Customer Service Manager
Resume:
Sheba R. Gray
Lawrenceville, GA 30043
*********@*******.***
Skills: Customer service, administrative support, management, Microsoft Office Suite, typing 68-wpm, oral and written communication, collection, interviewing, patient registration, patient intake, patient referrals, patient accounts, account receivable, accounts payable, human resources, payroll, federal and state programs, commercial insurance, sales, Certified Application Counselor, Medicaid eligibility, Social Security Title 2 and Title 16 eligibility, E-clinical Works, PeopleSoft, Attendance Enterprise, LTC Healthcare, medical terminology, staffing, case management, filing, CPT and ICD-9 coding, medical records, medical insurance claims, research/investigation, decision making, analyzing/organizing data, and multi-tasking.
Education
Albany State University Albany, GA
Bachelor of Science Healthcare Administration 2004
Experience
Trumark Homecare & Staffing Lawrenceville, GA
Healthcare Recruiter March 2014 -present
Ensure that all employees are properly credentialed at all times. This includes verification of eligibility to work in the U.S, verification of valid and unexpired professional license and/or certification, verification that in-service requirements are met, and verification that the candidate is not excluded from participation in Medicare, Medicaid or any other health programs.
Conducts reference checks on applicants. Requests and verifies background investigations and drug testing results.
Prepares and extends written offers of employment and wage notices according to agency templates.
Performs resume searches of recruiting database for new candidates.
Acts as a liaison between new associate and the enrollment process.
Pruitt Health Macon, GA February 2011-December 2013
Business Office Manager
Discussed and educated family members on various services offered by the facility and methods of payment for those services including but not limited to Medicare, Medicaid, insurance and private pay.
Assisted with Medicaid application process by completing application, interview, and obtaining the necessary verification needed to receive approval.
Distributed funds and recorded transactions from Resident Trust fund and facility petty cash.
Completed new vendor process and ensure all vendors were contracted with the company.
Updated/maintained accurate daily census.
Monitored patient accounts and follow-up on any past due accounts for payment.
Obtained payments and post to correct patient accounts
Completed payroll for 163 employees.
Made necessary corrections and or adjustments to employee time cards upon verification by authorized supervisor
Assisted the Administrator with the recruiting, interviewing, hiring, and other employee relation duties for the facility.
DECO Management Macon, GA November 2010-January 2011
Patient Advocate
Screened patients and/or patient’s representative to determine potential eligibility for Third Party Resources.
Explained to patients and other entities the eligibility requirements, application process and verification requirements for applicable programs.
Facilitated the application process when appropriate for the patient by assisting the patient in completing the application, scheduling appointment interviews and obtaining required verifications for Medicaid and Social Security programs.
Documented pertinent patient information in the appropriate systems dictated by the health care facility and DECO.
Documented account activity as required by DECO policies and procedures in order to support account dispositions. Determined potential eligibility for health care coverage in accordance to state/federal/local policies and procedures.
Worked closely with hospital employees including discharge nurses, physicians and account representative to obtain necessary documents requested by entities.
Middle Georgia Immediate Care Macon, GA
Billing Coordinator August 2008 – November 2010
Prepared and submitted claims to various insurance companies either electronically (E-clinical Works) or by paper.
Performed collection actions including contacting patients by phone.
Completed follow-up on all unpaid claims until payment was received and/or resolution.
Posted Medicaid payments once received.
Verified insurance on all patients and obtained referrals when necessary.
Scheduled new patients and established patients for appointments.
Compiled data and created monthly reports related to outstanding patient balances/unpaid claims.
Trained medical billing clerks in performing data entry duties.
Office of Child Support Macon, GA
Agent II Case Manager December 2005 - May 2007
Established, enforced, and managed a caseload of child support obligations.
Interacted directly with the legal community, service agencies and employers.
Served as customer service agent by researching and answering inquiries on cases, and providing information and instructions to customers on availability and use of customer service resources, including the constituent services portal.
Registered new child support cases.
Utilized various systems including SUCCESS, STARS, DOL, and Georgia Vital Records to obtain pertinent information.
CallTech Communication Albany, GA
Technical Support Specialist February 2002 - May 2005
Acted as single point of contact for end-users for technical issues with hardware and network connectivity support.
Investigated and resolved reported issues in a timely manner.
Documented all product incident reports from customers.
Offered other products/services to customers.
Internships
Around the Clock Healthcare- Assisted in fulfilling staffing needs for various healthcare facilities. I verified employee's credentials and determined if certifications were up to date. I also gathered and verified employee work hours for payroll.
Palmyra Nursing Home- I implemented activities in an effort to increase participation/satisfaction from residents, family, and staff. I conducted surveys to determine levels of satisfaction from current resident life and ways overall satisfaction.
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