Sara Beach
Brownstown,MI
Summary
Dedicated to offering exceptional assistance to team members and clients. Skilled at coordinating appointments, organizing mail and collecting messages to facilitate office communication. Positive and upbeat with strong relationship-building abilities. Passionate about promoting lasting customer satisfaction by delivering quality service and unparalleled support. Proficient in customer service best practices and related options.
Overview
10
10
years of professional experience
Work History
Customer Services Specialist
HAP
07.2022 - 04.2024
- Answer calls from Medicare and Medicaid plan members, educate members on policies and procedures, answer questions on product offerings, benefit plan and coverage details
- Document all incoming inquires accurately, monitor workflow inbox and outstanding cases by contacting members for resolution
- Interact with providers and their staff to obtain information for resolving members inquires/complaints
- Research and answer all inquiries, complaints, and appeals by following all department standards
- Coordinate and assist with various departmental projects and help with yearly open enrollment.
Insurance Specialist
AllianceRx Walgreens Prime
02.2019 - 07.2022
- Verify insurance is active for pharmacy benefits
- Obtain prior authorizations for medications that need it
- Investigate rejected pharmacy claims
- Answer phone calls for doctors that have questions.
Administrative Assistant/Receptionist
APM&R
02.2014 - 08.2017
- Schedule new patient appointments, keep doctor's schedules, request medication and medication refills, fill out forms, fax paperwork.
- File paperwork into charts, assemble patient's charts, call patients, call doctor offices, new patient intake process and document information in both the EMR and PM systems.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
Receptionist Associates in Physical Medicine & Rehabilitation
02.2014 - 06.2015
- Schedule appointments and maintained provider's schedules
- Checked patient in assuring all patient information was accurate for each visit
- Provides exceptional customer service to assure patient experience expectations were met
- Completed prior authorizations and obtained referrals for services provided to assure patient did not receive a bill
- Performed filing duties when needed
- Precisely complete appropriate paperwork for paper claims, accurately post and send out all medical claims, post and adjust payments from insurance companies, document information in the EMR system, insurance verification and schedule appointments.
Education
Certificate of Completion - MEDICAL BILLING
AMERICAN ACADEMY OF PROFESSIONL CODERS
Salt Lake City, UTCertificate of Completion - Anatomy & Physiology
MOTT COMMUNITY COLLEGE
Flint, MIHigh school diploma -
MILAN HIGH SCHOOL
Milan, MISkills
- Excellent written and oral communication
- Call center experience
- Good communication skills
- Telephone Etiquette
- Complaint Handling
- Data Entry
- Professional telephone demeanor
- Active Listening
- Administrative Support
Additional Information - Skills Abilities
- Organizational skills
- Insurance and collection procedures
- Resourceful and reliable worker
- Fast learner
- Team player
- Excellent communication
Timeline
Customer Services Specialist
HAP
07.2022 - 04.2024
Insurance Specialist
AllianceRx Walgreens Prime
02.2019 - 07.2022
Administrative Assistant/Receptionist
APM&R
02.2014 - 08.2017
Receptionist Associates in Physical Medicine & Rehabilitation
02.2014 - 06.2015
Certificate of Completion - MEDICAL BILLING
AMERICAN ACADEMY OF PROFESSIONL CODERS
Certificate of Completion - Anatomy & Physiology
MOTT COMMUNITY COLLEGE
High school diploma -
MILAN HIGH SCHOOL
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