Service Representative Assistant

Rosa Nagovich

** **** ***** ****** #** New York, N.Y. 10029 Cell: 646-***-****

email:***********@*****.***

SUMMARY OF QUALIFICATIONS

Organized, efficient, strong communication skills, willing to assume

increased responsibility, Skilled at solving customer relations problems,

effectively able to communicate with customers, staff and management.

PROFESSIONAL EXPERIENCE:

09/2013 - 03/ 2014 Arch Care MLTC

New York, NY

Member Service Representative (Temp)

. Received calls on ACD system

. Scheduled transportation for members medical appointments

. Coordinated Home Care Services for new and current members

. Entered of member information and demographic

. Collaborated with care manger and member PCP as necessary

. Assisted as necessary in development of the reassessment plan of care

. Intervened as necessary to prevent dissatisfaction and resolve

concerns and grievance

. Assisted with translation with other team members

08/2012 - 9/2013 Neighborhood Health

Providers/Health first New York, NY

Member Service Outreach/Telemarketing Representative

. Received Inbounds calls on ACD system for HHP, CHP, and FHP

. Scheduled appointments for members Medicaid recertification

. Provided information to members renewing application for FHP and / or

Medicaid

. Pre-screened new member applications

. Assisted members with inquires on their status of enrollment

. Assisted with translation with other team members

05/2011 -08-2012 Allen Presbyterian / Prime

staffing New York, NY

Administrative Office Assistant/Secretary

. Assisted supervisor with daily departmental workflows/ directed

training for new hire

. Prepared treatment rooms for patient examination/ ensure that all

supplies were stocked and all instruments were cleaned and sterilized

. Obtain pre-certifications from insurance company for imaging and

surgical procedures

. Schedule appointments for providers and nurses

. Data entry

11-2006-03/2011 Independence Care System New York,

N.Y.

Administrative support-Nursing Intake Department

Member Service Coordinator

. Maintained nurses schedules of assessments, meetings, and conferences

. Arranged intake visits, confirmed and cancelled appointments with

members if needed

. Documented all member's contact information in PRIME database system

. Scanned all letters into PRIME, Photocopying, collating and faxing

documents

. Coordinated Home Care Services for members of organization

. Ensured all member records were completed and accurate

. Entered Care management data per assessment and care planning

. Ordered supplies and prepared charts for off-site storage

. Tracked member's 180 day Nursing Assessments and scheduled visits for

nurses

12/2002-10/2005 St. Luke's Roosevelt Hospital New

York, N.Y.

Senior Department Assistant (OB/GYN & FEU/GYN Oncology

. Supervised and trained newly hired employees

. Obtained pre-certifications for imaging and surgical procedures

. Typed all office correspondences, monitored, and managed multiple

telephone system

. Collected patient demographics and insurance information and completed

office billing

. Updated and maintained physicians schedules of administrative meetings

and surgeries

EDUCATION:

1998 LaGuardia Community College

Long Island City, N.Y.

Credit towards associate of Applied Science

Major: Secretarial Science

1982 Charles Evans Hughes High School

New York, N.Y.

Regents Diploma

SKILLS/LANGUAGES:

Knowledge of Medical Terminology/HIPPA regulations, Certified in IDX, IBEX,

Medcon, MIQS database, e-mail, internet, excel, Lotus 1, 2, 3, and

knowledge of coding and office equipment. Bilingual Spanish, Mediture.

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