Customer Service Manager
Resume:
MICHAEL O. BEKOE
PHILADELPHIA PA 19116
*************@***********.***
Objective: Future oriented creative and 7 years experienced in health care field and having 10 years of customer service ability and public relation skills. Abilities include hard working, problem solving, handling multiple projects and skills to maintain confidentiality in fast-paced work environment. I have exceptional leadership and managerial abilities which will work sufficiently for the help of the company.
Areas of Expertise
People Person
Empathetic and patient
HIPAA trained / Compliance
Medical Terminology Knowledge
Great Understanding of Medicare and Medicaid
Drug Distribution Professional
Organized and detail oriented
Team Collaboration / Support Coordination
Staff Supervision
Clerical support / Administration
Professional Experience
Managed Care Coordinator –Horizon Blue Cross Blue Shield Mount Laurel, NJ AUG 2016 – Present
Maintained credentialing database while tracking all direct provider contract data.
Audited, data entered, and preformed primary source verifications in accordance with various regulatory agencies for credentialing, credentialing, and delegated accounts.
Maintained all medical license, Drug Administration and malpractice insurance for physicians and mid-level providers.
Provided excellent customer service to supervisor, managers and teams as evidenced by satisfaction surveys
Responsible for the scheduling, preparation, and coordination of the scheduled Credentialing to and Peer Review committee; accurately and timely maintains minutes of Credentialing.
Explained relevant services, coordinating and monitoring implementation of programs
Managed the patient schedule, worked with front office and back office staff to ensure organization
Organized and maintained patient charting process, prioritized and reviewed charts for completeness
Verified insurance for treatments, collected payment from patients, and reconciled daily cash reports
Lead and provide clinical ancillary and support to Medical policy analyst
Administrative Representative - Corizon Health Philadelphia PA Dec. 2015 - Present
Managed the patient schedule, worked with front office and back office staff to ensure organization
Managing the evaluation, selection and transfer of current employees between departments and into different shifts.
Supporting the recruitment functions actively engaging in efficient talent management initiatives.
Meeting and interview coordination, and project and process management.
Ensuring excellent customer service and that the needs of all stakeholders are met in a timely and efficient manner.
Organized and maintained patient charting process, prioritized and reviewed charts for completeness
Process criminal background checks and conducting reference for checkup.
Maintain supplies inventory by checking stock to determine inventory level
Effective and responsive communication skills, comfort and ability to interface with all levels of staff and management with sensitive issues.
Family Support Services / Compliance services Yonkers Health Center June 2016 – July 1 year Contract
Assists in the development and implementation of compliance programs for the organization
Ensures operating manuals and procedural documents stay current when regulations change.
Responds to correspondence from regulatory agencies and consumers and completes required compliance documentation.
Keeps management informed of area activities and any significant problems or concerns, and communicates findings of reviews to Operations personnel
Keeps informed of regulatory changes and updates by reading bulletins, circulars, and other pronouncements from State and Federal Regulatory agencies.
Attends seminars, conferences and meetings to keep current on compliance regulations
Serve as the Field Liaison for student/staff completing intern for Social Work program
Collect and process funds received from the services in the Resource Service Center.
Pool X Ray Technologist PRN – Temple University Hospital Philadelphia PA Jun- 2012 – Aug 2016
Put patients at ease by explaining what to expect during the procedure.
Took brief medical history and positioned patients on the equipment.
Processed, monitored and developed images for diagnosis – Worked with radiologists to evaluate exams.
Directed patients regarding proper position during procedures.
Organized examination room and ensured all equipment was available.
Patient Access Specialist St Christopher Hospital for Children Philadelphia PA Jun. 2013- Jan 2015
Obtain and enter demographic, clinical, financial information into the computer system
Prepare admitting and discharge records and forward them to proper departments
Explain a variety of admission forms and policies, get signatures, hold discussions on financial responsibility and obtain payment
Carry out insurance verification, consent and notification
Explain and obtain signatures on admission, clinical and financial forms
Project Manager / Coordinator Bronx Community Center Bronx NYC Jan 2010 – May 2013
Stays aware of changes in laws and regulatory requirements.
May be required to write and implement desktop policies and procedures as necessary to remain in compliance.
Order department supplies and maintain office equipment as needed
Managed selection process include interviewing, assessing candidates, screening and recommending finalists
Data entry for documents within internal HR database
Retail Manager Tommy Hilfiger Franklin Mills Circle Philadelphia PA Sept 2006 – JAN 2011
Assist customers with product selection and queries
Investigate customer complaints and provide solutions accordingly
Set up store displays and merchandise
Operate cash register as and when necessary
Managed shelf stocking and pricing activities
SKILLS
Strong skills in organization, multitasking, verbal and written communication, customer service and sales.
Maintains professionalism with client's peers, supervisors, and other co-workers
Expert with Microsoft Word, Excel & PowerPoint
Develop and maintains effective working relationships with team members and other members.
Demonstrates the ability to cooperate with a variety of people and achieve results
Experienced in working with Epic, Outlook, Pac’s System, and NaviNet, Kronos experienced, Share point,
EDUCATION
2006-2008 *Okuapemman High School (High School Diploma. June 2006)
2008-2010 * Community College Of Philadelphia (Associate in Computer Science, May 2011)
2010-2012 * Saint Christopher’s School of Radiology (Certified RT. June, 2012)
2014-2016 *Gwynedd Mercy University (Bachelors in HealthCare Administration Dec 2016)
2017-2018 * Gwynedd Mercy University (MBA. Master’s In Business Administration Dec. 2018)
CERTIFICATES / DEGREES
MBA – Master in Business Administration 2019
B.S – Bachelors in Health care Administration 2016
AA – Associate’s in Computer Science 2012
RT – Certified in Diagnostic Imaging 2012
CPR – Certified / First Aide/ AED certified 2017
BSL- Basic Life Support 2016
Medication Administration 2017
HHA -Certified Home health Adie 2014
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