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Human Resources Customer Service

Location:
Athens, GA
Posted:
January 02, 2024

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Resume:

Human resources generalist with * years of experience in HR, including hiring and terminating, disciplining employees and helping department managers improve employee performance. Organized new hire training initiatives as well as ongoing training to adhere to workplace safety standards. Professional Experience

Insurance Verification Specialist/Oncology Bristol Myers Squibb - Remote

Bristol Myers Squibb November 2022 -

Present

My job is to have a advanced understanding of payer websites information and vendor applicable systems information to verify and analyze appropriate coverage information and patient responsibility information and to produce and review a service estimate based on department guidelines with each patient

. In this position I have thorough knowledge of complex insurance issues related to insurance coverage issues, coordination of benefits and other issues that may impact patient insurance coverage.

Customer Service Representative Carters, Inc January 2018 - October 2022 Obtain customers information through verification. Place orders. Upsell different products. Solve escalated issues with customers. Verified new insurance plans. Advised Customer about different insurance options QA Analyst Omnicare365 February 2021 - September 2022 In this particular position I was responsible for the Medicare sales agents to make sure they were following the guidelines of the Medicare rules and relegations. I have to performs call monitoring and assessment of Call Center Associates for both inbound and outbound calls, and I also participated in call calibration exercises in addition to,partaking in internal listening sessions. As a team we all provided,assisted the quality manager in providing standard weekly and monthly reporting within predetermined reporting parameters I had to provides regular feedback to Quality Leadership regarding call trends or compliance issues that may arise.

Healthcare Administration Assistant Davita October 2016 - January 2021 My position with DaVita as the assistant Healthcare Administrator was to monitor budgets and prepare report As a medical organization we all had to follow the HIPPA laws and maintain update medical and staff records. I also kept track all medical and office supplies stock. I had to speak with patients and update personal information as well as update patient health records, including admissions and insurance data. The main part of the job was to keep records of expenses and suggest ways to minimize costs in addition to answering queries from doctors, nurses and patients. I would have meeting with the nursing staff to ensure to facility was compliance with current healthcare regulations Machine Operator/Customer Service Zoom Bait September 1998 - October 2016 As a customer representative, and machine operator. My job was to ensure products were manufactured in a timely manner. Order supplies. Speak with customers about orders that are not satisfactory. Resend orders, Process refunds. Train new employees, in the customer service department on Microsoft office, and the different software used to operate different parts of the organization Teacher Lifesciences Institute September 2022 - February 2023 At this particular postion I was able to teach the principles of the English language, using different methods to deliver successful courses. My responsibilities can vary based on the academic level and native language of the students. I am also experience in the Moodle software. Teaching students in different subjects I have also expand my knowledge of fields related to their current areas of professional specialization. That could include English, Lanuage arts etc. Externship Lynchburg University January 2022 - May 2022 The externship consist of learning Clinical Research consisted of Patient-oriented research. Research conducted with human subjects for which an investigator directly interacts with human subjects. I also have a cerfication in GCP in which I earn from the Lynchburg University of Virginia. We were responsible for obtaining appropriate approval before conducting research involving human subjects. The need for approval rests on three seem: 1) whether the work qualifies as research, 2) whether it involves human subjects, and 3) whether it is exempt. All three considerations are discussed in the Common Rule and guide decision making about the use of human subjects in research. The authority to make decisions about the need for approval rests with the Institutional Review Board I have experince in taking information from pateints to gather for diferent research surveys, as well how to write and research an IRB application.

LC Lisa Craddick

Insurance Verification Specialist/

Oncology

1637 Downs Crossing

Stone Mountain, Georgia, 30088

ad2dks@r.postjobfree.com

706-***-****

Education

Bachelors in Healthcare Administration Ashford University at San Deigo, Calfornia November 2011 - December 2015 I learned how to operate healthcare faculities my course work consisit of Mastering leadership and management tools to effectively run the business side of healthcare delivery and financing organizations and to manage teams of healthcare professionals. Also the degree consist of leaning leadership and management tools to effectively run any healthcare organization . Healthcare Administration Cerfications in Medical Assisting, Medical Billing and Coding Athens Technical College at Athens, Georgia March 2000 - May 2004 Medical Assisting Certification course, the main agenda of this certification is to assist healthcare professional, physicians, and nurses, give patients instruction on after care of any kind of medical treatment they could be receiving. Draw blood from patients and assist in processing lab results. Medical Billing is the business side of any medical facility. In medical billing and coding I was taught medical terminology. human anatomy, and medical codes. These medical l codes are used by all medical facilities to ensure proper payment, and reimbursement of all medical services rendered by a health care professional Doctor of Healthcare Administration in Healthcare Administration Doctor of Healthcare Administration in HealthcareVirginia University of Lynchburg at Lynchburg, VA at Lynchburg, VA 24501 May 2021 - August 2022 Doctor of Healthcare Administration is considered an applied doctorate, which means that it is focused on taking the evidence available in medical, organizational, and policy areas and using it to directly solve problems in healthcare. DHA-prepared healthcare leaders also engage in research, but itʼs directed toward investigations into real-world issues and a pursuit of solutions to those issues that will actually pass the test when applied in actual healthcare systems.

Key Skills

Education

Doctor of Healthcare Administration in Healthcare

Detailed oriented

Excellent written and Oral communcations skills

Develops positive workplace relationships



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