech
Christopher Rural Health Planning Corporation
02.2016 - 08.2017
Billing/Reception/Optician
Marion Eye Center & Optical
07.2014 - 02.2016
Reception/ Billing
SIH Medical Services
08.2010 - 07.2014
CNA Certification -
Rend Lake College
High School Diploma - General studies
Christopher Community High School
Phlebotomy Certification -
John A. Logan College
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