Open To Work
Stephanie Simmons
Reno
Summary
Dynamic member support specialist adept at resolving complex inquiries and enhancing care accessibility. Proven track record in navigating diverse health record systems and effectively communicating benefits and claims information. Committed to fostering positive member experiences and driving operational success in a remote environment.
Overview
12
12
years of professional experience
Work History
Member Service Specialist II
Personify Health
Reno
02.2024 - Current
- I am the first point of contact in a very high volume call center and handle incoming calls from members and health care providers regarding a variety of requests including resolving barriers to care, reviewing member benefits and provider payments, processing claims, and pre authorization requests carefully documenting each call.
- I navigate multiple databases and electronic health record systems simultaneously for member research and resolutions.
- I answer questions about member benefits, claim processing and navigate multiple RBP partner portals.
- I have thorough knowledge of many systems so that I can research issues and ensure that proper information is given to members as well as providers by providing clear explanations of Explanations of benefits and statements using good judgment and problem solving skills as well as problem resolution and de escalation talents.
- This is a fully remote position.
Customer Care Advisor
Best Buy Health
Reno
09.2022 - 02.2024
- I am first point of contact for our customers.
- This is a high volume inbound call center to resolve problems and issues for our mostly senior and disabled customers.
- My primary focus was to help with billing issues, take payments, explain data and overage issues to our Seniors and disabled customers as well as help troubleshoot technical issues and how to questions regarding the specific cell phone they possess as well as mobile safety devices.
- I am currently working a Hybrid schedule of 4 ten hour shifts in office and in home office.
Patient Access Representative
Renown Health
Reno
04.2020 - 05.2022
- I was responsible for all patient registration duties as well as scheduling, order entry, and reception functions, for a fast paced busy Medical Group and also worked in Lab services and Diagnostics for well over a year.
- I am proficient in electronic health record systems and collected demographics and verified insurance and used the Epic system as well as being a liaison between patients and doctors and medical assistants.
- Using my sincere empathy and major compassion skills I have many awards for customer service from co-workers and peers as well as multiple positive reviews on yelp and google from patients.
Recruitment and Retention Specialist
The Girl Scouts of Sierra Nevada
Reno
10.2018 - 09.2019
- Responsible for recruiting, supporting, and retaining adult volunteers, girls, and Girl Scout troops in assigned geographic areas of the council.
- I was also responsible for developing and executing effective recruiting strategies via in-person contacts, fostering community partnerships, securing troop meeting locations, as well as the design, development, and delivery of member support services.
- I did major event planning as well as fund raising, coordinating and attending community events.
- I also handled all basic office support and purchasing in my area as well as major crisis management and problem solving within the volunteer community.
Auditor and Assistant Manager
Channel Watch Inc
Ceres
10.2013 - 07.2017
- My main position was to contact Mental Health and Rehab facility's across the country to Audit the services they provide, the care and concern they gave to their callers and to inquire regarding the services they provide.
- I worked via Telecommuting by using Spoof numbers to contact the facility's.
- All calls were recorded and I then had to log call information and details into the company's program.
- I was also the second in command and acted as a liaison to assist other employees with issues and concerns when the primary manager was unavailable.
- I also trained new employees entering this position in all aspects from computer work to customer service and auditor training.
Education
Req Subjects - High School
Thomas Downey High School
Modesto, CAOffice Administration -
Valley Commercial College
Modesto, CASkills
- Conflict management
- Experience with individuals with mental health conditions and disabilities
- DATA ENTRY
- Microsoft Office
- ICD-9
- Clinic
- Appointment scheduling
- Google Meet
- Payment processing
- Interviewing
- Document management
- Google Workspace
- Customer issue escalation
- CRM software
- Salesforce
- Google Docs
- Phone triage
- Medical terminology
- ICD-10
- Outlook
- Medicare
- Email customer support
- Insurance verification
- Organizational skills
- Epic
- Staff scheduling
- HIPAA
- VPN
- SMS customer support
- Call center
- Research
- Live chat
- Task prioritization
- Relationship management
- Patient interaction
- Recruiting
- Proofreading
- EDI
- Zendesk
- Time management
- Documentation review
- IVR
- SharePoint
- Microsoft Teams
- CRM system proficiency
- Behavioral health hospital experience
- EMR/EHR
- Office management
- Supervising experience
- Internal employee customer service
Personal Information
Authorized To Work: US
Work Preference
Job Search Status
Open to workWork Type
Full TimeLocation Preference
RemoteSalary Range
$24/hr - $1000/hrTimeline
Member Service Specialist II
Personify Health
02.2024 - Current
Customer Care Advisor
Best Buy Health
09.2022 - 02.2024
Patient Access Representative
Renown Health
04.2020 - 05.2022
Recruitment and Retention Specialist
The Girl Scouts of Sierra Nevada
10.2018 - 09.2019
Auditor and Assistant Manager
Channel Watch Inc
10.2013 - 07.2017
Office Administration -
Valley Commercial College
Req Subjects - High School
Thomas Downey High School