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Customer Service Office Staff

Location:
Jacksonville, FL
Salary:
14.00 HR
Posted:
July 27, 2016

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Resume:

Yolanda D. Garner

***** ******** ****, *** ****

Jacksonville, Fla 32225

904-***-**** Home

acvwla@r.postjobfree.com

Objective: Utilizing appropriate methods and a flexible interpersonal

style to help build a cohesive team and facilitate the completion of team

goals position with an opportunity to enhance relationships with

customers.

Experience:

Superior Medical Staffing (Baptist Primary Care-IMG)-Office Specialist I

02/16-Present

Provides reception support by greeting and assisting patients and their

families as they arrive in our clinics, as well as receiving incoming calls and assisting all callers.

Provides support for department operations by entering charges, preparing deposit, obtaining insurance, scheduling follow up appointments authorizations, etc.

Family Care Partners-Referral Coordinator

10/15-02/16

Obtain authorizations from insurance companies for all referrals, fill out forms

as needed for insurance, DME and Home Health Care Companies, document

EHR & EPM, call patients and give specialist information, mail copy referrals to

patients along with a cover letter if unable to contact, check via voice mails

and return calls. Print and process all request via fax machine or fax maker.

Schedule specialist appointments for patients, Cooperate and interact with

team lead to ensure coordinated efforts, understand and assure compliance

with OSHA, HIPPA and State of Florida Bio-Hazard regulations, maintain a

working knowledge of all payers.

Family Care Partners-Patient Services

10/2014-10/15

Receiving the patient and registering his or her medical complaint;

Using sound judgment when the patient has an emergency complaint and when

calling the nurse to evaluate the patient;

Registering the patient quickly and accurately; Intake with MVA, Workman

Compensations

Verifying all information and existing charts with patients, efficient (EPM, EHR)

Explaining the charges to the patient and providing the patient with a

statement when requested;

Collecting the money for the patient's visit, scheduling follow up appointments, and supplies;

Providing positive customer service to patients and clients

State Farm-Internet Support Tech/Coordinator

6/2012-08/2014

Provide internet support for internal and external customers through verbal

and written communication.

Provide first point of contact resolution of customer inquiries to make each

interaction remarkable.

Work with Self Development Programs; facilitate team meetings, advised

peers of information that is important in an ISR role.

Proctor a day for new reps, aiding in questions while assisting customers’

internal and external customers’.

Assisted in several pilot programs with in State Farm.

Answer insurance-related questions from callers Explain processes for claims and provide emergency assistance

Take detailed messages for agents/claims personnel

Provide emergency customer assistance

While on the phone, you will utilize computer technology:

Use an online job aid

Use the State Farm intranet to locate information

Send detailed messages to agents and claims personnel

File claim reports using a computer

Tempette Learning Academy

3/2010-5/2012

Jacksonville, Fla

Administrative Consultant/Office Manager

Supports the day-to-day office activities, coordinate office staff activities to

ensure maximum efficiency

evaluate and manage staff performance

recruit and select office staff

organize orientation and training of new staff members

coach and discipline office staff

ensure filing systems are maintained and current

monitor record keeping prepare operational reports and schedules to ensure

efficiency

monitor and maintain office supplies inventory, AR, AP, collections,

review and approve office supply acquisitions

maintain a safe and secure working environment

manage internal staff relations

Coach

10/2009 to 1/2010

Jacksonville,Fla

End User Customer Service Rep

Customer service supports the following functional departments: internet,

direct marketing and retail stores. Interact with customers and responds

to requests regarding product availability, orders and order status by

phone, e-mail and letters. Additional responsibilities include

contacting stores to fill back order needs, getting authorizations on

credit card purchases and processing returns, exchanges and charge

backs.

Nemours Children Clinic

5/2008 to 4/2009

Jacksonville, Fla

Account Advisory/Financial Counselor

Report directly to group team lead to ensure compliance with relevant

accounting standards and developments are accurate and completed, act as

the primary source between the provider and the guarantor this include

keeping up to date the accounting standards and billing with the correct

procedure codes, obtain referrals help the guarantor research accounts,

reimbursements and worked assigned insurance payers (Medicaid, Tricare,

Humana, Aetna, Medicare).

Comprehensive Health Management Jacksonville, FL

Community Events Coordinator

May 2005 to Mar 2008

Developed and implemented plans for the Community Outreach Program

according to the prescribed rules and regulations of the Medicaid

Contract.

Implemented programs and special events throughout the community and

strengthened corporate commitment to the company, and promoted

Healthease

and Staywell Programs and related initiatives

accomplished the management of five counties that produced over 3000

sites

HCA Healthcare Jacksonville, FL

Front Desk/Billing Coordinator/Referral Specialist

Dec 2003 to May 2005

• Performed appropriate collection efforts to achieve prompt and

accurate reimbursements for assigned payers (Healthease, Blue Cross,

Humana, Aetna, Tricare).

• Understood and interpret assigned managed care contracts to maximize

reimbursements and financial success, data entry of invoices.

• Assisted in accounts receivable supporting activities other duties

to including checking in patients.

• Handled patient referrals and assisted in co-pay collections. Maintain on

going tracking and appropriate documentation on referrals, Ensure complete

and accurate registration, including patient demographic and current

information, Contact review organizations and insurance companies to ensure

prior approval. Assist patients on problem solving, ensure that referrals are

addressed in a timely manner.

Education:

Clark Atlanta University Atlanta, GA

Business Marketing 1993

West Fulton High School Atlanta, GA

Diploma 1989



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