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Call Center Representative

Location:
Washington, DC
Salary:
At least $18 an hour
Posted:
May 02, 2024

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From: today was a great dAY <***********@*****.***>

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style></head><body lang=3DEN-US link=3Dblue vlink=3D"#954F72" style=3D=

'word-wrap:break-word'><div class=3DWordSection1><p class=3DMsoNormal><o:p>=

&nbsp;</o:p></p><p class=3DMsoNormal><b><span style=3D'font-family:"Arial",=

sans-serif'>TAMERA LEONARD </span></b><b><span style=3D'font-size:12.0pt;fo=

nt-family:"Arial",sans-serif'><o:p></o:p></span></b></p><div style=3D'mso-e=

lement:para-border-div;border:none;border-bottom:solid windowtext 1.0pt;pad=

ding:0in 0in 1.0pt 0in'><p class=3DMsoNormal style=3D'border:none;padding:0=

in'><b><span style=3D'font-size:8.0pt;font-family:"Arial",sans-serif;font-v=

ariant:small-caps'>4008 28<sup>TH</sup> Avenue #302, Temple Hills Tel: 240-=

501-0873 email: ***********@*****.***<o:p></o:p></span></b></p></div><p cla=

ss=3DMsoNormal><u><span style=3D'font-size:9.0pt;font-family:"Arial",sans-s=

erif'><o:p><span style=3D'text-decoration:none'>&nbsp;</span></o:p></span><=

/u></p><p class=3DMsoNormal><b><u><span style=3D'font-size:9.0pt;font-famil=

y:"Arial",sans-serif'>Professional Profile<o:p></o:p></span></u></b></p><p =

class=3DMsoNormal><span style=3D'font-size:9.0pt;font-family:"Arial",sans-s=

erif'>Customer service-oriented professionals able to coordinate workflows =

and communicate effectively with co-workers, patients, and medical staff. F=

ollows policies, procedures, and guidelines to ensure consistent quality. M=

aintains and safeguards patients=E2=80=99 privacy and confidentiality.<o:p>=

</o:p></span></p><p class=3DMsoNormal><u><span style=3D'font-size:9.0pt;fon=

t-family:"Arial",sans-serif'><o:p><span style=3D'text-decoration:none'>&nbs=

p;</span></o:p></span></u></p><p class=3DMsoNormal><b><u><span style=3D'fon=

t-size:9.0pt;font-family:"Arial",sans-serif'>Personal Qualifications<o:p

o:p></span></u></b></p><ul style=3D'margin-top:0in' type=3Ddisc><li class=

=3DMsoListParagraphCxSpFirst style=3D'margin-bottom:0in;margin-left:0in;mso=

-add-space:auto;line-height:normal;mso-list:l3 level1 lfo1'><span style=3D'=

font-size:9.0pt;font-family:"Arial",sans-serif'>Manage time and priorities =

in multi-task environments. <o:p></o:p></span></li><li class=3DMsoListParag=

raphCxSpMiddle style=3D'margin-bottom:0in;margin-left:0in;mso-add-space:aut=

o;line-height:normal;mso-list:l3 level1 lfo1'><span style=3D'font-size:9.0p=

t;font-family:"Arial",sans-serif'>Effective problem solver, able to assess =

situations and identify solutions.<o:p></o:p></span></li><li class=3DMsoLis=

tParagraphCxSpMiddle style=3D'margin-bottom:0in;margin-left:0in;mso-add-spa=

ce:auto;line-height:normal;mso-list:l3 level1 lfo1'><span style=3D'font-siz=

e:9.0pt;font-family:"Arial",sans-serif'>Work as part of a team and maintain=

