Customer Service Manager

Sharie Hogan

Service Facilitator/Case Manager - Hamilton County DDS

Cincinnati, OH

*****.******@*****.*** - 513-***-****

Highly trustworthy individual and energetic team player who possesses strong analytical and problem solving skills that would benefit an organization.

WORK EXPERIENCE

Service Facilitator/Case Manager

Hamilton County DDS - Cincinnati, OH - August 2013 to Present Facilitates and assists the individual and/or family in the development of a single service plan; assigns or clarifies responsibilities among team members, providers, and community resources; develops goals and action plans for implementation.

* Assures, with supervisory support, that all required documentation is completed and maintained in a timely and accurate manner consistent with all regulatory requirements (federal and state laws, Agency policy)

* Assists individuals and families in identifying and selecting services and support and in obtaining and maintaining benefits; coordinates and facilitates the planning, provision of services, supports, and documentation of an overall service delivery plan; funding, and other services; assists individuals and families in selecting providers

Employment Coordinator

Easter Seals WRC - Cincinnati, OH - March 2012 to August 2013 Conducts job development and job search activities directed toward positions that are individualized to the interests and uniqueness of the participant.

* Assesses clients' vocational functioning on an ongoing basis utilizing background information and work experiences

* Networked with human resource professionals to explore and develop employment opportunities for participants.

Pharmacy Prior Authorization Rep

Anthem Inc - November 2006 to January 2009

Demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.

* Documented compliance with Medicare standards and billing cycles

* Managed benefits investigations on behalf of the Plan Participant determining their benefit coverage, communicating the financial obligations, and obtain all the necessary authorizations from the participant, the insurance company and doctor.

SKILLS

Computer

* Microsoft: Word, Windows, PowerPoint, Excel, Outlook EDUCATION

Bachelor of Science in Criminal Justice

University of Cincinnati - Cincinnati, OH

2010 to June 2011

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