Customer Service Medical

Healthcare Consultant

Persistent, hardworking professional with extensive experience in providing

quality health care consulting services that enhance productivity, improve

quality, drive sustained business performance, and maximize revenue

potential. Recognized as an effective team player with proven ability in

directing and guiding individuals and groups in the completion of tasks and

fulfillment of goals. Highly analytical, with outstanding ability in

grasping modern technology to deal with issues and formulate cost-effective

resolution. Equipped with excellent presentation and communication skills,

coupled with exceptional aptitude in handling multiple, challenging tasks

simultaneously while maintaining adherence to quality standards. Articulate

oral and written communication.

AREAS OF EXPERTISE

Logistics Analysis Laboratory Test Analysis

Sound Decision Making Workload Prioritization

Troubleshooting / Diagnosis Claims Processing/Adjudication

Software Training Strategic Planning/Presentation Skills

PROFESSIONAL

EXPERIENCE

Provider Field Experience

> Utilized proficiency with Florida Medicaid Management Information System

to diagnose problem and provide cost-effective resolution

> Acquired substantial understanding of claims processing/adjudication and

payment processing

> Provided support to Medicaid providers across Palm Beach, Martin, and

St. Lucie counties to resolve client related issues such as claims

resolution and submission using problem solving abilities and extensive

comprehension of Medicaid policy

> Methodically analyzed and examined new interchange system

> Facilitated group and individual training sessions on proper billing

software procedures to increase productivity and market share

> Established and maintained positive working relationship with providers

and clients

> Employed outstanding knowledge of Florida Medicaid Management

Information System to troubleshoot problems and formulate resolution

> Train Provider's on use of Florida Web portal for submission of claims

> Worked collaboratively with various medical staff and IT department

Customer Service

> Developed new ways of communicating with the local medical community

> Orchestrated, designed, and mentored providers on appropriate electronic

billing software procedures

> Established, maintained, and nurtured rapport with state employees,

providers, and clients

> Fostered good working relationship with staff to motivate them and

enhance productivity and efficiency

> Simultaneously handled multiple tasks through consistent utilization of

organizational and time management skills, which improved work

efficiency

Clinical Experience

> Skillfully performed laboratory tests in a cancer center; coordinated

with physicians and nurses and ensured observance of quality standards

to produce accurate results

> Worked collaboratively with physicians and nurses to provide the best

and the most comprehensive health care

> Efficiently executed hospital laboratory procedures specializing in

microbiology through the utilization of acquired knowledge and skills

> Meticulously conducted bacterial analysis as well as antibiotic

susceptibility test in the Microbiology Department and applied

information to render assistance to physicians in providing medical

treatment to patients

CAREER WORKPATH

Insurance Analyst ( HP Enterprise Services., West Palm Beach, FL Jan

2007-Present

Provider Field Representative ( ACS, Inc., West Palm Apr 1999-2001; Sep

Beach FL 2002-Dec 2006

Account Executive, Information Technology ( ACS, Inc., Atlanta, Aug 2001- Sep

GA 2002

Medical Technologist ( Intracoastal Health Systems, West Palm Jul 1992-Oct

Beach, FL 1998

Medical Technologist ( Palm Beach Gardens Medical Center ( Palm Apr 1987-Apr

Beach Gardens, FL 1992

Microbiologist ( St. Mary's Hospital ( West Palm Beach, FL Oct 1981-Apr

1987

EDUCATION

Bachelor of Science in Medical Technology ( Long Island University,

Greenvale, NY-

Associate of Arts in Liberal Arts ( Nassau Community College, Garden City,

NY

COMMUNITY INVOLVEMENT

Active Member / Trainer, Leukemia Society

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