Customer Service Medical
Resume:
IRISTEEN SAMANTHA SMITH
COLUMBUS, GA 31907
ablmy1@r.postjobfree.com
OBJECTIVE
I am interested in applying for a position with your company so that I may
utilize my professional skills to enhance and help meet your company's
goals and missions.
WORK HISTORY
2008-2009 Medical Support Assistant
Receive active, USAR/ARNG Soldiers and other eligible beneficiary
categories. Obtain and review the applicable medical record for
verification of completion appropriate medical requirements.
Enter medical readiness data in to the Medical Protection System (MEDPROS)
to ensure proper tracking and processing of Soldiers. Receive and screen
telephone calls, referring to the proper staff.
Receive patients into the clinic waiting area and serve as the first
customer point of contact for positive customer care. Orient patients to
the clinical area and instruct them on applicable clinic procedures and
regulations. Obtain and file results of tests and other procedures.
Prepare a variety of material including reports, memos, etc. from oral
instructions and written drafts. Prepare and maintain administrative
reports and records of patient care. Review patient records for compliance
with policy and regulations
Coordinate consultative requests and arrange appointments with clinics and
consultants. Check contents of patient's medical record for treatment
records, progress notes and doctor's notes and order sheets for required
signatures before initiating the transfer and disposition of records.
Briefed troops on procedures for deployment.
2004-2008 Administrative Assistant, Staffing Agencies
Customer service representative. Responsible for providing quick and
accurate responses and resolutions to inquiries and issues from insured.
Responsible for thoroughly documenting the key points of the telephone call
with customers; conducting research with other departments; return customer
calls requiring research. Responds to customer questions via telephone and
written correspondence regarding insurance benefits, provider contracts,
eligibility and claims. Answers inquiries by clarifying desired
information; researching, locating, and providing information. Researches
and analyzes data to address operational challenges and customer service
issues. Provides external and internal customers with requested
information. Fulfills requests by clarifying desired information;
completing transactions; forwarding requests.Ability to multi-task. Strong
computer skills. Typing, managed filing and records, data entry, make
photocopies, answer multi-line phones, operate all office equipment,
prepare mail. Familiarity with word processing software, prepared
correspondence, received visitors, respond quickly and effectively to
client needs, developed positive relationships with colleagues and clients
alike. Exhibited strong communication and interpersonal skills. Ability to
be detailed oriented and adaptable. Operating related business machines
such as calculator, typewriter, scanner, copiers, binding machine,
lettering machine, etc. Inbound/outbound call center. Ability to up sell.
Excellent sales abilities.
2003-2004 Medical Eligibility Representative, PerotSystems Healthcare
Responsible for screening uninsured hospital patients to determine
potential eligibility for Medicaid, Social Security Disability, Victim of
Crime or county programs, assist with evaluating application process to
include reconsiderations, fair hearings and appeals if denied. Increase
hospital reimbursement for self-pay patients. Effectively communicated and
presented information to associates. Ability to interact and communicate
effectively with patients of various and social economic backgrounds.
Ability to read maps and locate patients in various locales. Ensures
appropriate signatures are obtained on all necessary forms. Data entry.
Obtain legally relevant medical evidence, physician statements and all
other documentation required for eligibility determination. Initiate and
maintain proper follow-up with the patient and government agency
caseworkers to ensure timely processing and completion of all mandated
applications and accompanying documentation. Ability to work independently.
2002-Medical Eligibility Representative, Advanced Patient Advocacy
Responsible for screening uninsured hospital patients to determine
potential eligibility for Medicaid, Social Security Disability, Victim of
Crime or county programs, assist with evaluating application process to
include reconsiderations, fair hearings and appeals if denied. Increase
hospital reimbursement for self-pay patients. Effectively communicated and
presented information to associates. Ability to interact and communicate
effectively with patients of various and social economic backgrounds.
Ability to read maps and locate patients in various locales. Ensures
appropriate signatures are obtained on all necessary forms. Obtain legally
relevant medical evidence, physician statements and all other documentation
required for eligibility determination. Initiate and maintain proper follow-
up with the patient and government agency caseworkers to ensure timely
processing and completion of all mandated applications and accompanying
documentation. Data entry. Ability to work independently.
2002-Case Manager/Counselor, McIntosh Youth Detention Campus
Developed, with students, individualized performance contracts/treatment
plans. Planned and executed family day schedule with facility counselor.
Facilitated group meetings and assisted with individual sessions, using
prescribed teaching methods and techniques. Provided utilization review
reports to referral source and sponsoring agencies. Participated in weekly
treatment team meetings. Initiated family contacts using professionally
prescribed methods and techniques to convey and receive information
regarding students. Interacted with students in a professional manner to
elicit positive change. Coordinated discharge planning. Supervised
visitation on weekends on a rotating basis.
1999-2000 Family Independence Case Manager, McIntosh County Department of
Family and Children Services
Extensive interaction with clients and the general public. Responsible for
interviewing clients to establish eligibility for the Aged, Blind, and
Disabled Medicaid Program. Precise documentation of client's case record
both manually and on the computer. Extensive telephone interaction with
the State Medical Examination Unit to determine disability. Scheduled and
coordinated appointments for clients. Repeat interaction and phone
conversation with doctor's offices and other professional agencies.
Managed a caseload of approximately 450 medical and food stamp cases.
EDUCATION
May 2009- Post-Secondary Education-Troy University
June 1998-Bachelor of Science Degree-General Studies/Liberal Arts minor
Teacher Education-Armstrong Atlantic State University
May 1984- Diploma-Bryan County High
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