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Center Representative Disability Claims

Location:
Lithonia, GA
Posted:
February 03, 2024

Contact this candidate

Resume:

Quaneshia James

470-***-**** or 470-***-****

Lithonia, GA

ad3cim@r.postjobfree.com

Objective: To obtain a position

where I could effectively apply my

skills and knowledge I’ve learned, and

the opportunity to work professionally,

productively and accurately with your

company.

Highlights:

• Self-motivated, efficient, resourceful and reliable under pressure.

• Excellent communication and interpersonal skills.

• Poised and confident in interactions with individuals at all levels.

• Demonstrated ability to function effectively as a team player as well as working independently to achieve objectives.

PROFESSIONAL WORK EXPERIENCE:

Cencora/Amerisource Bergen- Lithonia, GA

August 17,2023-January 30,2024 (Contract)

• Outbound Calls

• Prior Authorizations

• Create/Update Patient Cases for Medication Devices

• Ability to Multitask

• PQSA

• Data Input

• Create Patient Charts

• Insurance Verification

• Perform additional task as directed

• Ability to use multiple screens, and applications Team Health/Access Nurse- Snellville, GA

June 6,2022-July 2023(Contract)

• Patient Coordinator

• Inbound calls intake

• Medical triage

• Possess ability to work under pressure

• Input patient information in system

• Create medical charts

• Ability to multitask

• Excellent interpersonal and telephone communication Sedgwick Claims Management- Snellville, GA

September 20,2020 to June 6,2022

• Work from Home Service Center Representative

• Inbound/Outbound calls assisting associates with a wide variety of questions and providing information in regards to his/her disability claims

• Processed/Intake new leave of absence and disability claims

• Possess the ability to work under pressure.

• Ability of Multitasking

• Perform additional task as directed.

• Excellent interpersonal and telephone communication skills

• Perform additional tasks as directed

Semmes Murphey Neurology & Spine Clinic- Memphis, TN March 2, 2015 to May 2018

• MA to 5 Nurse Practitioners

• Preps clinic/ Obtain needed documents/patient medical information

• Prepares rooms, equipment and supplies for examination of patients

• Assists Physicians/NP with instruments and materials during examinations

• Cleans and sterilizes instruments

• Interviews patients, measures vital signs (pulse rate, temperature, blood pressure, weight and height), and records information in patients chart; Reports abnormal values to nurse and/or provider.

• Maintains awareness of comfort and safety needs of patient

• Treats patients with respect and provides compassionate care

• Performs staple and suture removal and wound care using aseptic technique

• Gives injections or treatments and performs routine laboratory tests

• Coordinate patient referrals by scheduling outside appointments, tests and procedures

• Accurately keys data into computer to maintain office and patient records

• Assists with call backs, as directed by physician/nurse team

• Obtained prior authorization for high tech imaging

• Works collaboratively with nurse to ensure quality patient care and physician satisfaction

• Facilitates efficient clinic workflow

Campbell Clinic Orthopedics - Germantown, TN - May 2011 to March 2015

• Directs and escorts patients to appropriate treatment areas

• Obtains appropriate information to aid the physician in the treatment of the patient

• Performs suture removal and dressing changes

• Assists physician in minor office procedures such as biopsies, injections and aspirations

• Applies, removes and fits soft goods

• Ensures exam rooms and pods are properly stocked

• Cleans and prepares exam rooms

• Schedules patient's appointments, tests and surgeries when necessary

• Assists in answering phone calls while in clinic

• Performs other related duties as assigned

Chick-Fil-A - Germantown, TN -February 2009 to April 2014

• Team Member/Cashier

• Performs guest service and food preparation duties.

• Greeting customers, taking customer orders, and completing transactions on the cash register.

• Food preparation duties, cooking food and assembling sandwiches.

• Operating the drive-thru window, unloading deliveries, and maintaining a clean store environment.

• Possess positivity and diligence

EDUCATION:

Concorde Career College –Memphis, TN

August 2010- June 2011

• Medical Assistant Diploma: June 2011

• Credentials-MA ABR-OE- Assessment- Based Recognition

• BLS Certification: American Heart Association



Contact this candidate