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Customer Service Representative

Location:
Sharon, MA, 02067
Posted:
December 28, 2018

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Resume:

LISA M. JACOBS 339-***-**** ac72l3@r.postjobfree.com

Positive attitude enhanced by dedicated work ethic, productivity, and natural ability to relate to culturally diverse colleagues, management, and clients. Earned reputation for ability to assimilate and disseminate information with speed and accuracy

Excellent customer service skills, with can-do approach to all task and a consistency high level of productivity

Strong ability to multi-task, organized, disciplined and detail oriented

Long Term Care Transactions / Agent Broker Relations / Customer Service

Policies & Procedures / Mass. Health & Medicare /

Self motivated and responsive professional with over 30 years experience in medical administration, including Long Term Care Service Representative, Medical Billing,

Medical Secretary and Receptionist. Team player noted for ability to plan and organize workflow, identify, execute and resolve problem cases quickly,provide multiple agents and clients with support at the highest level.

Positive attitude enhanced by dedicated work ethic, productivity, and natural ability to relate to culturally diverse colleagues, management, and clients. Earned reputation for ability to assimilate and disseminate information with speed and accuracy.

SUMMARY OF STRENGTHS & QUALIFICATIONS

Organization Skills, Conflict Resolution, Detail Oriented, Database Management, Detail Oriented, Superb Communication Skills, Analytic & Critical Thinker, Team Player

PROFESSIONAL EXPERIENCE-

Beth Israel Deaconess Hospital Needham Department of Neurology, June, 2015-Dec, 2015- Practice Assistant

Answered very busy phones for Neurology and sleep depts. booked new, follow-up, EMG, EEG appointments, took copays, checked pts in/out, entered referrals into computer system, contacted doctor s offices for referrals and or prior authorizations,

entered billing into Medi-tech and hospital computer system, obtained patient office notes from other physicians, used fax and copy machines, made new patient charts.

Dec, 2015-May, 2017- Prior Authorization Rep/Referral Coordinator for Neurology, Cardiology, Specialty Clinic and Breast Care Center

Contacted AIM, RADMD, Evicore, UHC, Tri-Care, to obtain prior authorizations for patients to get MRI s, MRA s, CT scans, SPECT SCANS,US, Echo, using CPT and ICD-10 codes.

Call health insurance companies if unable to obtain PA s through specific websites. Also call insurance companies if patients need PA for RX. Entered referrals into the system when received.

Scan OV notes, old medical information and charts into computer system.

Extensive use of Microsoft Outlook email and other hospital systems.

Speak to UR nurses to get denied or pending PA s approved or medical doctors if needed.

JOHN HANCOCK: Long Term Care, Boston, MA, May 2006-Jan.2015 Customer Service Representative- Long Term Care Call Center (Jan. 2007 Feb. 2015)

Provide agents and brokers with accounting information on broad range of subject areas, including product, transaction, and new business inquiries, Calculate, prepare, and process benefit calculations, premium mode changes,

address changes, and other service maintenance transactions .Handle complex calls, report to case managers, claims, and other departments, as needed, to assist with policy holder information. Keep updated on policy & procedural changes, set expectations for complex problem resolutions.

Assists ERT Department with telephone calls that come in via email,

Staff Assistant for Long Term Care Underwriting Project (May 2006 Dec. 2006), Analyzed applications for diagnostic results, entered results into computer system.

EDUCATION

Fitchburg State College-Fitchburg,MA

Major- Education

1985-1986

Massasoit Community College-Brockton, MA

Major-Liberal Arts

1982-1985

ADDITIONAL INFORMATION

Organizational skills

Database Management

Detail Oriented

Team Player



Contact this candidate