Post Job Free

Resume

Sign in

Customer Service Precertification Specialist

Location:
Franklin, OH
Posted:
January 22, 2024

Contact this candidate

Resume:

Heather Thompson

** ****** **. ******** ****, ***05

Phone: 937-***-****

Email: ad2z43@r.postjobfree.com

Objective: To obtain employment where my experience and skills will be mutually beneficial and there is opportunity to grow.

Skills:

Customer Service

Staff education, training and employee evaluation

Cash handling

Employee evaluation

Problem Solving Skills

Collaboration with insurance companies/nurses/physicians in efforts to obtain precertification on testing/surgeries.

Medical Terminology, ICD-9 & CPT codes

Experience:

Kettering Health, Miamisburg, Ohio

9/2020-9/2023

Premier Health, Moraine, OH

10/23- Present Precertification Specialist

Ensured appropriateness and medical necessity, and provides necessary information for authorization

Interacted as an active liaison between hospitals, medical facilities, surgical schedulers, medical doctors, Insurance Companies, and via another precertification specialist

Responsible for obtaining and communication preauthorization as needed per insurance company requirements for surgical patients

Able to meet production requirements

Enix Cleaning and More, Miamisburg Ohio

2014-2020 Team Leader

Built strong relationship with clients through positive attitude and attentive response. Demonstrated knowledge of company mission and goals and trained employees in reaching objectives aligned with company core values.

Guided employees to foster proper completion of assigned duties.

Conducted training and mentored team members to promote positive attitude and friendly service.

Lead a team of 3 members while providing exceptional customer service.

Go-to person for client satisfactory and can resolve issues and conflicts quickly

Courtyard by Marriott, Dayton Ohio

2007-2012 Supervisor

Maintained clean and well-organized work area.

Adjusted job assignments and schedules to keep pace with customer demand.

Applied strong leadership talents and problem-solving skills to maintain efficiency.

Mentored newly hired employees.

Handled customer complains and resolved all issues.

Handled employees work week schedule based on the week’s hotel sales.

Answered and directed incoming calls, checked in guest & assured guest satisfaction

Laurelwood Assisted Living, Miamisburg Ohio

2005-2007 Caregiver

Helped maintain a comfortable and relaxed environment for patients.

Assisted patients with daily living needs, including bathing and personal grooming to help maintain self-esteem and general wellness.

Offered social support by transporting patients to events and activities.

Turned and positioned bedbound patients to prevent bedsores and maintain comfort levels.

Worked to improve and enhance patient lives through effective and compassionate care.

Education:

o1999-2003 GED: General education

Miamisburg high school- Miamisburg Ohio

o2009-2010 Associate Degree in Nursing: Medical Assisting

Rets Collage- Centerville Ohio

o2013-2015 Management in Cosmetology: Cosmetology

Creative Images Institute of Cosmetology, Centerville Ohio

Interests: To better myself using previous skillsets and obtaining new goals. I enjoy working with people and feeling as though I have made a difference. I am a single parent looking to better not only myself but my children’s lives by achieving challenges and reaching goals.

Highlights:

Dedicated insurance professional with multiple years of customer service experience. Excel in analyzing precertification requests from medical providers. Effectively manage multiple high priority authorization requests and take pride in providing exemplary customer service. I have exceptional ability to build positive rapport, inspired trust and achievement of organized goals. Creates positive atmosphere in the work environment. Willing and able to assume responsibility. Complete tasks accurately and in timely manner. Assertive, self-motivated, goal oriented, organized and efficient.



Contact this candidate