Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ricky Elmore

Summary

Self-motivated professional with a broad background of functional, and interpersonal skills; supported by academic records of graduate studies in business administration. Looking for a flexible and challenging position that will exercise my excellent communication and customer service skills in a career advancing business environment.

Overview

25
25
years of professional experience

Work History

Front Desk Coordinator I

GI Alliance
03.2024 - Current
  • Greet patients and visitors upon arrival, offer assistance, and answer questions to build rapport and retention.
  • Maintain strict confidentiality when handling sensitive patient information in accordance with company policies.
  • Schedule appointments and procedures in computer system.
  • Collaborate with team members to address patient needs and ensure seamless operations.
  • Verify patient demographic information and copy documentation.
  • File records in appropriate sections of patient charts in EMR.
  • Perform other related duties as directed or assigned.

Patient Access Advocate

Fortrea
09.2015 - 09.2023
  • Managed inbound customer inquiries; recorded incident and resolution details into appropriate CRM database
  • Ensured administration of appropriate reimbursement steps, that included insurance verification, prior authorization process, claim, PAP screening, SP Triage etc
  • Addressed and/or escalated calls per PSPs, to enhance the case manager's understanding of the patient's reimbursement or financial aid barriers
  • Established relationships with patients, providers, or other key stakeholders to best meet their needs
  • Proactively kept them informed of progress, issues, and other important updates so they knew the status
  • Observed trend analysis to provide suggestions on how to address these issues to Supervisors and Client Management; assisted with training of new case managers, and other team members on these issues as necessary, including validating data collection

Program Specialist

Fortrea
01.2015 - 09.2015
  • Managed Inbound/Outbound triage calls, and documentation into CRM database according to program specifications
  • Conducted insurance verifications to confirm patient benefits, facilitated the customer pre-authorization process, assisted with problem claims, and other case management efforts to identify insurance and alternative funding sources per program specifications
  • Screened and processed patient assistance applications to determine eligibility
  • Updated CRM with patient enrollment, denials, approvals, payment processing, withdrawals, shipments, and caller requests per program specifications
  • Responded to inquiries regarding PAP operations
  • Independent management of distributors and manufacturers to request and track product shipment

Substitute Teacher

Blue Ribbon Educational Services
03.2014 - 12.2014
  • Assisted primary teacher with coordination of daily activities and lesson plans in an adjunct educator role
  • Provided substitute teaching; maintained stable learning environment and student support for daily curriculum

Director of Alumni and Community Affairs

Martin University
05.2012 - 10.2013
  • Provided institutional direction and coordination for alumni community affairs programs and higher education initiatives
  • Managed communication of alumni action plans; recording into alumni data base, in according to institutional requirements
  • Program liaison to alumni for all alumni activities; maintained data base of community and civic organizations leaders
  • Accountability for the management and integrity of all alumni and community affairs data in compliance with all applicable state and federal laws, rules, and regulations
  • Events scheduling, and Contract Management: Negotiated venue contracts; procurement of supplies, and audiovisual equipment
  • Kept track of event finances including check requests, invoicing, and reporting
  • Advised President, Cabinet and other administrators on matters pertaining to alumni and community affairs initiatives; served on administrative committees as assigned

Senior Executive Assistant to the President

Martin University
06.2009 - 05.2012
  • Information gathering, and content development for executive level annual reporting
  • Communication management, and distribution of memorandums, letters, and special project initiatives
  • Answered incoming calls and maintain personal calendar and schedule meetings
  • Performed stewardship and advancement duties as needed

Supervisor (Life New Business Policy Issue)

Conseco Life Insurance Company
06.2000 - 04.2002
  • Performed supervision, training and performance evaluations of staff and established yearly goals
  • Conducted interviews and recommended new hires to upper management
  • Facilitated and trained 50% of the direct hire staff
  • Established new guidelines for non-sufficient funds collections which produced a 50% decrease in fee reimbursements

Education

Master's - Business Administration

Indiana Wesleyan University
Indianapolis, IN
09.2011

Bachelor of Science - Business Administration

Jackson State University
Jackson, MS
05.1988

Skills

  • Windows XP
  • Windows 10
  • Microsoft Office
  • Excel
  • Word
  • PowerPoint
  • SharePoint
  • Critical Thinking
  • Problem Solving
  • Social media platforms
  • Listening skills
  • Problem-solving skills
  • Scheduling appointments
  • Data entry
  • EMR systems proficiency
  • Customer service

Timeline

Front Desk Coordinator I

GI Alliance
03.2024 - Current

Patient Access Advocate

Fortrea
09.2015 - 09.2023

Program Specialist

Fortrea
01.2015 - 09.2015

Substitute Teacher

Blue Ribbon Educational Services
03.2014 - 12.2014

Director of Alumni and Community Affairs

Martin University
05.2012 - 10.2013

Senior Executive Assistant to the President

Martin University
06.2009 - 05.2012

Supervisor (Life New Business Policy Issue)

Conseco Life Insurance Company
06.2000 - 04.2002

Bachelor of Science - Business Administration

Jackson State University

Master's - Business Administration

Indiana Wesleyan University
Ricky Elmore