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Customer Service Manager

Location:
Kelso, WA
Posted:
December 07, 2012

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Resume:

KRISTA SPAULDING

Email: ********@********.***

Address:

City: Kelso

State: WA

Zip: 98626

Country: USA

Phone: 360-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Referral Manager with patient care as the number one focus. Experience with insurance work including but not limited to obtaining authorizations and checking benefits. Deadlines are very important with referrals and they must be reached so performance, with discipline is a must.

Educational Background:

High School Dipolma from Lower Columbia College, Longview WA 1/2001 to 1/2002 (Fire Science)

Job History / Details:

Career Overview

Referral Manager with patient care as the number one focus. Experience with insurance work including but not limited to obtaining authorizations and checking benefits. Deadlines are very important with referrals and they must be reached so performance, with discipline is a must.

Core Strengths

Training development

Local/state health laws

Multi-line phone usage

Strong organizational skills

Listening skills

Medical terminology knowledge

Scheduling

Internet research

Problem solving

Knowledge of insurance requirements and changes

10 key

Manage time lines

Filing

Medical record experience

Accomplishments

Conflict Resolution

Responsible for handling patients, accurately providing information to ensure timelines with referrals are met and insurance coverage is taken care of.

Customer Service

Consistently received positive feedback from providers and patients about referral deadlines with appointments made.

Handle complaints, maintaining a positive outcome for both parties.

Work Experience

August 2006 to 12/6/2012 12:00:00 AM

PeaceHealth Longview, WA

REFERRAL MANAGER

Job duties include obtaining authorizations from insurance companies, faxing medical records, billing insurances, working with CPT and ICD9 codes, using the 10key, working multiple phone lines, scheduling appointments for patients along with giving them prep information.

December 2002 to July 2005

Eldercare Connections Longview, Washington

Caregiver Manager

As the caregiver manager for one of five adult foster homes I was in charge of making all schedules for employees, ordering supplies for the house and the six residents, filling medication boxes, Caring for Six residents that had some kind of medical condition that would limit them in daily living. Trained all new employees quarterly. Responsible for maintaining all updates to the house and workers.

Educational Background

Lower Columbia College Longview, Washinton

Fire Science

Candidate Resume - Angelina Sanchez

Contact Information -

Email: ********@**************.***

Address:

City: Lakewood

State: CO

Zip: 80215

Country: USA

Phone: 720-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Analytical adept at resolving complex network issues. Critical thinker who addresses customer support issues quickly and who consistently exceeds performance standards.Technical Support Representative skilled at resolving complex customer service issues in a timely manner. Customer service-oriented Administrative Assistant skilled in greeting patients, scheduling appointments and preparing patient charts.

Educational Background:

High School Dipolma from life skills, Denver CO 1/2001 to 12/2000 (general studies)

Job History / Details:

Professional Summary

Analytical adept at resolving complex network issues. Critical thinker who addresses customer support issues quickly and who consistently exceeds performance standards.Technical Support Representative skilled at resolving complex customer service issues in a timely manner.

Customer service-oriented Administrative Assistant skilled in greeting patients, scheduling appointments and preparing patient charts.

Skill Highlights

Troubleshooting proficiency

Exceptional telephone etiquette

Patient and diligent

MS Office proficiency

Vast technical knowledge

Maintains strict confidentiality

Managed care contract knowledge

Electronic Medical Record (EMR) software

Accomplished with mobile devices

Windows XP/Vista

Proficient in AVG, Printers, PC Security systems

Interpreting instruction

HIPAA compliance

Strong planning skills

Strong work ethic

Team player with positive attitude

Exercises good judgment

Professional Experience

April 2004 to December 2011

Empowerment Counseling Services Lakewood, Co

receptionist

Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.Designed electronic file systems and maintained electronic and paper files.Maintained the front desk and reception area in a neat and organized fashion.Wrote reports and correspondence from dictation and handwritten notes.

May 2002 to March 2004

Woodridge Orthopedics Lakewood, Co

medical front desk

Recorded and filed patient data and medical records.Carefully reviewed medical records for accuracy and completion as required by insurance companies.Strictly followed all federal and state guidelines for release of information.Wrote clear and detailed clinical phone messages for physicians.Directed patient flow during practice hours, minimizing patient wait time.Scheduled patient appointments.Confirmed patient information, collected copays and verified insurance.

Education and Training

2000 life skills Denver, co

GED general studies

Accomplishments

Received a merit raise for strong attention to detail, exemplary customer service and team-player attitude.Increased office organization by developing more efficient filing system and customer database protocols.



Contact this candidate