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ADMINISTRATIVE

Location:
Kansas City, MO
Salary:
19.00
Posted:
April 16, 2019

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Resume:

T esla K. P alton

**** ****. *** * ****** Kansas City, Missouri 64131 816-***-**** ac835y@r.postjobfree.com

Summa ry of Qu ali fi ca tion s:

I am a dynamic and energetic professional seeking an opportunity in office administration. Experienced in planning, organizing and evaluating responsibilities in a timely and efficient manner. Demonstrates excellent productivity. Relies on judgment with a professional demeanor. Adept in a fast and fluid work environment. Diversified background sales and customer relationship management. Proficient in the use of Windows 95-‘00, Microsoft Office Suites, Word Perfect, QuickBooks, Windows XP, Outlook, PowerPoint, Internet and Novell. Committed to exceptional customer service. A self-motivated team player.

Care e r H i sto ry:

UBC/Express Scripts, Overla n d Pa rk, Ka n sas October 2015 to Present

Patient Care Advocate/Eligibility Specialist

Utilize and understand provider guidance and eligibility processes, in order to make necessary updates to various internal systems required for enrollment into ESI’s Prescription Drug Plan. Serve as first point of contact for internal clients and members during the enrollment process. Make outbound calls to members to gather Enrollment Data; analyze and process data accordingly. Handle inbound member calls and written correspondence regarding member eligibility. Make independent judgments in order to respond to complex or critical member issues. Work collaboratively with Eligibility Systems Analysts, other Eligibility Associates, Eligibility Managers and Account Managers to provide seamless support. Identify and escalate repetitive questions and /or problems so that corrective action can be pursued and expedited. Maintain accurate and complete documentation of all contacts. This continuously improves the process and reduces potential for legal concerns or payouts. Complete other projects and additional duties as assigned. Coordinates all aspects of services for referrals to contract facility. Maintains communication levels with contract facilities to meet the contractual obligations.

KU M e di ca l Cen ter H osp ita l, Kan sa s City, Kan sa s M arc h 2012 to October 2015

Em e rg e n t Co m m un ic a ti on s Spe c ia lis t

Provides outstanding customer service to callers also provides rapid and profes sional response to all internal and external

callers calling into the medical center's main phone number. Also including internal code lines, external transfer center and priority paging lines. Initiates code pagers for emergencies including code blue, code red, stroke activation, code pink,

dis as ter code paging and trauma paging. With the aid of us ing s oftware programs of Infinity. Demons trates the ability to complete multiple tasks in a fast paced, high energy environment.

Proh e ran t, Overla n d Pa rk, Ka n sas Ja n ua ry 2008 to Fe b rua ry 2012

Acc ou nt Coo rdi na tor

Provides assistance and support for Clinical Business Solutions national customers and Accredo product distribution patients. Coordinates and overs ees the processing of the daily operation of Clinical Business Solutions national accounts,

which may include specialty staffing, research support, referral process, trend analysis is, and data/s specimen collection. Also provides customized invoices, activity reports for as signed customers, and reports trends to management.

Tru man M e di ca l Ce nte r, Ka nsa s City, M isso uri Oc to be r 2006 to J a nu a ry 2008

Con s ult Re ferra l Ce n te r Su pp ort Staff

Maintains a database of patients referred into this organization for medical s upport. Complete data entry and report

generation. Set appointments for Sleep Lab and CPAP machine checks. Keeps clinical area s taff and registration staff informed via actual copies of the referrals as to who arrive, when, and requested service and delivers documents of such to the clinical and regis tration areas. Obtains appointments for patients referred from community partners. Verifies ins urance, updates mis sing data in the database, and interacts with patients by phone. Obtain accurate and detailed information to assist with the registration process in advance of patient's arrival. Pre-regis ters patients referred to all hos pital facilities.

