Center Representative Disability Claims
Resume:
Quaneshia James
Lithonia, GA
***************@*******.***
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