a professional and positive environment.<o:p></o:p></span></li><li class=

=3DMsoListParagraphCxSpMiddle style=3D'margin-bottom:0in;margin-left:0in;ms=

o-add-space:auto;line-height:normal;mso-list:l3 level1 lfo1'><span style=3D=

'font-size:9.0pt;font-family:"Arial",sans-serif'>Microsoft Office Applicati=

ons: MSWord, MS Excel, MS PowerPoint<o:p></o:p></span></li><li class=3DMsoL=

istParagraphCxSpMiddle style=3D'margin-bottom:0in;margin-left:0in;mso-add-s=

pace:auto;line-height:normal;mso-list:l3 level1 lfo1'><span style=3D'font-s=

ize:9.0pt;font-family:"Arial",sans-serif'>Patients Systems Software: OPAC, =

GMetrix, <o:p></o:p></span></li><li class=3DMsoListParagraphCxSpLast style=

=3D'margin-bottom:0in;margin-left:0in;mso-add-space:auto;line-height:normal=

;mso-list:l3 level1 lfo1'><span style=3D'font-size:9.0pt;font-family:"Arial=

",sans-serif'>Typing Speed: 45 WPM<o:p></o:p></span></li></ul><p class=3DMs=

oNormal><span style=3D'font-size:9.0pt;font-family:"Arial",sans-serif'><o:p=

>&nbsp;</o:p></span></p><p class=3DMsoNormal><b><u><span style=3D'font-size=

:9.0pt;font-family:"Arial",sans-serif'>KEY QUALIFICATIONS<o:p></o:p></span>=

</u></b></p><p class=3DMsoNormal><span style=3D'font-size:9.0pt;font-family=

:"Arial",sans-serif'>Medical Administrative, Medical Terminology, Medical T=

ranscription, Patient Processing, Patient Registration, Medical Records Man=

agement, Check In and Check Out, Data Entry, Release of Information HIPAA C=

ompliance, Medical Laws &amp; Ethics, CMS 1500 Claim Form, Billing Cycle, C=

laims Appeal Process, Medical Billing Knowledge, Third Party Billing, Medic=

are, Medicaid, HMO, PPO, Basic Coding Skills for ICD-10 &amp; CPT, Insuranc=

e Verification, Anatomy &amp; Physiology<o:p></o:p></span></p><p class=3DMs=

oNormal><span style=3D'font-size:9.0pt;font-family:"Arial",sans-serif'><o:p=

>&nbsp;</o:p></span></p><p class=3DMsoNormal><b><u><span style=3D'font-size=

:9.0pt;font-family:"Arial",sans-serif'>EDUCATION<o:p></o:p></span></u></b><=

/p><p class=3DMsoNormal><span style=3D'font-size:9.0pt;font-family:"Arial",=

sans-serif'>Ultimate Medical Academy -- Associate of Science Degree<o:p></o=

:p></span></p><p class=3DMsoNormal><span style=3D'font-size:9.0pt;font-fami=

ly:"Arial",sans-serif'>Health Sciences =E2=80=93 Medical Administrative Ass=

istant, 2021<o:p></o:p></span></p><p class=3DMsoNormal><span style=3D'font-=

size:9.0pt;font-family:"Arial",sans-serif'><o:p>&nbsp;</o:p></span></p><ul =

style=3D'margin-top:0in' type=3Ddisc><li class=3DMsoListParagraphCxSpFirst =

style=3D'margin-bottom:0in;margin-left:0in;mso-add-space:auto;line-height:n=

ormal;mso-list:l4 level1 lfo2'><span style=3D'font-size:9.0pt;font-family:"=

Arial",sans-serif'>Ultimate Medical Academy =E2=80=93 HIPAA<o:p></o:p></spa=

n></li><li class=3DMsoListParagraphCxSpLast style=3D'margin-bottom:0in;marg=

in-left:0in;mso-add-space:auto;line-height:normal;mso-list:l4 level1 lfo2'>=

<span style=3D'font-size:9.0pt;font-family:"Arial",sans-serif'>Essentials f=

or Healthcare Professionals Certificate <o:p></o:p></span></li></ul><p clas=