Corn erston e s o f Ca re, Ka nsa s City, M isso uri M arc h 2006 to Oc tob er 2006

Prog ram As s is tan t

Case Record Maintenance, coordinate organization of case records in compliance with Child Welfare Manual/COA

directives, make insert packets for case files, and help s et up new case files . Maintain currency and organization of case records by filing documents for case managers and re-organizing as needed. Process completed files by removing from binders, insuring all critical documents in CORE, and return to the Children's Divis ion. Update closed client spreadsheet and send out client s atisfaction survey. Participate in case file reviews, along with the management team, as audit function. General reception and front desk duties, greet visitors and clients . Maintain adequate s tock of office s upplies, stationery, and forms at each unit, place orders or check request for other items, and reconcile invoices for payment. Submit routine and special equipment maintenance requests to applicable agency for fax, printers, copiers, phones, computer hardware and

other physical needs. Back up to Program Coordinator. Sort and deliver mail and faxes. Answer phones, schedule

appointments, s et up conference calls, s chedule meetings, and over see all mail room duties. Perform general administrative duties including filing, typing, and photo coping, faxing, sorting, and organizing. Special projects as as signed, data entry, human resources coordination, s taffing s chedules and calendars. General operator/receptionis t. Volunteer projects, and all other duties ass igned.

Ru ral Commu ni ty I nsu ra nc e Servic e s/We lls F arg o, Ove rla nd Pa rk, KS De ce mb er 2003 to M arc h 2006

In s u ran c e Se rvic e Re p II

Process all documents associated with procurement of MPCI, Hail and named Peril Insurance. Proces s claims and loss

documents. Resolve basic CIMAX suspensions and works with experienced team members on more complex is sues . Builds a working knowledge of policy and procedures . Trace s tatus of suspended documents and ensures accurate and complete information is received and process ed in a timely manner. Create and maintain Heat Tickets to document and communicate with agents regarding s tatus. Works closely with management team to gather information, compile data, review output and composes and distributes corres pondence to policyholders. Responds to basic questions from agents and field staff.

Answ er R in g, Ove rla nd Pa rk, Kan sa s (Pa rt Ti me) Dec e mbe r 2000 to Ap ril 2005

Op era tor

Answer incoming calls for different companies after busines s hours and during busines s hours. Take messages, page s ources

(alpha and numeric), received from 100-350 calls per day.

Regis ter co-ops, set up s howings for real-estate companies, take credit applications over the phone.

TC Co-o p, Ove rla nd Pa rk, Kan sa s (Pa rt Ti me On Ca ll) Aug ust 2002 to Pre se nt

Sch e du lin g Se rvic e Re p res e n ti ve

Regis ter co-ops, set-up s howings for different real-es tate companies, providing superior customer s ervice and technical

support to brokers, agents and buyers as needed.

Sai nt L u ke s So uth H osp ita l, Overla n d P ark, Ka nsa s (Pa rt Ti me) J a nu a ry 2002 to Ja n ua ry 2004

PB X O pe ra to r/D is p atc he r

Operate switchboard, paging alpha, numeric, and overhead. Dispatch Security Guards as needed or for routine calls

Generate reports, logs, and other documentation Administrative support and s pecial mailings, scheduling, medical records. Assis t callers as needed and all hos pital staff. Follow emergency procedures for code blue, red, black, and other codes.

Ola the Pu b lic Sch oo ls F ou nd a ti on, Olath e, Kan sa s Ja n ua ry 2002 to De c emb e r 2003

Adm i ni s tra tive As s i s ta n t

Manage Scholars hip Accounts, donations and all other contributions. Responsible for multiple tasks on behalf of the

Executive Director. Answer phones, set appointments, maintain records, schedule events, data entry. Coordinate all bulk mailings, account process ing, and other duties ass igned. Generate monthly, quarterly, and annual accounting reports . Participate in school events and pres entations.

E du ca tion / Profe ssi on al Deve lopme n t/ Affili atio ns

Center Senior High School of Kansas City, Missouri Diploma- June 1997

Center for Management Assistance, Kansas City, Missouri Certificate- June 2002



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