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Care Coordinator Customer Service

Location:
Kannapolis, NC
Salary:
25.00
Posted:
March 05, 2024

Contact this candidate

Resume:

Amanda L Gunther

Making a positive impact in the healthcare customer service industry!

Concord, NC 28025

ad34im@r.postjobfree.com

+1-704-***-****

Experienced healthcare professional with both clinical and non-clinical experience who is highly committed to enhancing the quality of life and well being of the members I serve. Authorized to work in the US for any employer

Work Experience

Diagnostic Care Coordinator

Mindlance/Awsgewick - Remote

November 2023 to December 2023

Assist members affiliated with the World Trade Center health program assisting and certifying for medical conditions underlying from the events of 911 and assisting with preventative care services. Speaking with members and gathering important information and documents for them to adhere to diagnostic testing and services that aligned in preventative care or for trying to be certifiable with NIOSH, where, at that point in member kits, lifetime, benefits, and care for health condition. Assist processing and daily other various tasks, working well independently and in a team environment, providing empathy to members applying for services and obtaining medical records for claim processing and billing small program, benefit explanation, but not limited to, etc. Health Navigator/DCP Care Coordinator

BCBST - Remote

May 2023 to October 2023

Discharge planning Care coordinator for DSNP medicare/medicaid members. Assist with various processes for all populations; minors, young adolescence, teenagers, pregnant women, postpartum members, adults, and seniors with the planning of aftercare once being discharged from a hospitalization, whether it is planned or unplanned. Helping members while making follow ups and scheduling doctor appointments, assistance with transportation, making appointments & setting up travel arrangements, assisting with meals other outreach services at their leisure etc. Discussing benefits and their health needs or desires, and following care plans designed by their nurse, care coordinator, and or case manager. Assist members with various needs, performing assessments, and continual follow-ups with high level of communication involving the members, providers, medical staff and case managers etc, implementing and aligning to that members established POC . Placing calls to obtain medical records for submission of claims and continual follow-ups, pre-authorizations for scheduled services etc. I work well independently and work in a team environment with very little supervision required to perform tasks. Provide empathy and care and understanding and support aligning with cognitive thinking & behavioral skills and patterns designed to help each member reach their goals for the POC’s. Case Manager(remote- contract)

McKesson Corporation Change Healthcare - Remote

October 2022 to February 2023

• Performs healthcare information & medical claims processing, healthcare billing & collection services,

& provides financial guidance regarding hospital, HMO, clinical services to patients, their families & third- party representatives.

• Contact insurance companies to verify eligibility coverage for drug benefits. Assist with claims processing and denial assistance. ICD-10 knowledge and lookup- medical terminology expertise level

• Function as a liaison between special drug program patients & their insurance companies. Customer Service Representative (CSR)

FEMA/Maximus(remote/contract) - Remote

October 2022 to December 2022

CSR for disaster relief survivors, assist in registration for disaster relief assistance and provide alternatives for other relief help. Active listening, skills and strong attention to detail providing empathy and excellent customer service in time of need ability to work independently and under supervision remotely in high volume call center role

Account Maintenance Specialist

Vanguard/Randstad(remote contract) - Charlotte, NC October 2021 to July 2022

Working in high volume call center for the number #1 mutual investment firms helping major financial service company, assisting with online registration, e-services, account maintenance and assist with overall IRA, Roth IRA and non-IRA accounts, and tax forms and various other assistance for clients. CNA - Certified Nursing Assistant

Impact Health Biometric Testing, Inc. - USA SC

July 2021 to October 2021

CNA for Biometric company- Performing Covid Rapids- and PCR, testing for a drive-through sites. Customer service between patients, patient care, team work Healthcare technician/care partner/CNA

Atrium Health Cabarrus - Concord, NC

September 2020 to April 2021

PRN nurse assistant on the geriatric behavioral health unit at Atrium hospital in Concord North Carolina. Duties are Activities of daily living Working with primarily dementia patients and other behavioral health disorders. Providing safety and wellness to patients, Received CNA+4 skill acquired thru hospital program

CNA I Health Screener

Maxim Healthcare Group - Salisbury, NC

July 2020 to September 2020

CNA/ Healthcare temp screener for Food Lion Distribution Center Customer Service Representative

Release Point WFH - Remote

June 2020 to September 2020

Remote/WFH

Customer service representative working from home as third-party medical record retrieval company. Contacting medical providers and offices and retrieval companies for life insurance client, to obtain medical records for coverage.

Data Intake Specialist

AmerisourceBergen/ Lash Group - Fort Mill, SC

April 2020 to September 2020

Data entry for major fortune 10 company! Data intake specialist- Process applications on patient assistance programs for the federal government. Very knowledgeable in all patient applications, using multiple screens, and multiple programs.

Emergency Room Tech/CNA 1

Novant Medical Center - Salisbury, NC

August 2019 to June 2020

CNA for emergency room

Safety Attendant

Novant Medical Center - Salisbury, NC

August 2019 to June 2020

Provides direct safety to patients who are deemed homicidal/suicidal and safety risks. Documents for charting assist patient with certain requests. Under direct supervision of RN. Certified Nursing Assistant

The Bradys - Salisbury, NC

June 2016 to October 2019

CNA in home health private duty for husband and wife with dementia. CNA/Med Tech

Accordius Health/Formally known as Brian Center - Salisbury, NC October 2017 to August 2019

CNA for busy rehab unit- assists patients post/pre-op from major surgeries. Basic ADLs and duties Rehabilitation Unit-Certified Nursing Assistant

Liberty Commons Nursing and Rehabilitation - Salisbury, NC January 2015 to August 2017

CNA for skilled nursing home facility on rehab unit Education

32 College credits towards ADN in Nursing

RCCC - Concord, NC

August 1997 to May 2005

HS diploma

Concord High School - Concord, NC

August 1994 to May 1997

Skills

• RECEPTIONIST (10+ years), CUSTOMER SERVICE (8 years), RETAIL SALES (6 years), ACCOUNTS AND

(3 years), ADMINISTRATIVE ASSISTANT (Less than 1 year)

• Trained in customer service excellence program for over 8 years.