s=3DMsoNormal><span style=3D'font-size:9.0pt;font-family:"Arial",sans-serif=

'><o:p>&nbsp;</o:p></span></p><p class=3DMsoNormal><b><span style=3D'font-s=

ize:9.0pt;font-family:"Arial",sans-serif'>Woodstock Job Corps Center<o:p

o:p></span></b></p><ul style=3D'margin-top:0in' type=3Ddisc><li class=3DMso=

ListParagraphCxSpFirst style=3D'margin-bottom:0in;margin-left:0in;mso-add-s=

pace:auto;line-height:normal;mso-list:l2 level1 lfo3'><span style=3D'font-s=

ize:9.0pt;font-family:"Arial",sans-serif'>Career Technical Training: Office=

Administration Certification<o:p></o:p></span></li><li class=3DMsoListPara=

graphCxSpLast style=3D'margin-bottom:0in;margin-left:0in;mso-add-space:auto=

;line-height:normal;mso-list:l2 level1 lfo3'><span style=3D'font-size:9.0pt=

;font-family:"Arial",sans-serif'>Penn Foster High School =E2=80=93 High Sch=

ool Diploma 2016<o:p></o:p></span></li></ul><p class=3DMsoNormal><span styl=

e=3D'font-size:9.0pt;font-family:"Arial",sans-serif'><o:p>&nbsp;</o:p></spa=

n></p><p class=3DMsoNormal><b><u><span style=3D'font-size:9.0pt;font-family=

:"Arial",sans-serif'>WORK EXPERIENCE<o:p></o:p></span></u></b></p><p class=

=3DMsoNormal><span style=3D'font-size:9.0pt;font-family:"Arial",sans-serif'=

><o:p>&nbsp;</o:p></span></p><p class=3DMsoNormal><b><span style=3D'font-si=

ze:9.0pt;font-family:"Arial",sans-serif'>11/2021-11/2023 -- Remote, MD<o:p>=

</o:p></span></b></p><p class=3DMsoNormal><span style=3D'font-size:9.0pt;fo=

nt-family:"Arial",sans-serif'>Continuum Global Solutions =E2=80=93 Member A=

dvocate =E2=80=93 Aetna Medicare<o:p></o:p></span></p><p class=3DMsoNormal>=

<span style=3D'font-size:9.0pt;font-family:"Arial",sans-serif'><o:p>&nbsp;<=

/o:p></span></p><ul style=3D'margin-top:0in' type=3Ddisc><li class=3DMsoLis=

tParagraphCxSpFirst style=3D'margin-bottom:0in;margin-left:0in;mso-add-spac=

e:auto;line-height:normal;mso-list:l5 level1 lfo4'><span style=3D'font-size=

:9.0pt;font-family:"Arial",sans-serif;color:#595959;mso-ligatures:none'>Mad=

e sure patients=E2=80=99 rights are met.</span><span style=3D'font-size:9.0=

pt;font-family:"Arial",sans-serif'><o:p></o:p></span></li><li class=3DMsoLi=

stParagraphCxSpMiddle style=3D'margin-bottom:0in;margin-left:0in;mso-add-sp=

ace:auto;line-height:normal;mso-list:l5 level1 lfo4'><span style=3D'font-si=

ze:9.0pt;font-family:"Arial",sans-serif'>Handled inbound calls concerning p=

atient specific questions regarding their health care benefits.<o:p></o:p><=

/span></li><li class=3DMsoListParagraphCxSpMiddle style=3D'margin-bottom:0i=

n;margin-left:0in;mso-add-space:auto;line-height:normal;mso-list:l5 level1 =

lfo4'><span style=3D'font-size:9.0pt;font-family:"Arial",sans-serif'>Verifi=

ed personal information and maintained a high standard of confidentiality.<=

o:p></o:p></span></li><li class=3DMsoListParagraphCxSpMiddle style=3D'margi=

n-bottom:0in;margin-left:0in;mso-add-space:auto;line-height:normal;mso-list=

:l5 level1 lfo4'><span style=3D'font-size:9.0pt;font-family:"Arial",sans-se=

