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Customer Service Practice Management

Location:
Vancouver, WA
Salary:
60000
Posted:
November 22, 2023

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Resume:

Sandy Ferguson

**** ** **** *****

Cell: 503-***-****

360-***-****

ad1dvo@r.postjobfree.com

www.linkedin.com/in/sandy-ferguson

I am a meticulous, independent initiative-taker who believes deeply in the organization's mission and has a proven record in challenging and

Fast-paced situations. I foster high performance, embracing risk, acting with purpose, and a sense of urgency. I am agile and can pivot quickly

to solve problems and optimize opportunities. I am an individual who optimizes chances and a positive mindset to continue a

transformational journey to meet an ever-changing healthcare and work environment. I have experience in healthcare administration

and College level instruction. I have earned a Bachelor of Science degree in Business (Healthcare Administration) and an associate degree in

Marketing and Management. I have teaching Diplomas in ESL and TEFL, Certifications’ in,’ Practice Management, Dental Assisting, and Dental

X-ray, medical transcription, and as a BLS/CPR instructor. Trained and experienced with healthcare software or member data-based

portals: Eaglesoft, Dentrix, Daisy, Practice Works, Epic, Workplace, Cerner, SharePoint, and CIMS. Experienced in inbound/outbound calling,

customer service, conflict resolution, de-escalation techniques, collections account management, electronic medical records, and project and

practice management. Ensure adequate staff meets practice and scheduling needs, interviewing, hiring, onboarding, coaching, and mentoring

team. Well-versed in cost control and creation and management of practice budgets.

Anthem Blue Cross BlueShield May 2021 to May 2023

Plaza Dr, Suite 400, Cypress, CA 90630 562-***-****

Patient Advocate, HCS Beacon Behavioral Health Autism Coordinator, West Region ABA outreach care specialist

Employed as an Autism health advocate, patient navigator, care coordinator, and patient relations representative. Serve as a go-between for

Patients and their family members and representatives of the healthcare industry. Collaborate with;’ members, caregivers’ physicians, and

other providers to ensure a comprehensive, positive treatment experience and patient satisfaction. The customer service representative,

patient liaison, consumer advocate, or crisis resolution representative. Help secure health care, create Autism authorizations, manage

insurance, assist with treatment plan discussions, review diagnoses, treatment options tests, medications, medical records, and decision-

making. Provide insurance or financial guidance. Implement, coordinate, monitor, and evaluate Autism options and services to meet members

health. Maintains accurate and complete documentation in the Case Management database and Case Management Care Coordination in an

HMO environment.

Spectrum Vancouver Customer Call Center February 11, 2018-May 2021

521 NE 136th Ave, Vancouver, WA 98684 360-***-****

Customer Service and Account Manager

Correspond with customers to resolve billing issues and queries. Update and maintain billing records documentation requirements. Perform

assigned administration-related duties and responsibilities. Use patience and practical communication skills to uncover customer needs,

answer questions and leave a positive impression on every customer interaction. Building relationships and turning the knowledge I have

gained in training into customer service wins. Provide over-the-phone account and payment support services, including maintenance,

activations, and packaging, plus how and when to schedule field visits and escalate calls to your support team. Educating customers on

service options and upselling to increase the value of their investment. I have developed a thorough understanding of Spectrum products

and services to assist customers in navigating the way to successful resolutions.

At Home Tutoring/Caregiving January 2007-Current

2700 NE 95th Court Vancouver, WA 98662 (360-***-*****

Tutoring Specialist

Provide instruction to improve comprehension for each student in all subject matters

Ensure the student feels comfortable and safe in their educational quest

Meet the needs of the students entrusted in my care for educational enhancement

Analyze each child to ensure the information is presented in the best method to maximize understanding

Mentor and support the students in their education quest.

