Customer Service Medical
Resume:
YOKASTA
ERALTE
Bronx, NY 10468
*******@*****.***
EXPERIENCE
Admissions Advisor/Recruiter, Sanford Brown Institute
White Plains,NY 2007-2009
Handled all administrative duties.
Established rapport with potential students.
Recruited, Coached, advised and enrolling students into various medical programs.
Responded to inquiries and appointed prospective expressing interest in medical
careers.
Conducted qualitative interviews, trial closings, presentations and school tours with
applicants.
Followed-up with business contacts to build relationships and attract future students.
Prepared information, maintained files, scheduled appointments, produced
correspondence.
Kept all required reports current and accurate.
Maintained extensive knowledge of school's curriculum to conduct effective
presentations and gain buy-in from students.
Possessed current working knowledge of the company’s competitors.
Motivated the applicants
Influenced enrollment “lock-in" procedures to ensure students started class.
Informed appropriate department representatives of all pertinent facts or situations that
could be of potential benefit to student’s success.
Completed enrollment agreements and reports for previously enrolled students applying
for acceptance to more advanced programs.
Assured that students completed all required paperwork for enrollment.
Continually met and exceeded individual recruitment goals while adhering to regulatory
compliance policies.
Guided students through the enrollment, financial aid, orientation, and registration.
Enrollment Counselor/Recruiter, University of Phoenix/AppleOne
Norwalk, CT 2007-2007
Established rapport with potential students.
Provided students nationwide with the highest level of customer service and
administrative support.
Coached, advised and guided student's through the admissions process.
Recruited students into degree programs and facilitated the enrollment process.
Guided students with completing their Financial Aid applications, and Student/Parent
loan applications,
Trained with various departments to ensure students enrolled and succeeded.
Contract Assistant/Administrative Assistant, Orthonet LLC
White Plains, CT 2001-2006
Provided full administrative support to case managers and the medical management
staff.
Developed professional relationships with member physician offices and managed care
payor personnel.
Improved client relationships through follow-up calls.
Coordinated selected faxing and reporting for OrthoNet contracts. (Maintaining logs,
faxing reports, verifying information, entering data, generating reports, etc.)
Worked with OrthoCare Managers to assure that information and expectations were
communicated in an effective manner.
Developed and maintained medical records to assure that all information was received,
recorded and filed in the appropriate manner.
Entered and saved information on OrthoNet's database including patient and provider
information, medical services, claims and payments.
Prepared daily action logs for appropriate follow-up by OrthoCare Managers.
Trained new employees to the Medical Management department.
Responsibilities included corresponding with Oxford Health Plans,Cigna, Blue Cross
Blue Shield and Aetna claims department.
Generated daily statistical phone reports.
Assisted nurse case managers in obtaining clinical data on Oxford members.
Complied with a multitude of administrative tasks affiliated with escalated issues.
Resolved provider issues related to billing, payment, authorization and denial dates.
Verified medical eligibility/benefits.
Conducted investigations for members and providers.
Generated authorizations for Oxford,Cigna, Blue Cross Blue Shield and Aetna members
receiving orthopedic, neurological and home care services.
SUMMARY
Pleasant and professional demeanor, Self-motivated individual that consistently
maintains a positive attitude with excellent written, oral and interpersonal
communication skills. Ability to work independently in demanding positions and
consistently meets work deadlines. Highly detailed professional with a consistent
background of exceeding performance expectations. Outstanding communicator with
strong follow-up skills and the ability to solve problems. Strong organizational,
prioritization and interpersonal skills. Excellent time management, attention to detail
and accuracy in fast paced environments.Knowledge of CPT/ICD-9 coding, managed
care benefits and health insurance requirements, Knowledge of healthcare
management systems, healthcare terminology, medical claims and billing,Bachelor of
Arts in English/Specialization in Literature.
EDUCATION
Lehman College
Bachelor of Arts in English/Specialization in Literature 2009-2012
Suny Cobleskill-Business Management/International Business
SKILLS
Fluent in Spanish.
Strong proficiency with MS Outlook,Word,Excel,PowerPoint, Crystal Reports, People
Soft, Liberty, EZCAP,College Data Base Management Systems: SAS, Galaxy, Osrirs,
Campus Tracking
Contact this candidate