Customer Service Nursing Assistant
Resume:
Michaelle Desir
Kenessaw, GA 30152
Tel: 470-***-****
**********@*****.***
PROFESSIONAL PROFILE
ChangeHealthcare/Hire dynamics
Documentation Management Specialist-February 2018-Present
Wellstar Kennestone Hospital- Patient care/Unit secretary
Cardiac Intervention – January 2015 – December 2017
- Performing clerical and receptionist functions including computer order entry, retrieval of data, maintaining unit supplies, transporting supplies / equipment / patient medications, preparing and maintaining patient charts, providing customer service and acting as the central communication source on the nursing unit.
- Greeting customers, registering patients at check-in and checking them out, answering telephones, scheduling appointments, and/or filing medical records. Reports to the Office Manager or Front Office Lead.
- Communication source on the nursing unit and other activities as necessary.
Centene Corp.-Prestige staffing - Member Services
MCO plan –Atlanta,GA -July 28, 2014
• Received and respond to all telephone or written correspondence inquiries from members within established timeframes and policies
• Assist members with plan benefits via telephone, in writing, in person or make referral to outreach representative as appropriate. Documents all members’ issues and resolution
• Utilize current reference materials to assist and resolve any member inquiries
Maximus-Contact Center Representative
Atlanta-GA- April 7. 2014
• Enroll Consumer to the Marketplace and assist with eligibility, reporting change and application status
• Assist Consumer with special enrollment and Medicaid enrollment thru ACCESSCT.
Alorica-Kennessaw, Georgia
Benefeds Customer service, open season enrollment November 18, 2013
• Enroll eligible Federal employees for dental and vision insurance plan
• Assist Customers changing or cancel plan carrier
• Verification and update account information
MetroPlus Health Plan- New York, NY
Customer Service Representative- March 2009 - August 2013
Educated members concerning eligibility, claims, general coverage questions, PCP and address changes, and any questions or concerns about health and prescription drug benefits.
Researched, identified, documented, and eliminated discrepancies that delayed current and future claim payment.
Processed single case agreements, verifying authorizations, patient information, and date services rendered.
Verification of information, and enter relevant account information including account number, procedure code, location, and provider.
Resolved any issues regarding denied or rejected claims through verbal or written communication with respective carriers.
Hellenic Healthcare – Canton, MA
Certified Nursing Assistant- October 2007- March 2009
Performed any combination of following duties in care of patients in hospital, nursing home, or other medical facility, under direction of nursing and medical staff: Answered signal lights, bells, or intercom system to determine patients' needs.
Independently performed basic medical procedures, including taking blood pressures, pulse, temperatures, and specimens and giving whirlpools.
Assisted patients in meeting nutrition and elimination needs.
Village at East Farm- Waterbury, CT
Certified Nursing Assistant- July 2006-October 2007
Transported patients, using wheelchair or wheeled cart, or assisted patients to walk.
Draped patients for examinations and treatments, and remained with patients, performing such duties as holding instruments and adjusting lights.
Promoted patient safety and environmental cleanliness. Assist and anxiety relief.
Woodbury Center Nursing Home- Long Island, NY
Certified Nursing Assistant-2003-2006
Assessed, monitored and supervised individuals to ensure their health, safety and welfare.
Assisted individuals with activities of daily living skills:
• Basic personal hygiene, care and grooming, including bathing, hair care, dressing
• Bladder and/or bowel requirements or problems, including helping individuals to and from the bathroom.
• Self-administered medications
Participated in the consumer’s Individual Service Plan meetings if and when requested by the consumer and/or the consumer’s interdisciplinary team.
Burkina Faso Embassy – New York, NY
Secretary-2002-2003
Office coordination, scheduling meetings, preparing and maintaining office records, reports, and correspondence pertaining to the professional(s)'s and/or management staff's area of responsibility.
EDUCATION
TCI-College-Manhattan NY Associates Degree in Business Administration Management
June 2013
Lincoln Technical Institute-Brockton, MA
Certificate in Medical Administrative Assistant 2008
American Medical School-Jamaica, NY
Nursing Assistant Program
May 2000
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