Customer Service Entry Level
Resume:
Toni Hannah Dyer
Country Club Hills, IL *****
ad0mvm@r.postjobfree.com
To establish a detail orient profession to utilize my entry level and professional customer service, and social skills as well as my professional training in medicine, to have the ability to obtain a position to advance my training, to achieve goals in the area of my studies with the experience to further my educational and growth potential.
Work Experience
Patient Care Coordinator/Scheduler
Cook County Health & Hospitals System - Chicago, IL January 2023 to Present
Responsibility for scheduling, organizing and managing all aspects of a patient's outreach and HRS completion,healthcare maintenance and treatment through State Managed Care Services Verification of Benefits Specialist
Symetria Recovery
July 2022 to November 2022
Responsible for effective and accurate verification of patient benefit and eligibility coverage to ensure necessary procedures are covered. Requests and secures authorization from payors; enters data and updates patient benefit information in the organization's billing system; provides pertinent information provided upon verification check (e.g. in and out-of-network fee schedules); contacts insurance companies; validates procedures codes prior to pre-authorization requests to avoid denials; works closely with utilization review, billing and collections teams to solve insurance issues; communicates frequently with clinics regarding patient accounts, contacts patients to discuss patient financial agreements. Customer Service Advocate/Claims/ Prior Authorization Blue Cross Blue Shield of Illinois - Chicago, IL
November 2020 to April 2021
Customer Service process inbound calls for Prior Authorization, Claims, members eligibility benefits, process for Medicare, Medicaid benefits for updates verification inquires for Inpatient, Outpatient, Home Health Coordination, DME Prior Authorization approval. DuPage Medical Group - Lisle, IL
November 2019 to May 2020
Central Scheduling
Processing of inbound Contact Center interactions (phone, email, online requests (MyChart), hospital requests-Transition of CARE (TOC), faxes, etc.) Follow HIPAA policy and procedures Understand and support the department policies and procedures Scheduling Answer basic scheduling related questions directions to site, site hours, provider info, requests for MyChart login Verifying, cancelling, scheduling and rescheduling appointments Escalation of clinical patient inquires when necessary to appropriate physician site/department Patient Information Update information/demographics where necessary Update Insurance information where necessary Collect payment/patient balances. Member Service Representative
Next Level Health Insurance - Chicago, IL
April 2019 to August 2019
Patient Access scheduling doctor appointments, HRS screening and HRA, insurance verification through DHS Medicaid MEDI, registration case coordination scheduling, financial counseling and customer service to patients and family members. Responsible for successfully managing large amounts of inbound and outbound calls. Entering patient information into a customer information system. Ensuring customer satisfaction and assisting them with issues/concerns related to their health. Patient Access Representative
Family Christian Health Center - Harvey, IL
November 2018 to April 2019
Patient Access Representative scheduling doctor's appointment verify patients' insurance eligibility and collected patient responsibility payments. Maintained patient charts for Business Office and Medical Records. Promptly and compassionately greeted and assisted all patients in a timely manner. Education
Bachelor's degree
Indiana University Northwest - Gary, IN
August 2019 to May 2023
Sullivan House High School - Chicago, IL
August 1987 to June 1991
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