Renata Bates
Prattville,AL
Summary
Proactive Care Coordinator excited to transition into a new position where superb leadership and clinical coordination abilities can be utilized. Skilled in task delegation, data abstractor,staff recruitment and scheduling. Committed to ensuring staff is compliant with all safety and health standards and protocols.
Overview
14
14
years of professional experience
2
2
years of post-secondary education
Work History
Care Coordinator
PlushCare
Remotely
06.2023 - 08.2024
- Used company software and databases to maintain records of services performed and patient conditions.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Answered incoming calls, scheduled appointments and filed medical records.
- Verified patient insurance eligibility and entered patient information into system.
- Greeted and assisted patients with check-in procedures.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Organized patient records and database to facilitate information storage and retrieval.
- Maintained confidentiality of patient data and condition to safeguard health information.
- Worked closely with patients to deliver excellent and direct individualized patient care.
Licensed Healthcare Agent ( AEP)
PeopleShare
Remotely
08.2022 - 05.2023
- Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
- Developed sales leads from direct referrals, networking and targeted marketing campaigns.
- Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
- Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
- Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
- Researched and identified potential new markets.
Patient Rx Coordinator (contract)
Truepill
Remotely
02.2020 - 08.2022
- Entered data, generated reports, and produced tracking documents.
- Set priorities and problem-solved workflow issues to maintain rapport with customers and managers.
- Gathered and organized materials to support operations.
- Used job-related software to draft and finalize written correspondence and documentation.
- Improved office operations by automating client correspondence, record tracking and data communications.
- Verifying insurance coverage for prescribed medications.
- Working with insurance companies to obtain approval for medications when necessary.
- Ensuring that prescriptions are complete and accurate.
- Verifying patient information and insurance details.
Customer Service Specialist (contract)
Molina Healthcare
Remotely
01.2018 - 02.2021
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
- Took payment information and other pertinent information such as addresses and phone numbers to place orders.
- Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
- Updated account information to maintain customer records.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Actively participated in team meetings and professional development workshops, continuously seeking opportunities to enhance skills and provide exceptional customer service.
- Monitored quality assurance metrics regularly, identifying opportunities for personal growth and development within the role.
- Responded proactively and positively to rapid change.
- Met customer call guidelines for service levels, handle time and productivity.
Member Service Representative
United Healthcare
Remotely
06.2015 - 01.2018
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Handled complaints with prompt, courteous service to uphold professional reputation.
- Verifying the eligibility of the patient, checking the formulary (a list of covered medications), and processing the claim for payment.
- Addressing and resolving customer complaints, problems, or issues efficiently and effectively.
Lab Assistant
Tallassee Family Care
Tallassee, AL
08.2010 - 04.2015
- Assisted with support duties such as filling products, labeling products, testing samples and taking inventory.
- Managed specimen sample handling, receiving, storage and inventory.
- Maintained lab by calibrating equipment and cleaning surfaces and items used.
- Demonstrated flexibility working in a fast-paced and ever-changing environment.
- Prepared specimens for testing and analysis.
- Logged samples correctly into computerized tracking system.
- Demonstrated competence in collecting lab samples for testing.
- Prepared samples for centrifugation, aliquoting and preserving sample integrity.
- Safely prepared reagents, compounds and lab test solutions.
- Carefully reviewed test results for accuracy.
- Assisted with ordering supplies and equipment, calibrating instruments and preventive maintenance.
Education
Licensed - Accident & Health License
Xcel Solutions
Calera, AL 04.2022 -
Certification - Medical Assistant
Montgomery College Of Alabama
Montgomery, Al 01.2014 -
Associate of Science - Medical Billing & Coding
Central Florida College
Winter Park, FLSkills
Handle multiple cases simultaneouslyundefined
Timeline
Care Coordinator
PlushCare
06.2023 - 08.2024
Licensed Healthcare Agent ( AEP)
PeopleShare
08.2022 - 05.2023
Licensed - Accident & Health License
Xcel Solutions
04.2022 -
Patient Rx Coordinator (contract)
Truepill
02.2020 - 08.2022
Customer Service Specialist (contract)
Molina Healthcare
01.2018 - 02.2021
Member Service Representative
United Healthcare
06.2015 - 01.2018
Certification - Medical Assistant
Montgomery College Of Alabama
01.2014 -
Lab Assistant
Tallassee Family Care
08.2010 - 04.2015
Associate of Science - Medical Billing & Coding
Central Florida College
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