Armon Hardwick
Customer Care Specialist
Phoenix, AZ 85040
ad28eu@r.postjobfree.com
To obtain a position enabling me to utilize my strong communication and leadership skills that offers growth and advancement opportunities within a prestigious company! Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Patient Advocacy, Member Services
Advanced Medical Pricing Solutions
November 2021 – Current
• Maintain HIPAA guidelines.
• Run and disburse daily welcome letters to introduce the patient AMPS advocacy team.
• Conduct daily welcome calls to members and patients
• Review and verify Balance Bills using provider billing statements and the Explanation of Benefits
• Prepare and file correspondence regarding challenges to the Plan’s reimbursement.
• Assist and support members with questions regarding the FCBA dispute process.
• Upload incoming emails, faxes, and mail into the system for proper handling.
• Respond to incoming correspondence received via email, fax, mail and phone within 24-48 hours.
• Maintain contact with facilities, professionals, EBO’s and debt collectors to assist with the resolution of open advocacy matters.
• Provide exceptional customer service for incoming calls throughout the shift.
• Accurate and complete documentation of all daily interactions
• Complete a minimum of 40-50 interactions per shift.
• Work independently and effectively collaborates with the team.
• Act as liaison with TPA partners, employer groups, and brokers as needed to assist and resolve open advocacy matters.
• Propose process improvements to enhance member satisfaction.
• Escalate advocacy or other complaints per written guidelines.
• Update all members / patients with an open advocacy matter every 30 – 45 days. Member Service Specialist
Aetna, a CVS Health Company - Phoenix, AZ
May 2016 to August 2020
• Verify member benefit information.
• Verify AHCCCS eligibility status.
• Initiate behavior health consultations.
• Verify co-insurance and primary insurance eligibility status.
• Request peer-to-peer reviews for appeals.
• Reserve medical transportation.
Security Guard ProGuard Provision
Security patrol for industrial and commercial locations. 2008 to 2011
• Respond to alarms and investigation of disturbances.
• Monitor and authorize the arrival and departure of all employees, visitors and other personnel.
• Maintained a safe working facility.
• Logged daily reports of activities and irregularities.
• Customer Service Representative/ Cashier
• HMS Host Marriott 2005 to 2008
• Utilizing customer service skills as part of daily functions when greeting customers and potential clients.
• Managed a crew of five employees: daily assignments, transactions, scheduling, meetings and any additional training to maintain a functional and productive work space.
• Inventory checks.
• Daily deposits to Financial Institution and ran all reports for accounting of daily revenue.
Education
Diploma in General Studies
North High School
Skills
• HIPAA
• Operating Systems
• Security
• Microsoft Windows
• Linux
• Administrative Experience
• Management
• Insurance Verification (8 years)
• Medical Office Experience (8 years)
• Forklift Operator (5 years)
• Warehouse Management (5 years)
• Proven motivational and leadership abilities
• Supervising/Managing
• HIPPA
• Medicare and Medicaid Regulations and Services (per state)
• AS400
• Proficient in MS Operating systems including Excel, Word, PowerPoint
• Call Center 100+ call volumes
• Multi Program usage
• Finger Printing Clearance
• 35+ WPM
Work motivation — Proficient August 2020
Level of motivation and discipline applied toward work Full results: Proficient Project timeline management — Completed August 2020 Prioritizing and allocating time to effectively achieve project deliverables Full results: Completed