Laura N ROSS

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

Columbus, Ohio 43207

614-***-****

ad1w8f@r.postjobfree.com

Skills

Fraud Investigations, Knowledgeable in federal banking regulations, HIPPA laws and regulations. Skilled in time management, problem solving, working with large groups of people in short spans of time. Experience

July 2023 – Present

Quantum Health, 5240 Blazer Pkwy, Dublin, OH 43017 – Patient Service Representative

●Speaking with Doctors offices, Plans and members by gathering details for benefits, services (Planactivation, authorization for medically necessary services, member advocacy)

●Conducting detailed research on all services provided and advocating for all members in need of someone to speak on their behalf

●Documenting and confirming information with the first and second parties so that patients are able to get the medication and /or services needed within a quick turn around; by getting prior authorizations quickly January 2022 – July 2023

Covermymeds, 910 John St. Columbus, Ohio 43219 - Account Coordinator

● Speaking with Doctors offices, Plans and Pharmacys by gathering details for prescriptions.

● Conducting detailed research on prescriptions and seeing what ways the cost can be covered.

● Documenting and confirming information with the first and second parties so that patients are able to get the medication needed within a quick turn around; by getting prior authorizations quickly April 2019 - October 2022

Vision Service Plan, 3400 Morse Crossing Rd. Columbus, Ohio 43219 - Customer Care

● Providing Authorizations to Dr’s offices

● Processing claims for Dr’s offices and patients.

● Sending out and providing a detailed breakdown of benefits/claims to patients and providers offices. September 2017 - June 2018

Fiserv Financial Services, 6000 Perimeter Dr. Dublin, Ohio 43017 - ePayments/CSR

● Provided service in bill pay for Bank of America by assisting account holders set up bill payments.

● Provided education/navigation of websites and troubleshooting any issues that came up

● Sent proof of payment to merchants, or contacted merchants to advise that payment had been issued. JpMorgan Chase Bank, 800 Brooksedge Blvd Westerville, Ohio 43081 - Merchant Disputes/Risk

● Investigations into bank accounts that had unidentified charges.

● Chargebacks of funds when the account shouldn’t have been charged.

● Closure of accounts due to the determination of fraud, showing that the company/account holder were at risk.

Education

Sept 1995 - June 2000

Beechcroft H.S, 6100 Beechcroft rd. Columbus, 43229 - High school/general Studies

Fort Hayes Metropolitan High School/Career Center - Data Processing 2

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