• Managed in-bound phone calls for Utility Companies.

• Maintained 20 line switchboard for building with multiple companies

• Helped with creating new accounts and reviewing financial services for customers.

• Multi-tasked and experience working in fast paced environment

• Earned more than of college credits towards an Associates degree in Science.

• EMR Systems

• Dementia Care

• Hospital Experience

• Medical Records

• Nursing

• Vital Signs

• Alzheimer's Care

• Microsoft Offic

• EMT Experience

• Meal Preparation

• Medical Terminology

• Medical Office Experience

• Insurance Verification

• Caregiving

• Laundry

• Home Care

• Medication Administration

• Memory Care

• Office Management

• Patient Care

• Anatomy Knowledge

• Critical Care Experience

• Medical Billing

• Phone Etiquette

• Covid Health Screener (Less than 1 year)

• Computer Skills

• Call Center (10+ years)

• Customer Service (10+ years)

• Zendesk (2 years)

• Medical Receptionist

• ICD-10

• Behavioral Health

• Epic (10+ years)

• Centrix (10+ years)

• CPT Coding

• Cerner

• Acute care

• Microsoft Excel

• Microsoft Word

• Microsoft Office

• Spanish

• English

• Sales Experience (10+ years)

• Retail (5 years)

• CRM software

• Filing

• Word processing

• Sales

• Quality Assurance

• Insurance Verification (2 years)

• PCI

• Retail sales (10+ years)

• Inside sales (10+ years)

• Microsoft Access

• CRM software (10+ years)

• Microsoft Teams (6 years)

• Time management

• Data entry

• Guest relations

• Human services

• Behavioral health (5 years)

• Nursing home experience

• Communication skills

• Administrative experience

• Computer literacy

• Office experience

• Documentation review

• Analytics

• Medicare

• Patient observation

• Technical support

• EDI

• Microsoft Powerpoint

• Microsoft Outlook

• Data management

• Organizational skills

• Customer support (10+ years)

• Live chat

• Financial services

• Continuous improvement

• Case Management

• Medical Coding

• QuickBooks

• Google Suite

• Five9

• Genesys

• ICU experience

• Hospice care

• Mental health counseling

• Addiction counseling

• Peer Support (5 years)

• Typing

• Front desk

• Clerical experience

• Multi-line phone systems

• Patient assessment

• Managed care

• Delivery driver experience

• Driving

• Salesforce (2 years)

• Care Advance software (2 years)

• Workforce management (2 years)

• HIPAA

• ICD-9

• Customer service

• Typing

• Medical records

• Windows

• Sales

• EMR systems

• Technical support

• Microsoft Access

• Live chat

• HIPAA

• Google Docs

• Epic

• Remote access software

• Conflict management

• Medical coding

• Hospital experience

• Records management

• Google Suite

• Analysis skills

• Customer relationship management

• ICD-9

• Zendesk

• Account management

• Data collection

• CRM software

• EDI

• Anatomy knowledge

• Adobe Acrobat

• QuickBooks

• Research

• PeopleSoft

• Documentation review

• SaaS

• Transportation management systems

• Mobile testing

• Analytics

• Financial services

• Scripting

• Compliance management

• Banking

• Front desk

• Driving

• Medical terminology

• Clerical experience

• Guest relations

• Accounting

• Relationship management

• Salesforce

• Inside sales

• Vital signs

• CMMS

• Continuous improvement

• Critical care experience

• Information management

• ICU experience

• Accounts receivable

• Negotiation

• Account reconciliation

• Databases

• ICD-10

• Help desk

• Healthcare management

• Cash register

• Applied behavior analysis

• Mentoring

• Communication skills

• Experience with children

• Teaching

• Personal assistant experience

• Working with people with developmental disabilities

• Medication administration

• Medical documentation

• Management

• Organizational skills

• Working with people with disabilities

• Medical office experience

• Microsoft Office

• Microsoft Excel

• Intake

• CPT coding

• Computer skills

• Phone etiquette

• Time management

• Administrative experience

• Data entry

• Medicare

• Microsoft Outlook

• Project management

• Home & community care

• Home health

Certifications and Licenses

CNA

September 2002 to May 2023

NC nurse aide 1 registry license # 275214

BLS for Healthcare Providers

December 2022 to December 2024

CPR 2 year expiration

NC Medication Aide

July 2019 to December 2020

License in the state of North Carolina to administer medications and topical medications in a long-term care facility. Under direct supervision of LPN or RN AED Certification

Certified Medication Aide

State Tested Nursing Assistant

Certified Medication Aide

State Tested Nursing Assistant

Certified Medication Technician

BLS Certification

Driver's License

CPR Certification

Assessments

Nursing assistant skills — Proficient

December 2020

Providing nursing aid to patients using knowledge of relevant equipment and procedures Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.



Contact this candidate