Elizabeth Finke
Elon University, Elon, NC May 2013
Bachelor of Arts: Psychology
Verge Health, Charleston, SC February 2018-Present Credentialing Specialist
• Used critical thinking to evaluate practitioner application data for accuracy and completeness; including detailed follow-up and investigation efforts
• Performed first round of primary source verification requests using a variety of tools including online sources, phone calls, facsimile, and email
• Served as a key resource to support practitioner use of the online application tools as well as engage them to resolve pending application requirements and incomplete data
• Prepared a first draft of application reports and reviewed for quality and accuracy to support the next steps of the process to deliver the file to the client
• Provided quality customer support to all levels of personnel; including practitioners, practice management staff and associate administrative personnel, and internal team members
• Utilized critical thinking skills to resolve support questions and a strong aptitude to understand and explain software systems and new processes
• Processed application requests within 24 hours of receipt to ensure practitioners were credentialed and approved before their intended start date; collaborated with team members to ensure deadlines were met
• Reviewed data entry for accuracy and completeness; completed thorough investigations of all discrepancies with diligence and resourcefulness
Three Rivers Medical Associates, Irmo, SC November 2016-September 2017 Appointment Coordinator
• Answered all incoming calls and routed to appropriate staff
• Scheduled patients per individualized provider standards using Athena database
• Registered patients in accordance with company standards, including but not limited to:
• Accurate demographic information
• Accurate insurance information
• Accurate past patient history as applicable
• Collected outstanding balances from patients in the form of co-payments and prior outstanding balances
• Communicated with providers, clinicians, and supporting staff as needed to facilitate positive work flow
• Scanned and documented all incoming faxes into patient charts; assisted with transition into EMR
• Ran a daily eligibility report and verified insurance eligibility for all patients
• Reported broken/underworking office equipment to technical support for timely repair Harman Eye Center, Lynchburg, VA October 2015-June 2016 Optical Assistant
• Responsible for providing general administrative support in the optical department; which included ordering office supplies, filing paperwork, purging files, answering phone calls, and informing patients of insurance coverages.
• Used Compulink database system to enter patient demographics, insurance information, and schedule patient appointments.
• Researched patient’s insurance and applicable coverages; filed and submitted claims with insurance companies to provide discounted materials to patients.
• Responsible for filling contact lens prescriptions.
• Greeted customers and informed them about pricing for contacts and eyewear.
• Informed patients of their vision insurance plan and advised purchases accordingly.
• Worked in an optical lab two days per week edging lenses; saving the company an average of $1,200/month.
• Assisted company in reaching record breaking sales for the month of December 2015. MirrorMate Frames, Charlotte, NC October 2013-June 2014 Administrative Assistant
• Provided customer service to retail and wholesale customers via phone/email correspondence.
• Entered orders on the company website, Excel, and the MAS 90 accounting system.
• Responded to customer questions and requests in a prompt and efficient manner.
• Maintained knowledge of current sales and promotions, and overall product knowledge.
• Responsible for screening, approving, and overseeing all wholesale customers.
• Coordinated special and irregular orders; responsible for assessing price quotes.
• Headed projects for customer service improvement, efficiency, and excellence.
• Maintained office supply storage room and ordered supplies as needed.
• Responsible for handling all incoming and outgoing mail.