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Medical Customer Service

Location:
United States
Salary:
13.00
Posted:
December 29, 2015

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Resume:

Dede Dawn Yetro

**** ********** **

Abilene, Tx *9602

325-***-****

Email ********@*****.***

Professional attitude, Strong communication skills, Ability to work in teams, Previous customer service experience, Ability to type 40+ words a minute, Understanding of medical terminology and calculations, Attention to detail, Outgoing, Hard working, Quick Learner

Work Experience:

03/2015-current

Hendrick Medical Center

Position: Insurance Verification Specialist

Duties: Answer phone calls, verify insurance, request referrals, request authorizations, make phone calls to insurance companies, web inquiries to insurance companies,,knowledge of ICD-9 and HCPCS codes

8/2011-01/2015

Blue Cross Blue Shield/FEP

Position: Customer Advocate/Health Advocate Intake

Duties: Phone Inquiries to include precertifications, setting up precerts using multiple computer systems, review predeterminations, route to Medical Review, send responses of inquiries, follow guidelines and medical policies and procedures, knowledge of ICD-9 and HCPCS codes, typing and sending letters

11/2009-8/2011

Blue Cross Blue Shield/FEP

Position: Customer Advocate

Duties: Phone Inquires, adjust claims, processing of medical and dental claims, training in basic and advanced deferrals; DME; COB; and completed each mastery of training, follow guidelines and medical polices and procedures.

1/2008-2/2009

National Central Pharmacy

Position: Certified Pharmacy Technician

Duties: Assist pharmacist in labeling and filling prescriptions, Assist patients in dropping off and picking up prescriptions, Entering prescriptions into the computer, Verify that the customer receives the correct prescription, Screen phone calls for pharmacist, Work with insurance carriers to obtain payments and refilling authority, Assisting in outpatient dispensing.

8/2006-2/2008

Hendrick Medical Center

Position: Certified Pharmacy Technician

Duties: Assist pharmacist in labeling and filling prescriptions, Assist patients in dropping off and picking up prescriptions, Entering prescriptions into the computer, Verify that the customer receives the correct prescription, Screen phone calls for pharmacist, Compound oral solutions, ointments and creams, Prepackage bulk medications, Prepare medication inventories, Assisting inpatient dispensing, Purchasing and billing, Pyxis Medication system, Robot Medication system, Cross trained into IV mixing and Narcotic Control and Inventory.

2/2005-8/2005

Foster Marine Corp Base After School Care Program

Position: Program Assistant G/S2

Duties: Provide appropriate developmental care and instructions for children in School Age Care program, Conducts appropriate play and learning activities, Interacts with children during programmed activities, Attend to the physical needs of the children, Participated in the process of Advancement and Inspections for the company, Attend workshops and annual trainings.

11/2001-10/2002 (6/2204-10/2004)

Hendrick Medical Center

Position: Certified Pharmacy Technician

Duties: Assist pharmacist in labeling and filling prescriptions, Assist patients in dropping off and picking up prescriptions, Entering prescriptions into the computer, Verify that the customer receives the correct prescription, Screen phone calls for pharmacist, Compound oral solutions, ointments and creams, Prepackage bulk medications, Prepare medication inventories, Assisting inpatient dispensing, Purchasing and billing, Pyxis Medication system, Robot Medication system.

6/1999-11/2001

Hendrick Medical Center

Position: Radiology Film Librarian

Duties: Selection; compilation; coding; indexing and filing of patient radiology films, journals and helath information for review and study by medical students; residents; interns and professional medical personnel, assist Radiologist, screen and answer phone calls.



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