Customer Service Medical
Resume:
Lindsey R. Smith
**** ********* **. **********, ** 36106
Cell 334-***-**** Home 334-***-****
ablu0l@r.postjobfree.com
Experience
Experience
November 2009- Present
Hospiscript Services LLC- Pharmacy Benefit Manager
1460 Ann St. Ste A
Montgomery, AL 36107
. Consistently speak with nurses, healthcare providers, and pharmacies
throughout the United States to ensure that hospice patients are
getting the services and medications that they need in their last days
. Completed training including a medical terminology training course and
had to become very familiar with all types of medications and their
generic names
. Part of the medical management team which stipulates that when
entering a patients medical chart we have to enter in allergies and
correct sig codes to ensure there are no drug reactions
. Possess close attention to detail and excellent customer service
skills
. Help pharmacies investigate why claims aren't paying when they run
certain medications and do whatever can to get paid claims and assist
them when hospice patients need their medications
. Ability to navigate through two computer systems while speaking to
clients on the phone to help assist them
. Responsible for transferring patients sensitive medical data from
spreadsheets to their medication profiles where attention to detail is
key
Reason for leaving: I am happy with my position but company has become
unstable after being bought by another company.
July 2008- October 2009
Lincare / Secure Health Systems- Patient Intake Coordinator
195 Interstate Pkwy. Suite B
Montgomery, AL 36101
Supervisor: Christina Zareefeh
. Coordinate insurance for dietitians who need to set up patients on
enteral tube feeding and durable medical equipment when they were
discharged from hospital, nursing home, etc.
. Help with patient care and consistently speak with other healthcare
professionals, case managers, and referral sources and made sure all
were satisfied
. Set up deliveries for our patients and maintained front desk reception
area
. Familiarized with medical terminology, ICD-9 codes, HCPC codes and
prior authorizations
. Set up patients medical records in the computer including
demographics, medical history, insurance information, etc.
. Able to verify Medicare, Medicaid, United Healthcare, Aetna, etc and
make sure HCPC codes are a covered benefit
. Responsible for all prior authorizations for Louisiana, Oklahoma,
Florida, and Texas Medicaid authorizations
. Handled very high volume medical calls on a 12 line phone
. Routinely worked the company's withheld sales for payment from
insurance, discrepancy due to customer, etc.
. Was occasionally responsible for delivering enteral formula and
supplies to a patients home and having them sign appropriate paperwork
and making sure they had correct formula and supplies
. HIPAA compliance current
Reason for leaving: Working conditions
May 2008-July 2008
Aspire Staffing
Montgomery, AL 36116
. Worked with accounts on computers
. Reception
. Put together medical charts
. Filed medical charts
. Scheduled appointments for patients
. Emergency medical calls
. Customer service
Reason for leaving: Obtained full time employment
Dec.1996-October 2007
Ernie's Import Parts- Administrative Assistant
Montgomery, AL 36105
. Answered multiple phone lines
. High level of customer service and assisted in sales
. Processed orders with wholesale distributors
. Kept up with books
. Created an intricate filing system
. Microsoft Office
. Collected payments
Reason for leaving: My mother became ill and owner retired
Education Auburn University Montgomery 1996 -2000
Gaitlin Education Courses- Currently enrolled in Administrative Medical
Specialist with Medical Billing and Coding online program through AUM
The Montgomery Academy 1996
References Available upon re
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