Dedicated professional with several years of experience in medical care management. Looking to expand opportunities and skills with a reputable health system.
Overview
3
3
years of professional experience
Work History
Senior Customer Service Representative
Lincare
Blasdell , NY
02.2021 - Current
Works directly with medical professionals and physicians to facilitate patient care.
Contacts payers for prior authorization initiation and followup.
Initiates the review/appeals process on disputed prior authorizations.
Pursues, maintains, and communicates medical coverage/guideline changes/updates.
Helps facilitate interoffice communication on error and denial trends.
Thoroughly documents all activity in patient's medical record.
Actively participates in the training of customer service personnel including new hires.
Education
High School Diploma -
Forestville Central High School
Forestville, NY
06-2009
Some College (No Degree) - Communication Studies
Edinboro University of Pennsylvania
Edinboro, PA
Skills
Diligently adheres to all protocols to maintain HIPPA compliance
Knowledgeable with health insurance and medical terminology
Experience with computer systems and Microsoft applications
Strong organizational skills
Effectively communicates with co-workers and patients
Successfully manages inbound fax and phone volume
Monitors staff productivity and coaches on improvement when necessary
Conveys a positive professional image to patients and providers
Able to maintain composure in high pressure situations