To obtain a remote medical administration career position, while bringing professionalism and dependability to your organization.
Overview
20
20
years of professional experience
Work History
WFH Customer Service Rep
Healthcare
04.2023 - Current
Verify insurance and send out claims for billing.
Verify ICD and HCPCS codes are correct for all DME, Home Health, Infusions, O/P equipment is coded correctly for billing processing.
Go over patients bills that they received for those items.
Go over benefits so they understand better why their bill is the way it is ( Example: Dedutctible, Coinsurance, Copayments )
Give patients out of pocket estimates for the services they are rendering so they are aware ahead of time of their potential costs.
Transfer calls to different departments like to intake staffing coordinator, provider claims department and more based off caller needs.
Research on escalations for billing errors, verifying the ICD or HCPCS codes are using correctly, verifying that the Tax ID and or NPI number was correct.
Review denied claims and go over that with patients, providers and or health insurance representatives.
Do conference calls when applicable to resolve issues with the health plan or providers that are sending out the services for the patients.
Speak with providers and insurance representatives on issues, claims questions and more on behalf of the patients.
Give the provider offering the services out of pocket estimates if the patient asked them to obtain that information and advise them later.
WFM Customer Service Rep
Teleperformance, Healthcare
08.2022 - 03.2023
Answer incoming calls about members benefits, claims, or issues they are
having
Send out materials to them like ID cards, EOB’s, catalogs and more
Get them to the correct department based on questions if needed
Discuss their prescriptions with them and more
Call out to members and check and make sure they are good with their plan
and help navigate their health care experience as well.
Registrar
Tidal Health
09.2021 - 06.2022
Check in patients through triage and via ambulances
Verify registration with each patient and make sure all the insurance is
in correctly for billing
Helped nurses and doctors with questions they may have on the patients
Get financial and consents from each patient for treatment
Verify insurances like Highmark, Amerihealth and Medicare.
Manager's Assistant
Ambiance Nail Salon
01.2019 - 09.2021
Addressed and resolved customer inquiries and complaints and engaged with
customers to determine satisfaction levels with products offered
Attended store walkthroughs with management team and followed-up on
directives and recommendations
Maintained focus on promoting and driving sales, including execution of
next season planning
Developed and maintained effective working relationships with team
members, management, and customers to boost company productivity and
morale.
Manager's Assistant
Platos Closet
08.2015 - 01.2019
Collaborated with store manager to direct and delegate work assignments
and verify execution of plans and strategies across store
Assisted General Manager in administering policies and practices in areas
such as human resources, compliance, safety, and quality assurance
Coordinated work handoffs and schedules with other Shift Managers
Set expectations and modeled excellent service by projecting positive
attitude and enthusiasm toward job, company, and customers.
Teacher
ChildTime
10.2011 - 07.2015
Developed comprehensive plans to implement subject matter in line with
education goals
Assigned classwork and homework to enhance students' understanding of
materials
Assessed students regularly and customized approaches to maintain
progress with educational goals
Connected with parents and students to help each obtain maximum benefit
out of class experiences
Built relationships with students and parents to improve learning
Maintained detailed and accurate class and student documentation to keep
records current.
Caregiver
Total Home-care Solutions
02.2008 - 10.2011
Maintained case notes to document resident progress and condition
Performed household chores to ensure cleanliness, safety, and livability
Collaborated with peers and medical teams to support resident care plans,
working under RN's supervision
Assisted the patient in day-to-day basic functions and prepared patient's
meals according to meal plans
Evaluated patient's medical condition on daily basis
Observed self-administration of medications to adhere to medication
regimen
Cooked meals based on nutritional requirements and special diets
Maintained safe and clean patient environment
Provided physical and emotional support to patients and families, while
delivering services to patients with terminal conditions
Helped clients learn how to take care of themselves by working with their
disabilities to find new ways of completing common tasks
Transported clients to doctor's offices and grocery stores
Trained family members exceptional bedside care and daily living support
for loved ones.
Caregiver, Special Needs
Private Home Care
04.2005 - 01.2008
Helped with household projects to improve environments, including
cleaning out closets and organizing belongings
Assisted with nighttime routines of bathing, changing, and brushing
teeth
Maintained daily routines of activities and care needs to support [Type]
clients
Engaged with clients of varying diagnoses to aide with activities,
chores, and community outings
Prepared simple foods for self-feeding and assisted with more complicated
meals
Handled laundry and linens to keep items fresh for client use
Collaborated with ABA therapists and implemented protocols to help
children develop important skills
Helped clients learn how to take care of themselves by working with their
disabilities to find new ways of completing common tasks
Assisted clients with bathing and dressing to promote good personal
hygiene
Advised clients on proper self-care, personal hygiene and other important
topics affecting their personal wellbeing
Transported clients to doctor's offices and grocery stores
Observed self-administration of medications to adhere to medication
regimen.