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Customer Service Representative

Location:
Queens County, NY
Posted:
March 20, 2017

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Resume:

Diane Gervasi

**-** *** ******, ****** Viltage, Ny 1137g

********@*****.****

Summary of Qualifications

As a Patient Service Representative, I specialize in insurance coordination, primarily authorizations and co-pay collections. My broad knowtedge of insurance canier benefits means that both patients and physicians can focus on heatthcare, while I handle insurance issues. During difficult situations when carriers deny coverage for physician recommended procedures, I am able to negotiate solutions that satisfy both physician and patient's needs. My primary goal is to improve the patient experience by being a liaison among all the stakeholders.

Professional Experience

Advantage Care Physicians

Patient Service Representative

2005 - present

. . Manage Request patient prior authorizations intake for 150 for patients continued per care day, on average

' Perform insurance verification and eligibility and prior authorizations

' Handle heavy phone call volume between managed care, physicians and patients

' . Provide Review authorization emotional support from payer patients to and determine their families approved services Dress Barn 2001 -2005

Assistant . Responsible Manager for providing excellent customer service

' Managed generaladministrative duties including banking, payroll, inventory, employee relations

' Maintained high volume phone contact with suppliers, affiliates and customers

(347) 5s8 - 5469

1996 - 2001

CVS Pharmacy

Shift Manager

' Addressed customer service and employee matters during I - 1O hour shifts Software Skills

Practice management software: Epic, Allscripts, Neomed, MS word, Excel Education

LaGuardia Community College

Credits in Secretarial Science and LiberalArts

Diane Gervasi

62-24 81"tStreet, Middle Village, Ny 11379

********@*****.****

Summary of Qualifications

As a Patient Service Representative, I specialize in insurance coordination, primarily authorizations and co-pay collections. My broad knowledge of insurance canier benefits means that both patients and physicians can focus on helfthcare, while I handle insurance issues. During difficult situations when carriers deny coverage for physician recommended procedures, I am able to negotiate solutions that satisfy both physician and patient's needs. My primary goat is to improve the patient experience by Oeing a liaison among all the stakeholders.

Professional Experience

Advantage Carc Physicians

Patient Service Representative

2005 - present

. . Manage Request patient prior authorizations intake for 1S0 for patients continued per care day, on average

' Perform insurance verification and eligibility and prior authorizations

' Handle heavy phone call volume between managed care, physicians and patients

' . Provide Review authorization emotional support from payer patients to and determine their families approved services

(347) 558 - 546e

2001

-2005

1996 - 2001

Dress Barn

Assistant . Responsible Manager for providing excellent customer service

' Managed generaladministrative duties including banking, payroll, inventory, employee relations

' Maintained high volume phone contact with suppliers, affiliates and customers CVS Pharmacy

Shift Manager

' Addressed customer service and employee matters during I - 1O hour shifts Software Skills

Practice management softruare: Epic, Ailscripts, Neomed, MS word, Excel Education

LaGuardia Community College

Credits in Secretarial Science and LiberalArts

Diane Geruasi

62-24 81"t Street, Middle Village, NY 11379

********@*****.*** (347) 558 - 546e

Summary of Qualifi cations

As a Patient Service Representative, I specialize in insurance coordination, primarily authorizations and co-pay collections. My broad knowledge of insurance carrier benefits means that both patients and physicians can focus on healthcare, while I handle insurance issues. During difficult situations when carriers deny coverage for physician recommended procedures, I am able to negotiate solutions that satisfy both physician and patient's needs. My primary goal is to improve the patient experience by being a liaison among all the stakeholders.

Professional Experience

Advantage Care Physicians 2005 - present

Patient Service Reprcsentative

. . . . Handle Manage Request Perform heavy insurance patient prior authorizations phone intake verification call for volume 150 for and patients continued between eligibility per managed care day, and on prior average care, authorizations physicians and patients

. . Review Provide authorization emotional support from payer patients to and determine their families approved services Dress Barn 2001 - 2005

Assistant Manager

. . Managed Responsible generaladministrative for providing excellent duties customer including service banking, payroll, inventory, employee relations

. Maintained high volume phone contact with suppliers, affiliates and customers CVS Pharmacy 1996 - 2001

Shift Manager

. Addressed customer service and employee matters during 8 - 10 hour shifts Software Skills

Practice management software: Epic, Allscripts, Neomed, MS Word, Excel Education

LaGuardia Community College

Credits in Secretarial Science and LiberalArts



Contact this candidate