Third Party Care Physicians

George B. Kelley, Jr.

**** *. **** ***** - *******, AZ 85041

Cell: 602-***-**** / Email: ad0peh@r.postjobfree.com

Objective - To utilize my Peer Support certification, and over 23 years’ worth of knowledge and experience supporting those with drug or alcohol addiction, to help make an impact in their lives and support them throughout their recovery journey.

Work Experience

Peer Support Specialist – Phoenix, AZ - June 2023

Certified Peer Support Special – SALT RIVER-PIMA MARICOPA INDIAM COMMUNITY

Assisted clients suffering from various sicknesses and issues to conquer struggles of their day-to-day life. s. Weekly facilitate AA/12 step group meetings. Assisted homeless, disabled, and drug abusing clients with low income find resources for housing and assistance. Assisted with necessary tools to help them reach their goals of independent living and how to successful maintain sobriety. Helped clients discover their own critical thinking skills and techniques to discover solutions to client crisis situations by asking open ended questions.

Calibrus – Tempe, AZ

Third Party Verification Agent

July 2016 to November 2017

Answer incoming telephone calls to verify basic information, with customers to ensure that they have agreed to change their service provider. Maintains and updates customer information, as necessary. Utilize all product knowledge and documentation to provide customers with product recommendations appropriate to assist any issue, or question that may occur.

Construction Laborer Self Employed - Phoenix, AZ

June 2011 to July 2016

Securing properties that required attention in preparation of sale or rent. Initial trash out and removal of all trash and debris. Landscaping, including mow, edge, removal of weeds, trim shrubs, and tree limbs. Interior cleaning of each property including all appliances and windows. Install floor, and complete minor construction repairs when necessary.

National Imaging Services - Phoenix, AZ

Authorizations Representative

April 2006 to May 2010

Answering incoming calls from members and providers to aid regarding specific criteria based prior authorizations for various medical procedures. Maintained complete, timely and accurate documentation of approvals and denials, and transfer all clinical and judgement related calls to the appropriate individual.

United Healthcare/Arizona Physicians, IPA - Phoenix, AZ

Member Services Representative

April 2000 to November 2005

Taking inbound calls and assisting AHCCCS members with locating primary care physicians. Arranging adequate transportation for clients to get to and from various medical appointments. Enrolling pregnant mothers and assigning to OBGYN Doctors and arranging files for newborns. Verifying eligibility for clients with various medical staff such as doctors, nurses, administrative hospital staff and pharmacies. Assist existing and potential clients with locating local Behavioral Health entities such as CPSA & NARBHA. Researching and setting up insurance claims for clients disputing validity of bills.

Education - Sociology - Scottsdale Community College - November 2005 to May 2006

Skills - Microsoft Word, Outlook, Excel, type 35 WPM

Certifications/Licenses - CDL Class A

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