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Customer Service Medical

Location:
United States
Posted:
September 15, 2016

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Resume:

Objectives

To obtain a long term management position within the areas of Mental Health, Community Support and Human Services.

Education

****-**** ******* **********, *******, GA (Clinical Mental Health Counseling (online) MA

2012 – 2014 Point University, East Point, GA (Counseling/ Human Services) BA

2010 - 2012 Point University, East Point, GA (Counseling/Human Services) “Dean’s List” (AA)

2006 - 2008 NCCM School of Ministry, Lithonia, GA (2 Yr. Biblical Studies Certificate)

2004 - 2004 Bob Wood Real Estate Academy, Norcross, GA (Real Estate Licensure Training) 1994 - 1995 Plaza School of Beauty Culture, Charlotte, NC. (Certified Nail Tech)

1992 – 1993 Central Piedmont Community, College, Charlotte, NC. (General Studies)

Certifications: Completed Essential Learning, CPR & First Aid Training Certificates & CPI Certificate, DHS Core Training for Case Management

Experience

Case Management/ Patient Assistance Analyst (Contract Position)

Emory University Hospital (1365 Clifton Rd, Atlanta, GA 30322)

Responsibilities:

Assisting Indigent Oncology Patients with Pharmaceutical Products

Completing Applications for Medication Replacement for Hospital Recovery

Advocating on Oncology Patients behalf to re-enroll or receive approval for free drug programs.

Working with comprehensive list of global pharmaceutical manufacturers.

Assisting patients with community linkages and resources linked with manufacturers.

Educating patients & hospital staff about Pharmaceutical drug recovery and affiliate programs

Creating new patient data files

Facilitating national conference calls about recovery programs

Retrieving patient financial documents from government systems and hospital systems

Meeting monthly recovery goals of 40K and above.

Meeting monthly with Director of Pharmacy & Pharmacy staff

Core Services Representative/ Case Manager (2013 – 04/2014)

Trinity Social Services (1455 Lincoln Parkway, Atlanta, GA 30346)

Responsibilities:

●Providing Community Support Services (In-Home)

●Assisting with foster family individual / group counseling and interventions

●Intervention Specialist with Foster Care Families

●Facilitated Parenting Skills & Supervisions according to DHS standards

●Providing Crisis Focused: Individual, Group & Family Support (Youth & Family)

●Advocate in court on behalf of families

●Attend School IEP’s for youth & Foster Children

●Assisted with Intake Information & Assessments

●Teaching Behavior Coping Skills & Techniques

●Encouraged Clients & Family In Family Counseling Sessions

●Accurately Documented Services Provided In B.I.R.P.

●Provided Transportation to Community Services

●Provided Families In Need With Referral Resources and Assisted With Crisis Interventions

●Attended Monthly Trainings & Seminars

●Attended monthly meeting at foster care facility to discuss progress or concerns with foster families

●90% Travel

Community Support / Case Manager ( 2011 – 2013)

Bread of Life Youth & Family Services (223 Mitchell Street Atlanta, GA 30033)

Responsibilities:

●Providing Individual, Group & Family Support (Youth & Family)

●Case Management

●Community Resource Coordinator (Transitional Housing, Emergency Assistance, Support Group Linkage)

●Substance Abuse Interventions

●Assist with Office & Web- based Psychiatric evaluations

●Facilitated health screenings, physicals & Nutritional Workshops at local hospitals and community centers.

●Assist with initial client assessments & Entered client data

●Encourage & Provide anger management tools, social skills, behavior skills, interpersonal skills and development.

●Provided list of resources to assist families in need of emergency assistance (i.e. rent, utilities, food, shelter and tutoring)

●Organized family and community events

●Assist Marketing team to build referral base which produced over 40+ clients

●Crisis Intervention Assistance (Managed After- Hour Crisis Phone)

●Encourage, Celebrate and Support clients to live healthy productive lives

●Accurately document services provides in B.I.R.P

●90% Travel

Sr. Client Representative (2005 – 2010)

Precision Practice Management (45 Technology Parkway Norcross, GA 30096)

Responsibilities:

●Managed assigned practice accounts for various medical clinics and hospitals

●Physician billing, hospital billing and collections duties

●Entered patient data if required

●Handled month end reports and reported directly to Practice managers or Physicians

●Facilitated month end meetings at assigned practices in office or held web based meetings

●Set up self pay and worker’s compensation accounts for practices

●*Certified Trainer** Specialized trainer on medical software/ trained new practices on billing software.

●Facilitated software trainings with employees and updated on new released versions of software

Practice Assistant (2003 – 2005)

Southern Orthopedic Specialist (575 Medical Center Blvd. Lawrenceville, GA 30043)

Responsibilities:

●Front desk check in and check out

●Data entry, input patient demographics and insurance information

●Verified patient medical coverage and payable benefits

●Collections on outstanding accounts – worked 60-120 A/R buckets

●Set up self pay plans and worker’s compensation accounts

●Collected co payments, surgery deposits, posted payments and balanced daily transactions

●Multi tasked in fast pace office environment/ adjacent to services with Gwinnett Hospital Environment and surgical center.

Sr. Collector & Customer Service Representative (2001-2003)

HCA, Patient Account Services (5705 Peachtree Parkway Norcross, GA 30096)

Responsibilities:

●Providing customer service to patients and insurance companies

●Handling incoming and outgoing calls

●Collections and follow up on high dollar 90-120 aged accounts

●Updated patient information in order for claims to be processed

●Very busy call center environment

Skills

*Computer literate and have used various medical software programs.* Certified as a trainer on software for various medical facilities. *Received several certificates of completions for superior training in customer service with various medical and corporate companies. *Team player with a

Gung Ho Spirit! Won numerous awards, certificates and acknowledgement for Customer Service, Team Player and ability to collect over monthly goal. Proficient in Word, Excel and Power Point. *Served as a Bereavement Counselor with Gentiva Hospice for clients and their families. *Partnership Against Domestic Violence, (Volunteer} and continue to volunteer and serve at homeless shelters (City of Refuge & Safe House) and Facilitate Women Support & Empowerment Group(s).

REFERENCES AVAILABLE UPON REQUEST



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