Amy Klimaszewski
*** ***** ***** **. ********* BAYl, NY 13028; 315-315-***-****; ad0cnb@r.postjobfree.com
OBJECTIVE
I am looking for a position which will allow me to show my strengths, professionalism and leadership skills, where my experience can be utilized to improve associate and customer satisfaction. I am looking for a job that not only challenges me but allows me to grow within the company.
SKILLS PROFILE
oAbility to operate computers with extensive knowledge
oExtensive knowledge of Microsoft Office programs
oTyping (70+ wpm)
oManagement and Leadership background
oAbility to handle difficult situations both respectfully and professionally in time frames allotted
oActive listening skills and being attentive to customer and associate needs
oDeveloped ability to work in a fast-paced environment
oCustomer-relations background
EMPLOYMENT HISTORY
Access Scheduler Representative
ST JOSEPH HOSPITAL - Syracuse, NY DEC 2018 to Present
Schedule diagnostic and operative procedures for the hospital, diagnostic testing units and the surgery centers
Obtain and/or update patient’s demographic information
Obtain and verify insurance coverage, along with authorization requirements for requested procedures
Document patient’s financial responsibility based on information obtained from the Real Time Eligibility Software
Excellus Blue Cross Blue Shield
Product Implementation Specialist, Syracuse, NY January 1998-April 2018
oHelped to identify root cause for common issues with internal products or related to specific groups
oWorked closely with New York State while adhering to state mandated regulations pertaining to the NYS marketplace for small business health care needs
oMeeting government and state mandated timeframes and deadlines pertaining to New York State of Health
oActed as product manager to ensure required documentation is received from all parties throughout the Health Plan to ensure requirements are met for both the federal and state government while satisfying internal requirements
oTimely and accurate implementation of new group product selections, product/benefit changes, and cancellations for groups product changes
oMaintained current information of all group transactions utilizing multiple systems
oDid responsible for end to end group processes including product assignment and ensured that all internal and external business areas are engaged when decisions or changes are needed
oPerformed escalated triage activities, i.e. conducts research, data collection, analysis, and problem resolution as required
oProactively identified system risks/issues as they occur and provides recommendations for remediation
oProactively identified and addresses risks on products before they become customer facing issues
oPerforms analysis and assessments of processes ensuring fit into policies and strategies that align with Health Plan goals and provide the best customer experience
oMaintained high regard for member privacy in accordance with the corporate privacy policies, procedures and NYS mandated regulations
oCreated more automation with reporting to help identify impacted members more timely and efficiently
oMet with groups and brokers on an as needed basis to discuss current system issues, group specific issues or question on their specific product or options
oResearched and followed up with management on identified root cause trends
oIdentified concerns and uses available resources from multiple systems to address them
oCreated and maintain desk level procedures for cross training and newly hired associates or seasonal contractors
EDUCATION
Diploma
Liverpool High School diploma received
Columbia College, degree received in Business
* Personal references upon request
Professional references:
Ryan Brewer- Former Supervisor Account Operations- 315-***-****
Terri Thompson- Supervisor Marketing Operations- 315-***-****
Sherry Lyon- Sales Systems Optimization Admin- 315-***-****