Norton Sound Healthcare Corporation April 2013-July 2016

PO Box 966, Nome AK 99762 907-***-****

NSHC Dental Clinic Manager, Patient Hostel, and Pre-Maternal Home Associate Administrator

Improved employee attendance, credentialing, and accountability about attendance and tardiness. Train and ensure effective customer services

skills via the telephone and in person. Ensure effective communication between the front and back-office staff. Monitor staffing hours to

Ensure coverage to meet clinic needs and budget. Maintains adequate staffing levels by interviewing, screening, and selecting applicants to

Meet patient schedule. Improved accuracy and efficiencies of practice management productivity reports submitted to the Board. Coordinated with

The State of Alaska Inspector to revise current standards for mandated Fire drills to allow us to facilitate patients’ needs while meeting the needs

of our patient’s medical issues and concerns. Reduced the number of unfavorable problems and complaints from guests and patients at the

facility. Manage daily operations and reporting; analyze information to troubleshoot operational efficiencies and implement solutions. Actively

Manage staff to establish clear direction and priorities and implement plans to promote office efficiency. Revised Policy and Procedure Manuel

created office procedure manual containing all original document templates. Create and maintain annual budget for three departments and

Manage accounts, ensuring an elevated level of customer service.

Nome Children’s Home July 2013-July 2016

Post Office Box 98, Nome, AK Nome, AK 99762 907-***-****

Child advocate

Client/child Advocates responsible for providing therapeutic interactions and supervision to youth who are placed in the Nome Children’s Home,

State-funded temporary shelter and treatment facility for children awaiting permanent placement, reunification, or completion of their treatment

plan. Staff members are responsible for implementing appropriate social, educational, and recreational strategies, timely documentation, home

security, household duties, de-briefing sessions, and crisis intervention. Preparing meals attentive to individual child diet restrictions.

Clinicient April 2011-January 2013

1515 Fifth Ave, Portland, OR, 97217 503-***-**** EXT. 149

Medical Office Account Manager

Ensure the office functions as part of a layered organization, not solely as an individual entity. Ensure the office and staff protect patient PHI and

comply with HIPAA rules and regulations. Ensure operation efficiencies and compliance with all mandated laws. Maintaining billing rules,

business logic, workflows, fee schedules, payer and credentialing settings, EDI, and ERA management. Identifying articulating unmet patient

needs to service and operations management for resolution. Managed accounts receivable; this would include the

analysis of accounts receivable, directing the follow-up team to collaborate with payers and determine the status of unpaid claims, and taking the

necessary actions to ensure prompt claim payment.

Comfort Care Mobile Dental March 2007-April 2011

3245 SE Campbell Street, Milwaukie, OR 97222 503-***-****

Operations Director Grant funded contract/temporary position

Meet patients, caregivers, and Administrators to present specialized Dental plans catered to individuals living in an assisted living facility.

Research grants available for specialized treatment options for elderly individuals in assisted living facilities.

Coordinate schedules with Assisted living and Retirement homes, residents, caregivers, and staff to coordinate times Mobile unit would be

Onsite to provide treatment for residents who have purchased this Specialized Dental program.

Regence Blue Cross February 2005-January 2007

100 SW Market Street Portland, OR 97215 503-***-****

Claims Analyst

Provide quality customer service to external and internal customers. Respond to inquiries regarding dental, workman comprehension, individual

Health claims and policies in an accurate manner. Resolve claims issues by taking appropriate action. Provide timely resolution to questions and

Issues using available systems involving department staff, external resources, and contacts. Accurately and appropriately provide

comprehensive and legally defensible documentation. Utilize time proficiently to offer optimal service and secure and analyze information pertaining

to claimants' condition, history, insured status, and other policy provisions to accurately determine eligibility for and entitlement to dental, vision

and individual health benefits. Research and evaluate new or revised member eligibility and benefit plans or provide data to make a reconsideration

of denials, pre-determinations, or payments based on applicable policy limitations and provisions. Investigate and apply for contract benefits in

processing each claim, ensuring clarity, accuracy, and validity, and issuing payment for processed claims.

Constant Lu, D.D.S., PC July 2001-January 2005

16-C NE 81st Street, Vancouver, Washington 98665 360-***-****

Office Manager

Manage daily operations and reporting; analyze information to troubleshoot operational efficiencies and implement solutions. Ensure the team

Delivers quality and compassionate dental care to every patient. Actively manage staff to establish clear directions and priorities and implement

Plans to promote office efficiency. Treatment plan presentation with acceptance and completion percentage rate from 95 to 98%. Present all

restorative, Hygiene, recall schedule coordination with improvement from 68% to 95%. Management of emergency patients’ enrollment in new

Patients on an 80 or 95% ratio. Managed patient records and accounts, accounts receivable, and insurance processing.

billing, authorizations and appeals and collections, schedule manager, inventory control, treatment plan preparation and presentation with

Acceptance with completion of restorative, Hygiene recall schedule coordination. Daily activities audit reconciliation, including reviewing,

correcting errors in daily activities and approving the report promptly. Ensure effective customer service and patient relations.

