To pursue a full time position in the healthcare industr with a great sense of integrity and commitment to provide excellent customer service in the healthcare industry.
Overview
27
27
years of professional experience
Work History
Member Service Representative
People’s Health Network /United Healthcare
05.2020 - Current
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
Enhanced customer satisfaction by efficiently addressing and resolving inquiries and concerns.
Maintained high-quality service by adhering to company policies and standards in all member interactions.
Regional Referral Coordinator
Ochsner Health System
11.2016 - 04.2020
Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
Scheduled appointments with specialists on behalf of clients.
Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
Processed referral requests from patients, doctors and other health care professionals.
Collaborated with medical staff to ensure appropriate referrals based on individual patient needs and insurance coverage.
Facilitated team-oriented approach to patient care, ensuring all stakeholders were informed about referral statuses.
Developed strong relationships with healthcare providers to ensure broad network of specialists for patient referrals.
Legal Receptionist
GEICO Staff Counsel
12.2017 - 10.2018
Answer phone calls and route calls and take messages when necessay.
Receive all incoming guests and notify appropriae people of their arrival.
Open and distribute all incoming mail to the appropriate recpients .
Maintain professional cooperative attitude and courteous demeanor to all inside and outside the office.
Distribute the faxes to the secretaries.
Maintain 97% dependability throughout the rating period.
Enter new cases into Team Connect, including dates of birth and social security numbers in a timely accurately manner.
Office Administrator
GulfSouth Autism Center (The Recruiting Office)
03.2017 - 12.2017
Applied advanced administrative and analytical skills in overseeing day-to-day operational activities.
Maintained office inventory by ordering supplies in a timely manner.
Led businesses efficiently through attention to detail while performing under pressure and meeting time constraints.
Entered accounts payable, accounts receivable, invoices and expense reimbursements.
Contacted patients regarding unpaid and underpaid accounts to resolve any issues.
Performed general office duties, including answering multi-line phones, routing telephone calls or messages to appropriate staff, greeting the public, typing, proofreading, filing, sorting and handling incoming and outgoing mail.
Provided educational documents and pamphlets to patients.
Performed wide-ranging administrative, financial, and service-related functions.
Called patients to confirm scheduled appointments a day in advance.
Ordered and distributed office supplies while adhering to a fixed office budget.
Completed data entry, tracked resumes and maintained the applicant tracking system.
Helped distribute employee notices and mail around the office.
Processed accounts receivable and accounts payable.
Answered inquiries and addressed, resolved or escalated issues to management personnel to ensure client satisfaction.
Oversaw daily office operations for staff of 30 employees.
Answered and managed incoming and outgoing calls while recording accurate messages.
Interacted with vendors, contractors, and professional services personnel to receive orders, direct activities and communicate management instruction.
Responded to inquiries and researched and resolved problems related to transactions handled by the department.
Escorted visitors to specific offices or meeting rooms.
Oversee inventory activities, including materials monitoring, ordering or requisition, and supply stocking or re-stocking.
Assisted administrative team members with completing daily tasks in order to maintain a smooth workflow.
Greeted customers and visitors in-person and via telephone calls.
Screened applicant resumes and coordinated both phone and in-person interviews.
Screened and sorted incoming mail, faxes, and deliveries and routed them to the appropriate personnel.
Verified insurance coverage to prepare for upcoming patient appointments.
Performed accounts receivable duties including invoicing, researching chargebacks, discrepancies and reconciliations.
Opened and properly distributed incoming mail.
Maintained a clean reception area, including lounge and associated areas.
Corresponded with clients through email, telephone, or postal mail.
Provided clerical support to company employees, including copying, faxing and file management.
Network Management Representative
Anthem
04.2012 - 05.2016
Initiated two key partnerships which resulted in 54% revenue growth.
Obtained documents, clearances, certificates and approvals from local, state and federal agencies.
Assisted various business groups with document organization and dissemination during acquisitions.
Implemented marketing strategies which resulted in 12% growth of customer base.
Verified data integrity and accuracy.
Responded to customer requests via telephone and email.
Developed new process for employee evaluation which resulted in marked performance improvements.
Copied, logged and scanned supporting documentation.
High regards to HIPPA, company compliance and member privacy.
Monitored and maintained provider rosters on a monthly basis.
Reimbursement Specialist
LSU/GE Healthcare
01.1998 - 01.2006
Performed compliance audits to ensure adherence to Louisiana and federal regulations relating to documentation and reporting.
Confidently managed the overall operation of nursing services and patient care, including financial management, quality assurance, patient care, safety risk management, teammate satisfaction, quality index scores and facility maintenance.
Self-directed with astute judgment skills. High level of personal accountability.
Represented and interpreted the agency's functions and services to other institutions, the public, government agencies and other organizations.
Ensured HIPAA compliance.
Performed account reconciliations and resolved variances.
Maintained good communication between department heads, medical staff and governing boards by attending board meetings and synchronizing interdepartmental functions.
Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoice statements to patients.
Contributed substantially to successful department JCAHO accreditation.
Pre Registration Coordinator
Tulane University Hospital & Clinic
02.2008 - 04.2012
Verified data integrity and accuracy.
Performed initial client assessment and analysis to begin research process.
Responded to customer requests via telephone and email.
Maintained working relationships with clinic, provider, nursing staff for accurate insurance verification.
Ensured that all processes are conducted in accordance with state, federal, and corporate regulations.
Education
High School Diploma - undefined
Mcdonogh College Preparatory School
New Orleans, LA
1989
Skills
Attention to detail
Organization and prioritization skills
Microsoft Office
Active listening
Leadership
Sound judgment
Familiarity with Microsoft 365
Strong research skills
Administrative skills
Dispute resolution
Answering phones
Regulatory Compliance
Effective conflict resolution
Timeline
Member Service Representative
People’s Health Network /United Healthcare
05.2020 - Current
Legal Receptionist
GEICO Staff Counsel
12.2017 - 10.2018
Office Administrator
GulfSouth Autism Center (The Recruiting Office)
03.2017 - 12.2017
Regional Referral Coordinator
Ochsner Health System
11.2016 - 04.2020
Network Management Representative
Anthem
04.2012 - 05.2016
Pre Registration Coordinator
Tulane University Hospital & Clinic
02.2008 - 04.2012
Reimbursement Specialist
LSU/GE Healthcare
01.1998 - 01.2006
High School Diploma - undefined
Mcdonogh College Preparatory School
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