Daphne Bonner

PROFESSIONAL SUMMARY:

Professional via phone with extensive experience in administrative duties

Generated hearing letters, performed data entry, EDI and ensured all information reflected accurately

Responsible for sorting through legal documents, filing, court orders, mail and other correspondence for legal purposes filing, Oracle, phones, customer service.

Generated reports in Excel spreadsheet.

Performed data entry and ensured all information reflected accurately.

Responsible for maintaining the operation front desk.

Responsible for filing, generating weekly reports, excel spreadsheets, phones, and filing.

Generated mailings to Landlords and property owners with multiple violations on the property.

Available to interview with 24hr notice

PROFESSIONAL EXPERIENCE:

Gainwell Technologies

May, 2021– present

Sr. Customer Service Support representative

Processing Medicaid application’s for Dr’s, physician assistants, dentists, Advanced practice nurses, requesting to become providers with the state of NJ Medicaid program.

Follow up with provider’s

Credentialing providers

Updating providers licenses, and creating ID numbers for providers accepted to participate in Medicaid program

Data entry, filing.

Outreach

Creating letters of confirmation, and missing information

Telephones

Employment gap due to caregiving for elderly parent

Hamilton Physical Therapy Services

March, 2019 -October, 2019

Medical Secretary

Front desk, customer service, taking multiple incoming calls, collecting copays

Filing

Faxing, copying documents, pulling patient charts

Verifying insurance benefits

Tallying day end cash receipts

Capital Health Primary Care

October 2017 to February 2018

Receptionist (through J & J Staffing Services)

Checked patients in and out of clinic using Athena system.

Performed customer service skills and ensured all patients were handled.

Generating referrals in NaviNet.

Was responsible for setting appointments and answering phones.

The State of New Jersey

March 2017 to June 2017

Division of Medical Assistance and Health Services. Fair Hearing Unit

Customer Service Representative

Worked as a liaison for attorneys.

Generated hearing letters, performed data entry, EDI and ensured all information reflected accurately

Responsible for sorting through legal documents, filing, court orders, mail and other correspondence for legal purposes filing, Oracle, phones, customer service.

Aetna Better Health of New Jersey

January 2016 to March 2017

Customer Service Representative (Provider Relations)

Generated reports in Excel spreadsheet.

Updated and researched provider site and placed.

Updated demographic changes in QNXT database.

Worked closely with provider liaison.

Handled inbound phone calls and data entry.

Researched provider contracts using Oracle/EDI.

The State Department of Community Affairs

January 2015 to June 2015

Codes and Standards Department

Administrative clerk

Responsible for maintaining the operation front desk.

Responsible for filing, generating weekly reports, excel spreadsheets, phones, and filing.

Generated mailings to Landlords and property owners with multiple violations on the property.

Performed customer service and used Outlook.

Horizon NJ Health /BCBS of NJ

September 2000 to August 2014

Utilization Management Department, Quality Dept. / Outreach Dept.

CSR/Sr. Managed care Coordinator

Facilitated and coordinated the timely implementation of new membership and conversions.

Assisted in procurement of information from provider's offices to complete documentation.

Initiated callbacks and correspondence to members and providers, to coordinate and clarity benefits and associated inquiries.

Analyzed interdepartmental problems and make recommendations of resolutions.

Performed data entry and ensured all information reflected accurately.

Took inbound and outbound calls, pre-certified hospital procedures, as assigned by Physician.

Scheduled transportation for qualified HMO members and pre-certified DME (durable medical equipment) for members, via faxed prescription from physician's office.

Experience with medical terminology, ICD 9 / CPT coding, and claims.

EDUCATION:

Trenton Central High School

Diploma

Career Institute Training

Medical Clerk Certificate Received

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