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Insurance Training

Location:
San Diego, CA
Posted:
March 05, 2014

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Resume:

Janette Owens

**** ******** ***. *. ** Cajon, Ca. 92021 . 619-***-**** .

accy45@r.postjobfree.com

SUMMARY

Compassionate, innovative and accomplished professional in the medical

field. Providing on a daily basis; operational support managing and

coordinating schedules for both employees, physicians, and after hour on

call. Dealt with basic technical support issues for physicians and staff

including but not limited to training on software systems and basic

functions as well as being a liaison between administration and staff.

Looking to progress in my career and developing new knowledge for different

aspects of the medical field and or business field.

PROFESSIONAL EXPERIENCE

Covance Incorporated San Diego, CA 2013-

Present

Temporary contracted Program Specialist

. Responsible for assisting patients and providers attain coverage for

high cost medications

. Duties include: Insurance verifications, prior authorizations, patient

assistance program, prior authorization appeals, patient access

network, and co pay coupon cards

. Responds to phone, fax and mail requests from patients, physicians and

their staff, pharmacists, and family members and friends of patients.

Triaging special exceptions for patients in regards to medication,

possible side effects, and recovery of loss product.

. Works on Siebel system as well as Cisco. Answer inbound calls and make

outbound calls. On the phone majority of work day.

. Working closely with health insurance exchanges and healthcare reform

systems to assist patients attain insurance coverage and insurance

claims

. Answering and fielding on average 100+ calls through work day.

Scripps Health

Dr. Eric Johnson MD

Patient Care Specialist III/ Trainer San Diego, CA

2007-2013

. Supervised teams in coordinating new protocol manuals for clinic, for

new hire training/software training. Trained new hires on workflow and

usage of new software programs.

. Communicates proposal development process to internal teams. Data

entry and database management

. Researches, identifies and Analyzes patient billing, insurance, and

claim issues.

. Supports director and specialty doctors in providing daily stats and

reports to show productivity in various work areas

. Maintains Past Performance Database

. Organizes data and estimates from various functional areas into

cohesive, auditable and consistent cost packages

. Scheduling of STAT appointments for patients, coordinating insurance

coverage and authorizations.

. Employee scheduling, coordinating PTO for employees, setting up Dr.

schedules

. Identifies and develops process improvement within the department

. Supervised team that focused on patient satisfaction. Within one year

of starting patient satisfaction scores jumped from 67.8 % to 98.5%

. Help develop a plan that would help eliminate some of the costs put

out for items or services that weren't necessary.

Patient Care Representative I - II San Diego. CA

2003-2007

. Created templates for physicians schedules

. Worked closely with supervisor on creating and managing various

reports.

. Responsible for monthly financial tracking of the divisions

Independent Research and Development and providing the information

during Product Management Monthly Meeting.

. Responsible for creating, submitting and tracking employee

productivity

. Responsible training of new hires and any training needed on new

software program

. Responsible for providing and managing customer support on standard

products.

. Tracks contract from start to finish, keeping the customer and

business development personnel informed.

. Provides assistance in the collection of and organizing competitive

data.

. Responsible for collecting and organizing standard product data on the

division SharePoint, for it is accessible and useful to Business

Development and other internal departments.

. Responsible for developing and maintaining work instructions to be in

compliance.

. Billing, collections, and coding.

. Verification of insurance, demographics, and other pertinent patient

information

Patient Care Rep / After hours emergency rep. La Jolla. CA

2001-2003

. Provided after hours support to security and environmental in

monitoring security alarms which included gas leaks, smoke detection,

missing persons, and various other threats.

. Supported director in training or new hires.

. Assisted in the preparation of written materials, including test

plans, procedures, reports, manuals, and training documentations.

. Trained co workers on new implemented software systems.

. Responsible for the proper execution of security procedures and

handling of classified material.

. Coordinated with other divisions on projects to include technical

writing of documents.

. Content Developer Team Lead

. Contacted emergency doctors for after hour patient issues, set up stat

tests that were ordered by doctors.

. Contacted fire and police departments if needed for hospital and

various other satellite location issues when issues occurred.

3E Company Carlsbad, CA

1995 - 1999

Project Coordinator

. Worked closely with OSHA assuring that office and MSDS were accurate,

updated, and in compliance.

. Managed teams in reorganizing chemical material safety data sheets and

providing new information to clients

. Supervised and monitored over $1 million in product sales in a 9 month

period and handled all billings.

. Oversaw and supported daily marketing operations regarding various

events including, trade shows, new product launches, and marketing

campaigns.

. Researched and monitored market trends and competitive environment

statistics in order to create effective marketing and advertising

strategies.

. Evaluated, analyzed and compiled marketing data as well as tracked all

marketing and sales leads.

. Coordinated and implemented the training of department store personnel

on company products and marketing techniques nation-wide.

. Performed extensive market research analysis as well as segmentation

efforts to ensure that marketing campaigns are accurately targeted.

. Assisted in the development and implementation of marketing materials

and campaigns.

EDUCATION/CERTIFICATIONS/ACHIEVEMENTS

Ashford University

Bachelors of Arts Degree . Business Administration Clinton, IA

2012

Ashford University Clinton, IA

2011

Minor in Criminal and Social Justice

Ashford University Clinton, IA

2011

Minor In Gerontology Studies

Certification of Completion

Blood borne Pathogens San Diego, CA

2013

Recognition of Stroke

Various Medical Front/Back Office Protocols/HIPPA

Hazardous Materials Handler Carlsbad, CA

1996

Computer Literacy: Proficient and knowledgeable in the use of various

software applications including Microsoft Office (MS Word, Excel,

PowerPoint) Outlook and Internet Explorer, Visio, Adobe, Photoshop, Cost

Point, Propricer, SharePoint, AllScripts, IDX, PMA, Web PMA, Centricity,

People Soft, Cisco, Siebel, ANSO, and ability to type 80 wpm.



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