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Customer Service Representative

Location:
Charlotte, NC
Posted:
March 28, 2024

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Resume:

Kierston Wellman

Charlotte, NC *****

ad4m68@r.postjobfree.com

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

Dedicated customer service representative and patient care professional with motivation to maintain customer satisfaction and contribute to organizational success. Friendly associate with over 10 years experience effectively working with people from diverse cultures. Demonstrating the ability to listen to others to understand their perspective and ensure understanding regardless of barriers. Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Medical Benefits Specialist-Remote

Lash Group - Charlotte, NC

August 2020 to Present

• Responsible for verifying insurance coverage for new patients and re-verifying for existing patients.

• Verifying Prior Authorizations and ensuring the delivery of specialty medications.

• Effectively provided database updates on specified regional insurance carrier formulary updates.

• Faxed insurance coverage and copay structure information to providers.

• Bridged communications between health insurance providers and health care providers through verbal communication and support documentation.

• Provide dedicated, personalized support delivered over the phone and via our online portal.

• Completed investigation of insurance benefits, including information about coverage and out-of-pocket costs; Provide answers to questions about insurance coverage while completing Benefit Verifications for patients.

• Collaborated with patient and doctor to assist with issues related to payments, Reimbursements, payment denials, and appeals and Prior Authorizations.

• Responded to inquiries, and follow up on requests in a timely, courteous and professional manner.

• Assisted in training of new employees and special projects as required Accomplishments Maintained above 90% quality rating.

Phlebotomist- End due to Covid-19

LabCorp - Charlotte, NC

March 2019 to August 2020

• Performed blood draws on elderly, infants, and adolescents

• Performed urine drug screen collections, paternity collections, breath/saliva alcohol testing.

• LCM/Cyber Tools

• Obtaining specimens for processing and preparing for pickup

• Ordering supplies

• Experience with difficult draws

• Centrifuge specimens

Medical Assistant

Center For Emotional Health (Part-Time-Remote) - Charlotte, NC October 2015 to April 2019

• Setting up Mental Health Screening for patients (Remotely)

• Checking patients in and out

• Scheduling Therapy and Medication Management appointments (Remotely)

• Answering phones (Remotely)

• Taking Vitals

• Documenting Vitals

• Administering drug screenings (Remotely)

• Initiating Prior Authorizations

• Filing, faxing, and scanning paperwork

• Performing Blood Draws and DNA test for medication administering

• Triage

Phlebotomist

Healthcare Ancillary Staffing, LLC - Charlotte, NC December 2015 to May 2018

* Obtain medical History.

* Perform venipunctures on young children, adolescents, and adults for wellness panel.

* Perform urinalysis for drug screening.

* Perform DNA testing on young children and adolescents for any potential risk, side effects, or loss of efficacy with drug substrates.

* Review and file lab results.

* Educate patients about each Laboratory test.

* Prepare specimens for shipping

* Administer Vivitrol injections

* Initiated Prior Authorizations

* Scheduling patients

* Check in/ Check out

Medical Assistant/Front Office

Planned Parenthood Health System - Charlotte, NC

October 2013 to 2015

• Obtain medical history

• Handle difficult counseling situations with patients on subjects of rape, STIs, and abortions.

• Perform blood draws for lab work, process specimens for outside lab test, record lab results and triage abnormal results.

• Make follow-up appointments or referrals for services- Call Center

• Obtain vitals

• Triage

• Clean and sterilize equipment

• Prepare exam rooms, stock exam rooms

• Prepare charts

• Verify insurance

• Emergency Contraception education

• Assist Clinician in procedures

Caregiver

Comfort Keepers - Charlotte, NC

June 2013 to November 2014

• Assisting with meal preparations

• Assisting with showers

• Providing companionship

• Medication Self -administration reminder.

• Transporting, Errands.

• Light housekeeping

Externship

OrthoCarolina Foot/Ankle - Charlotte, NC

January 2013 to March 2013

Medical Assistant

• Record patients' medical history, vital statistics, or information such as test results in medical records.

• Prepare treatment rooms for patient examinations, keeping the rooms neat and clean.

• Interview patients to obtain medical information and vitals, weight, height, blood pressure, temperatures, and pulse rate.

• Splints, Casts, and Suture removals

• Prepare injections

• Gather information to assist patient with an orthopedic condition in goal setting that promotes self- management and full engagement in patient's own health.

• Pre-visit, pre-procedural preparation, as well as post procedural follow up • Clean and sterilize instruments and dispose of contaminated supplies.

Case Management/DCP

Special K Enricment - Charlotte, NC

June 2008 to March 2012

Case Management/Direct Care Professional

• Working Remotely Managing caseloads of consumers with mental health and developmental disabilities. Assisted client with personal care: Bathing, dressing, grooming etc.

• Revised treatment plans based on clients progression or regression. Companionship, one on one with adolescents and adults with mental health/behavioral issues

• Attended family meetings, and completed documents and notes on each client. Provided excellent care, assisting with activities.

Executive Assistant

Primetime Auto Showcase

September 2006 to February 2008

• Prepare invoices, reports, memos, letters, financial statements and other documents, using word processing, spreadsheet, database, or presentation software.

• Answer phone calls and direct calls to appropriate parties or take messages.

• Conduct research, compile data, and prepare papers for consideration and presentation by executives, committees and boards of director

• Greet visitors and determine whether they should be given access to specific individuals. Education

Bachelor's of Science in Healthcare Administration Grand Canyon University

Present

Certificate/Diploma in Medical Assistant

Kaplan College

March 2013

Skills

• Vital Signs

• Venipuncture

• Laboratory Experience

• Insurance Verification

• EMR Systems

• ICD-10

• Experience Administering Injections

• Triage

• Patient Care

• Medical Billing

• CPT Coding

• Medical Records

• Epic

• ICD-10

• Medical coding

• Analysis skills

• Claims

• Pediatrics

• Software troubleshooting

• Medicare

• Insurance verification

• Microsoft Office

• Data entry

• Computer skills

• Basic math

• English

• Live chat

• Typing

• Medical terminology

• Medical records

• Clerical experience

• Customer service

• Epic

• Documentation review

• Technical support

• CRM software

• Records management

• Research

• Windows

• Salesforce

• Front desk

• SAP

• Microsoft Access

• Workday

• System administration

• EMR systems

Certifications and Licenses

Driver's License

Additional Information

Skills Summary

• Remote

• Call Center

• SalesForce

• Fusion

• Avaya

• CTI

• Teams

• Excel

• Microsoft Outlook

• Prior Authorizations

• Insurance

• Specialty Pharmacy

• Referrals

• Patient Data Entry

• Medical Terminology

• EKG and EEG diagnostic testing

• Excellent communication skills

• Medisoft

• CPR Certified

• Over 15 years of customer service

• Suture removal

• Splint removal

• Cast removal

• Diagnosis coding

• Changing and applying Dressing

• MS Windows proficient

• Phlebotomy and Venipuncture

• Taking vitals

• Urinalysis lab testing

• Injections

• Blood-borne Pathogen Certified

• Sales Representative

• Working Remotely

• Administration

• Call Center

• Critical thinking and Conflict Resolution

• Electronic Record Keeping

• Patient Care

• DME fitting

• Optum Certified

• CPT coding

• NextGen

• EMP

• EHR

• Instrument Sterilization

• Lab testing, specimen processing



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