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Customer Service Project Management

Location:
Leland, MS
Posted:
November 16, 2023

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Resume:

RHYAN FERGUSON

ad07sj@r.postjobfree.com 662-***-**** Leland, MS 38756

Highly organized and detail-oriented administrative professional excels in office management and special projects. Resourceful and adaptive team leader with expertise in project management, financial tracking, customer relationship management and marketing. Results-oriented strategic planner with extensive knowledge of multiple practices. Training and Development

Team Building and Leadership

Budget Development

Executive Support

Office Administration

Information Management

Events Coordination

Policy Writing

Staff Management

Supplies Ordering

Customer Service

Project Coordination

Presentation Creation

Program Oversight

Financial Oversight

Program Leadership

Reporting and Documentation

Goal Setting

Contract Administration

Office Management

Work Planning and Prioritization

Document Control

Personable and Approachable

Deadline Adherence

Team Collaboration

Attention to Detail

Honest and Ethical

Strategic Planning

Verbal and Written Communication

Multiple Priorities Management

Continuous Improvement

Troubleshooting and Diagnosis

Data Confidentiality

Administrator Delta Heart and Vascular - Greenville, MS 05/2018 - Current Answered incoming calls and responded to customer inquiries. Assisted in the development of new administrative systems, procedures and policies. Managed office supplies inventory and placed orders when necessary. Maintained filing system for important documents such as contracts and invoices. Managed employee benefits and compensation packages. Organized onboarding activities for new hires including orientations, paperwork, and introductions. Maintained personnel records in compliance with applicable laws and regulations. Developed job descriptions, job postings, and recruitment materials. Created and maintained employee records, including new hires, terminations, salary changes, and tax withholding forms.

Reviewed timesheets for accuracy and completeness prior to processing payroll. Verified accuracy of employee hours worked, pay rate changes, deductions, bonuses, and other payroll data. Resolved discrepancies between payroll records and timekeeping systems. Reviewed and approved time cards, vacation requests, overtime hours, insurance deductions and other pay related items.

Developed and maintained clinical policies and procedures. Created and implemented quality assurance programs to ensure patient safety and satisfaction. Provided oversight of compliance with all federal, state, local regulations, laws and standards. Summary

Skills

Experience

Supervised staff in the delivery of patient care services. Assessed and evaluated clinical staff performance, providing feedback to ensure quality standards were met. Provided direct supervision of clinical staff, including orientation, training and development of employees. Managed patient records, including medical history and test results. Assisted in the preparation of patients for examinations and treatments. Reviewed prior authorization requests to ensure accuracy and completeness of required information. Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services. Submitted prior authorization requests electronically or by phone to payers. Evaluated clinical information provided by providers against specific criteria set forth by health plans. Compiled data into reports detailing trends in volume and denial rates for various services. Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions. Developed and implemented strategies to improve operational efficiency and reduce costs. Coordinated with other departments to ensure completion of projects on time. Analyzed customer feedback and identified areas for improvement in products and services. Managed staff recruitment processes including interviewing candidates and making hiring decisions. Conducted regular meetings with team members to review performance results and discuss challenges or issues that need addressing.

Ensured compliance with all applicable laws, regulations, policies, procedures, guidelines. Provided direction, motivation, coaching, training, and mentoring to team members. Identified potential new business opportunities and developed plans to capitalize on them. Assisted in the development of annual budgets and monitored expenses throughout the year. Resolved conflicts among employees in a timely manner while maintaining positive relationships. Established effective communication channels between staff at all levels within the organization. Planned company events such as conferences or seminars aimed at improving employee morale. Provided oversight of day-to-day operations ensuring tasks were completed accurately and efficiently. Collaborated with vendors, suppliers negotiating contracts, agreements for materials, services required. Oversaw daily operations of multiple business units. Prior Authorization Coordinator Cardiovascular Solutions of Central MS - Cleveland, MS 08/2016 - 04/2019 Reviewed and processed prior authorization requests according to insurance guidelines. Determined medical necessity of requested services by reviewing patient records and corresponding with providers as needed.

Created and maintained accurate documentation for all prior authorization activities. Assisted with appeals process when necessary.

Researched payer coverage policies, procedures, and requirements. Compiled data from multiple sources for reporting purposes. Provided customer service support by responding promptly to provider inquiries regarding authorization status or policy information.

Performed daily audits to ensure accuracy of prior authorization processes. Developed strategies for streamlining workflow and improving efficiency in the department. Participated in training sessions as needed to stay current on changes in healthcare industry regulations. Pharmacy Technician North Sunflower Medical Center - Ruleville, MS 09/2011 - 07/2016 Maintained daily inventory of pharmaceuticals and ensured proper storage conditions. Prepared medications for dispensing by counting, pouring, labeling, and verifying doses. Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.

Assisted pharmacists in compounding sterile products according to state regulations. Managed filing of prescriptions, both electronically and manually. Retrieved medication from shelves based on physician orders and delivered them to pharmacists for review. Ordered drugs from wholesalers as needed and maintained records of incoming shipments. Verified accuracy of medication labels before they were dispensed to customers. Ensured compliance with all federal, state, local laws and company policies related to pharmacy operations. Checked expiration dates on medications to ensure that only unexpired products were dispensed. Collaborated with other healthcare professionals such as nurses or physicians regarding drug therapies or treatments for patients.

Reported any discrepancies or errors in medication ordering or filling processes immediately to the pharmacist on duty.

Restocked shelves with new supplies of medications as needed. Kept accurate records of controlled substances received and dispensed in accordance with DEA regulations. Organized work areas so that everything was easily accessible when needed. Assisted in training new employees on pharmacy procedures. Monitored inventory levels of commonly used drugs and placed orders when necessary. Teamed with peers, technicians and pharmacists to prioritize and complete orders. Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.

Verified prescriptions and drug labels, documents and packages. Maintained pharmacological practices by checking drug inventory, stocking medications and monitoring supplies.

Pace Christian Academy 05/2006

High School Diploma

Mississippi Delta Community College Moorhead, MS Some College (No Degree)

Education and Training



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