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Patient Care Customer Service

Location:
Strasburg, VA
Posted:
January 08, 2024

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Resume:

Diana Pritchard

Strasburg, VA *****

ad2j5p@r.postjobfree.com

540-***-****

Work Experience

Market Manager

Gale Healthcare Solutions – Tampa, FL

October 2023 - Present

Present weekly performance metrics analysis versus target objectives to leadership with key actions to drive optimization. Work closely with the VP and senior Leadership for the alignment of sales objectives and work on plans that produce results. Work with supervisors and teams to identify areas of development and ensure that meaningful individual development plans are in place. Make sure that procedures, practices, and policies are conveyed, monitored and led across the patient care team, including supervisors and their teams. Make sure the patient care teams are supported and informed of necessary information in order to conduct successful day-to-day functions and special projects. Convert customer service plans into specific, attainable success metrics. Perform regular and consistent one on one conversations with the internal patient care team and direct reports to review areas of improvement and successes in order to uncover solutions and to coach and mentor as appropriate. Lead relationships with our third-party partners, ensuring they are properly integrated in the day-to-day operations to achieve all key performance metrics. Create plans and contingency to minimize impact to regular productivity and effectiveness of the patient care function. Oversee design and delivery of effective training policies, procedures and materials to support patient care performance metrics.

Operations Support Specialist

Gale Healthcare Solutions – Tampa, FL

December 2021 to October 2023

Monitor what shifts have not already been covered by Gale clinicians. A proactive “old school” approach is often necessary to fill waiting shifts, late call-out shifts, no call/no show shifts, and late call shifts in support of the facility. The OSS must use a litany of approaches and tools to cover an open shift. The OSS must also advise and empower facilities that have not yet fully adopted the Gale technology to ensure that they have appropriate training on using the Gale platform.

CMA/Account Trainer

Centro Global Solutions - Winchester, VA

September 2017 to 05/2023

Train new hires on the proper protocols of doing health coaching and lead generation calls with patients. Help set up the programs and applications that they need to perform their jobs correctly. Perform quality for each of the agents’ calls and fill out their results and discuss the changes and the positives of their calls. Use VoIP line to reach out to patients for their scheduled monthly health coaching call. Demonstrate excellent customer service skills by following specific scripting requirements during all telephone interactions to ensure call quality and standardization. Provide non-face to face assessments of patients with 2 or more chronic conditions and communicate any concerns to the provider and care team as appropriate. Document all patient calls in the EHR and help patients meet goals outlined in the provider's care plan. Provide education to patients with chronic conditions on the importance of medication compliance, diet, exercise etc., and ensure patients are following provider instructions for upcoming visits.

Customer Service Representative

Navient Corporation - Ashley, PA

October 2016 to August 2017

The Customer Resolution Specialist is charged with reducing delinquency and securing payments from delinquent customers by effectively communicating the importance of loan responsibility and the consequences of default. The Specialist counsels delinquent customers on all available repayment and deferment options to resolve the customer's delinquent status. Verification Specialist

TalentWise - Winchester, VA

September 2015 to August 2016

Responsible for processing employment background screenings, based on products and services TalentWise provides to clients. Provided phone and email customer support for contacts that use our products and services. Familiar with a broad range of online systems including: Salesforce and Microsoft Office.

Substitute Bus Driver

Shenandoah County - Woodstock, VA

January 2015 to August 2016

Responsible for following designated bus routes and responsible for safely transporting students to and from their school and home destinations.

Team Leader

Love's Travel Stops & Country Stores - Toms Brook, VA May 2014 to September 2015

Managed the sales floor by keeping shelves stocked and fronted. Completed End Shift/Deposit and managed inventory.

Administrative Assistant

CARE Medical Billing - Front Royal, VA

November 2012 to May 2014

Managed and maintained accounts and provided insurance verifications. Completed insurance billing and appeals for Chiropractors and Physical Therapists Familiar with Kareo, Future Health, Chirotouch, Practice Fusion and Zirmed.

Customer Service Associate

Cigna - Moosic, PA

July 2010 to November 2012

Responsible for processing health insurance questions based on products and services Cigna provided to clients. Provided phone and email customer support for contacts that use Cigna products and services. Managed outbound calls while delivering exceptional customer service. Office Manager

Power Concepts - Winchester, VA

January 2005 to June 2010

Scheduled inspections and meetings, managed payroll and payroll taxes, A/R, A/P Maintained personnel files to include processing of personnel actions, employee time and attendance records. Created and processed new employee hiring packets. Managed delinquent accounts and set finance charges for delinquent payments. Maintained project tracking sheets, managed fleet credit card and phone accounts, bank statements and deposits. Maintained communication with utility companies to ensure necessary power supply needs were provided to projects. Reviewed administrative issues as they arose to determine what the best course of action was to resolve them quickly and efficiently. Education

Diploma in General Studies

Strasburg High School - Strasburg, VA

1987 to 1992



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