Edward Barnes, D.M.D June 1989 - May 2001

Lombard Street, Portland, Oregon 97217 503-***-****

Office Manager

Manage daily operations and reporting; analyze information to troubleshoot operational efficiencies and implement solutions. Ensure the team

delivers quality and compassionate dental care to every patient. Actively manage staff to establish clear directions and priorities and implement

Plans to promote office efficiency. Treatment plan presentation with acceptance and completion rate from 95 to 98%. Coordinator of restorative,

Hygiene and recall schedule with the improvement of 90% total treatment acceptance of all treatment plans. Management of emergency patients

Enrollment and conversion to the patient of record. Maintain adequate staffing levels by interviewing, screening, and selecting applicants to meet

patient schedule. Management of accounts receivable and payable, all aspects of insurance processing and appeals, patient

and staff satisfaction and retention.

EDUCATION

Western Governors University Master of Healthcare Administration April 2024

Serious Teachers Inc. TEFL Education ESL & TEFL Certificate Diplomas March 2011

Dental Assisting National Boards Certification in Dental X-ray Technician December 2010

American Heart Association BLS/CPR April 2015

Concordia University Bachelor of Science in Healthcare Administration June 2005

Concorde Institute Medical Transcription December 2000

Mt. Hood Community College Medical Coding and Terminology December 2000

Blue Mountain Community College associate degree in marketing and management June 1981

Dental Assisting National Boards Certification in Dental Assisting October 1989

Dental Assisting National Boards Certification in Practice Management June 1988

REFERENCES

Edward Barnes, D.M.D., PC

1832 N. Lombard, Portland, Oregon 97217

503-***-****

Mark Kelso, DMD, Director of Dental Services, Norton Sound Healthcare

P.O. Box 966, Nome, AK 99762

907-***-**** ad1dvo@r.postjobfree.com

Rhonda Schneider, Executive Director at Nome Community Center

505 W 3rd Avenue, Nome, AK 99762

907-***-**** 907-***-**** ad1dvo@r.postjobfree.com

Professor Mark Jaeger, Professor of Healthcare Administration,

Concordia University Chair, Department of Health, and Science

2811 NE Holman Street, Portland, OR 97211

503-***-**** ad1dvo@r.postjobfree.com

Rochelle Ferry, Licensed Dental Therapist, Norton Sound Healthcare Corporation

PO Box 966, Nome, AK 99762

360-***-**** ad1dvo@r.postjobfree.com

Christine Schultz, LCSW, DCSW, Director of Social Services Norton Sound Healthcare Corporation,

PO Box 966, Nome, AK 99762

907-***-**** ad1dvo@r.postjobfree.com

Debra Knight, Senior Accounting Consultant, State of Alaska

5343 Hoods Branch Road Springfield, TN 37172

918-***-**** ad1dvo@r.postjobfree.com ad1dvo@r.postjobfree.com

Jenny Valentine, Daimler Trucks North America, Forecast and Inventory Optimization

4555 N Channel Avenue, Portland, OR 97217

503-***-**** or 360-***-**** ad1dvo@r.postjobfree.com

Lana Pope, Expanded Functions Dental Assistant

Paynter Dental, 445 W Powell Blvd, Gresham, OR 97030

971-***-**** or 503-***-**** lanataylor73 @me.com

Maureen Hinkley, EdD, MBA, MS

Senior Program Mentor, Leavitt School of Health

Mentor Professor Western Governors University

385-***-**** ad1dvo@r.postjobfree.com

Krystle Ching, BCBA-ABA Case Manager, Providence Healthcare

PO Box 4327, Portland, OR 97208-4327

541-***-**** ad1dvo@r.postjobfree.com

Leslie Daniels, Spectrum Communications

56147 NE 119th Street, Vancouver, WA 98684

360-***-**** Lesliedaniels@ad1dvo@r.postjobfree.com

David Zornick, Spectrum Communications, Supervisor

521 NE 136th Ave, Vancouver, WA Vancouver, WA 98684

360-***-**** ad1dvo@r.postjobfree.com

Barbara Strutz, Tech Healthcare Services Medical Management, Providence Healthcare

PO BOX 4327, Portland, OR 97208

503-***-**** ad1dvo@r.postjobfree.com



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