ROSEY LOCK
Matthews,NC
Summary
To obtain a position in which I can demonstrate my work ethics, while also advancing both personally and professionally. Resourceful Specialist offering expertise in problem-solving, data analysis and customer service. Adept at quickly learning new technologies and processes for driving success. Proven track record of successfully managing multiple projects and developing innovative solutions.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Specialist
Zwanger- Persiri Radiology
06.2012 - 05.2016
- Pre-certification/Insurance Verification, Bi-lingual English/
- Spanish…
- Verify insurance eligibility and benefits via phone and/or Internet access
- Update insurance policy information in SwipeMed system as required
- Check insurance payment policy for scheduled procedures and obtain prior authorization when required
- Verify receipt of all necessary pre-authorization documents prior to procedure
- Communicate effectively with the facility in which the procedure will be performed as needed
- Assign appropriate ICD9 -10 and CPT codes pre-operatively based on documentation and scheduled appointment
- Notify primary care physician for managed care plans that require PCP authorization
- Supply patients with written or verbal estimates of codes or fees upon request
- Verifying that Pre-Certification’s information is correct and solving issues
- Effectively communicated insurance information verbally with schedulers or the front desk staff
- Made outbound calls mostly to insurance companies, but also to internal or external staff and occasionally patients to gather or confirm information needed to give to the insurance companies to validate the reasons for the procedure a patient is coming in for
- Follow-up on any pending cases and assist with inbound calls
- Work through a work queue of over 50 cases and handle accordingly - may have to follow up with insurance companies, call this PCP office - there is much more of an outbound call component vs
- An inbound call from patients
- There are only outbound calls to insurance companies, internal staff and sometimes patients and ordering physician
- There are incoming faxes through the call line that need to be printed and given to the person working that case
- May contact the ordering physician to request additional information or a referral, will only call patients to obtain insurance information
- Will electronically submit insurance verification through SwipeMed any high level insurance verification was checked through the insurance company website or automated system
- Obtained referrals for biopsy, guided injections and fluoroscopy procedures.
Customer Service Representative
Healthplex
12.2012 - 04.2013
- Receives, investigates and responds to all customer inquiries regarding dental plan coverage, status of claims and provider information
- Talk with customers by phone concerning dental plan coverage issues
- Input comments regarding customer issue and relative data into the database
- Call customers when necessary to advise on next steps and/or inform of resolution
- Handle irate customers in a professional manner
- Obtain customer feedback information.
Receptionist Bi-lingual English/Spanish ……………………………
The LiRo Group
04.2010 - 04.2012
- Answer multi-line switchboard and forward calls
- Greet and announce all visitors to the facility
- Maintain internal phone list
- Receive, sort and log all incoming mail and packages (USPS, FedEx, UPS, etc.)
- Post out-going mail and prepare overnight packages
- Miscellaneous projects as assigned
- Handling high volume of calls and managing every customer service features of industry
- Dealing with other staff or visitors, on phone or in person
- Handled enquiries Maintained database Updating & reporting of the details job
- Fixing the appointments
- Interaction with vendors & clients
- Received and sent emails (documents, correspondence, query etc.) General Correspondence Received delivered materials
- (Drawings, checks, invoices, etc
- Sent packages via FedEx or USPS Sorted and distributed Mail Created a Daily Mail list Reserved conference room and planned meetings for employees
- Updated employee contact list Provided information to employees, vendors and clients
- Multi tasking and Mail Processing Updated Office Intercom and Telephone list
- Scanned and emailed documents to employees.
Sesonal Cashier and Makeup Advisor…………………………….
Sephora
11.2008 - 01.2009
- Complete transactions accurately and efficiently
- Ensure clients are informed about and enrolled in our Beauty Insider program
- Actively pursue additional training for yourself as well as help train new cashiers as they onboard
- Communicate inventory issues and zone needs to proper leadership
- Maintain store standards of cleanliness and organization in the cashier zone as well as assist in back of the store (stock room, lockers, kitchen, bathroom, etc.)
- Participate in inventory control and loss prevention programs to reduce shortage
- Listen to clients to determine their skincare needs and suggest products that meet those needs based on your expertise, Sephora product training, and available in-store technology
- Celebrate beauty with our clients and share product knowledge as appropriate
- Participate in operations activities such as: inventory control, loss prevention programs to reduce shortage, compliance with sampling policies and procedures, and maintaining store cleanliness standards
- Assist in other areas of the store if requested/necessary, such as the cashwrap and the beauty studio
- Ensure continued product training plans are met so you remain an expert in beauty trends, application, and special events within the store
- Provide client touch-ups, skin consultations, and makeovers as required
Receptionist
Allergy and Asthma Care of L.I
12.2006 - 12.2007
- Knowledgeable with the Med comp system
- Registered patients into the computer system and databases
- Check-in, and checkout the patients
- Protected patients' rights by maintaining confidentiality of personal and financial information
- Welcomed patients and visitors by greeting patients and visitors, in person or on the telephone; answering or referring inquiries
- Collected deductibles, co-payments, and remaining balances
- Submitted codes into the computer that is necessary for medical billing to the insurance company
- Filed, and stored charts
- Created new patient charts
- Served as a translator for Spanish clients
- Maintained clients chart information
- Provide assistance to the clients
- Checked insurance eligibility
- Checked for referrals on the Internet and entered them into the computer
- Translated for the Doctor when necessary
- Optimizes patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone.
Education
No Degree - Stages Cycle Instructor Essentials Certification
Life Time Academy
Charlotte, NC07.2023
Associate of Arts - Liberal Arts
Nassau Community College
Garden City, NY05.2010
GED -
Sanford H Calhoun High School
Merrick, NY06.2007
Skills
- TECHNICAL SKILLS
- Able to work under pressure
- Filing/Editing
- Excellent Telephone Skills
- Knowledge of dental procedures and terminology
- Familiar with Easy Dental and Dexis system
- Excellent communication skills Both oral and written
- Excellent customer service skills (friendly, courteous and helpful)
- Detail oriented, organized and able to multi-task
- Familiar with ICD coding
- Very Familiar with
- Microsoft Office applications (Outlook, Word and Excel)
- Valid Drivers License and own transportation vehicle
- Solid Knowledge of medical terminology
- Report Exceptions
- Personalized Customer Service
- Content Management Expertise
- Advanced Excel Spreadsheet Functions
Certification
- Certified indoor cycle instructor, Lifetime Academy - July 2023
Languages
Spanish
Native or Bilingual
Timeline
Customer Service Representative
Healthplex
12.2012 - 04.2013
Specialist
Zwanger- Persiri Radiology
06.2012 - 05.2016
Receptionist Bi-lingual English/Spanish ……………………………
The LiRo Group
04.2010 - 04.2012
Sesonal Cashier and Makeup Advisor…………………………….
Sephora
11.2008 - 01.2009
Receptionist
Allergy and Asthma Care of L.I
12.2006 - 12.2007
No Degree - Stages Cycle Instructor Essentials Certification
Life Time Academy
Associate of Arts - Liberal Arts
Nassau Community College
GED -
Sanford H Calhoun High School
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