Tara Riggs

• Scheduled appointments with indigent consumers.
• Assisted consumers with Patient Assistant Program applications.
• Stayed abreast on Patient Assistance programs to assist consumers.
• Was a liaison between pharmaceutical Reps in obtaining medication samples for out consumers, and in setting up education in services to educated out physicians and key staff.
• Worked closely with physicians to insure clients receive medication and medical supplies they need.

• Calls insurance companies / checks website to verify benefits.
• Timely and accurately records information in the patient's chart.
• Able to check online eligibility of Medicare and Soonercare patients for appointments and injections.
• Performs proficient and accurate data entry and documentation.
• Accurately scans documents into patient's EMR, edits and titles documents and forward to appropriate staff member.

• Performs cross functional tasks, servicing prospective members, enrolled members an employee groups.
• Heavy inbound call volume,

• Floated between 4 offices in the Tulsa Metro area. Broken Arrow, Tulsa, and Owasso.
• Wrote interoffice Sooner Care procedural steps for training new and existing employees.
• Filled any positions (as needed in the office. Responsibilities and required duties for efficiency and effectiveness of the department
• Patient and patient representatives .

Greets patients, collected and entered all necessary demographic, billing, and insurance information.

• Explained processes and forms prior to securing signatures ensuring that all documents were properly completed, signed and witnessed as required.
• Directed individuals to the appropriated location(s).
• Responded to questions or concerns of patients in regards to billing and insurance or procedures needed to be scheduled per the doctor(s).
• Scheduled patients procedures that efficiently utilize the patient's time and clinical resources.
• Determined and accepted required payments, co-payments, deductibles and self pay programs. Explained patients responsibility, liability, and financial commitment in regards to the billing process.
• Called patients insurance for pre-certification authorizations.
• Provided continuous communication with clinic staff regarding patient status.
• Assisted manger with billing claims and maintaining billing buckets.
• Worked inbound and outbound referrals to include scheduling patients, obtaining authorizations, contacting out of network providers to obtain medical records and all needed information.

• Support for clients enrolled in Illinois Public Health Medicaid Program service clients such as Department of Health and Chicago Public Schools.
• Served as point of contact for user incidents pertaining to Remedy & SAW ticket System.
• Remain cognizant of clients' polices and their specific insurance programs,
• Resolved issues of other programs within Medicaid.
• Evaluated and prioritized claims escalating as necessary for expedite resolve.

• Internal and External customer service / sales on matters relating to product availability, pricing, delivery and order status.
• Heavy inbound and outbound call volume.
• Direct sales and support for specific Pharmacy and Hospital clients.
• Invoicing , credits, shipments, returns, pricing, log changes, order status.
• Packed and distributed interdivisional daily transfers.

• Managed incoming calls and directed to appropriate department.
• Organized paperwork such as charts and reports for office and patient needs.
• Maintained rapport with physicians, nurse,s and other healthcare personnel.
• Maintained current and accurate medical records for patients.
• Provided information for patient admissions and discharges to foster timely processing.
• Supported office staff and operational requirements with administrative tasks.
• Enhanced office productivity by handling high volume of callers per day.
• Monitored inventory levels and advised management of need for replenishment.

• Provided Customer Service to patients.
• Other duties included, but not limited to : Filling prescriptions, cash handling, answering phones, stocking supplies, inventory, ordering, maintaining files, billing, and co-worker training.