rif'>Solving conflicts and crisis situations with health care professionals=

and family members<o:p></o:p></span></li><li class=3DMsoListParagraphCxSpM=

iddle style=3D'margin-bottom:0in;margin-left:0in;mso-add-space:auto;line-he=

ight:normal;mso-list:l5 level1 lfo4'><span style=3D'font-size:9.0pt;font-fa=

mily:"Arial",sans-serif'>Verified patients=E2=80=99 eligibility of health c=

are benefits using CPT Codes.<o:p></o:p></span></li><li class=3DMsoListPara=

graphCxSpMiddle style=3D'margin-bottom:0in;margin-left:0in;mso-add-space:au=

to;line-height:normal;mso-list:l5 level1 lfo4'><span style=3D'font-size:9.0=

pt;font-family:"Arial",sans-serif'>Processed and expedited outpatient=E2=80=

=99s appeal.<o:p></o:p></span></li><li class=3DMsoListParagraphCxSpMiddle s=

tyle=3D'margin-bottom:0in;margin-left:0in;mso-add-space:auto;line-height:no=

rmal;mso-list:l5 level1 lfo4'><span style=3D'font-size:9.0pt;font-family:"A=

rial",sans-serif'>Reviewed whether certain health care providers are in-net=

work or out-of-network regarding the patient=E2=80=99s healthcare benefits =

plan.<o:p></o:p></span></li><li class=3DMsoListParagraphCxSpMiddle style=3D=

'margin-bottom:0in;margin-left:0in;mso-add-space:auto;line-height:normal;ms=

o-list:l5 level1 lfo4'><span style=3D'font-size:9.0pt;font-family:"Arial",s=

ans-serif'>Verified patient=E2=80=99s insurance benefits and coverage infor=

mation and performed advanced pricing and out-of-pocket estimation to satis=

fy patient inquiries and meet department point of service expectations.<o:p=

></o:p></span></li><li class=3DMsoListParagraphCxSpMiddle style=3D'margin-b=

ottom:0in;margin-left:0in;mso-add-space:auto;line-height:normal;mso-list:l5=

level1 lfo4'><span style=3D'font-size:9.0pt;font-family:"Arial",sans-serif=

'>Solving patient=E2=80=99s conflicts and crisis situations with health car=

e professionals and family members.<o:p></o:p></span></li><li class=3DMsoLi=

stParagraphCxSpMiddle style=3D'margin-right:.2in;margin-bottom:0in;margin-l=

eft:0in;mso-add-space:auto;line-height:normal;mso-list:l5 level1 lfo4'><spa=

n style=3D'font-size:9.0pt;font-family:"Arial",sans-serif'>Informed healthc=

are patients when their co-pays or co-insurance are due.<o:p></o:p></span><=

/li><li class=3DMsoListParagraphCxSpMiddle style=3D'margin-bottom:0in;margi=

n-left:0in;mso-add-space:auto;line-height:normal;mso-list:l5 level1 lfo4

span style=3D'font-size:9.0pt;font-family:"Arial",sans-serif'>Processed pat=

ients=E2=80=99 misplaced health insurance cards and have it shipped to thei=

r current residence.<o:p></o:p></span></li><li class=3DMsoListParagraphCxSp=

Middle style=3D'margin-bottom:0in;margin-left:0in;mso-add-space:auto;line-h=

eight:normal;mso-list:l5 level1 lfo4'><span style=3D'font-size:9.0pt;font-f=

amily:"Arial",sans-serif'>Follows regulatory and organizational processes t=

o ensure the patient has completed necessary forms to be incompliance with =

prior and regulatory requirements. <br><br><o:p></o:p></



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