·Motivated by the success of the team and of the organization
Business:Prioritization of a heavy work load consistent with the company objectives, face to face scheduling, order surgical equipment, precertification, referrals,schedule pre-ops/post-ops, HIPPA, call center experience and typing 65 wpm.
Technical:Microsoft word, Excel, PowerPoint, IDX,EcW, Scanner, Citrix, Sovera, AS400, Power MHS, MSIQ/Info, PhilProv, medical terminology, ICD-9 and CPT 4 coding
Greenville Health System Greenville, SC
Steadman Hawkins Clinic of the Carolinas is a department of Greenville Health Systems and is located in Spartanburg, SC.The department specializes in Orthopaedic surgery.
·Block surgery time for the surgeons
·Obtain patient medical clearance for surgery
·Schedule pre-ops/post-ops, physical therapy and suture appointments
·Obtained precertification for surgical procedures
·Complete surgery documents and faxed to OR scheduling
·Greets patients in a professional manner
·Contact patients regarding their appointments
·Respond to voicemail and faxes in a timely manner
·Followed policies, procedure and HIPAA guidelines
·Filled in for absent staff
·Plan office events
IntraCorp/Cigna Blue Bell, PA
IntraCorp is a call center for Cigna Healthcare Insurance and is located in Blue Bell, PA.It specializes in providing answers to their members regarding their medical, dental and vision plan coverage.
·Handle a heavy call volume
·Give stellar customer service
·Authorize inpatient/ outpatient hospital services, durable medical supplies, home health and rehabilitation services
·Followed the Insurance policies and procedures
Blue Cross Blue Shield
Blue Cross Blue Shield is a Health Insurance company and is located in Philadelphia, PA.The company specializes in servicing their members with medical, dental and vision insurance plans.
·Care Management Assistant/Customer Service RepresentativeCall Center
·Give excellent customer service
·Handle a heavy call volume
·Administer authorizations to providers for medical, dental and vision services
·Administer reimbursement for patients completing the Healthy Lifestyles program
·Obtain precertification for inpatient, outpatient, durable medical equipment, home health, ambulance transport and rehabilitation services.
Follow the Insurance Company policies and procedures
Greenville Technical College-2 years completed in Radiologic Technology
Temple University-3 months completed in Real Estate Practices and Fundamentals
Community College of Philadelphia-6 months completed in Computer Science
The Career Institute-Certificate of completion in Administrative/Secretary
Simon Gratz High School-Received a diploma in 1986
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