CG
CHRISTOPHER GENTRY
ad5sl7@r.postjobfree.com 346-***-**** Houston, TX 77071
Documentation review
Negotiation
Databases
IVR
Analysis skills
Presentation skills
Tape Library - Exxon Mobile
Communication skills
EMR Systems
Hospital Experience
CPT Coding
Laboratory Experience
Medical Billing
Navigating
Multitasking
Facets
EMR
Spreadsheets
Chrome
Google Sheets
PowerPoint
Excel
Edge
Windows
Teams
Zoom
Scanning Medical Records
EHR System
Prior Authorizations
Outreach calls
Schedule Adherence
Can-do Attitude
Assertive
Professionalism
Adaptability
Dependable
Integrity
Time Management Skills
Surpass Customer Expectations
Exceptional Customer Service Skills
Appeals Claims
Greviances Claims
Hippa Guidelines Training
Familiarity With Metrics
Case Management
Case Coordinators
Escalations Calls
Rx Claims
Maestro
Maces
Icue
IVR System
Queue System
Members Benefits
Prescriptions Slots
Refills
Clinical Appointments
Providers Calls
CMS Portals System
Eligibility Healthcare
Immunizations
Vaccines
Mobile Team Nurses
TB Control
Clinics
Epidemiology
COBs
Knowledge Central
Sops
Enrollment
Re-enrollment
Recertification
Healthcare Fraud
Document Imaging services
Pharmacy Calls for Flag Accounts
Fast Pace Environment Skills
Providers Look Up for Members
Medicare
Medicaid
Summary
Skills
Experience
Uhg Minneapolis, MN
Medicare Customer Advocate
02/2022 - Current
As a Medicare Customer Representative provider facilitated Outbound & Inbound calls with exceptional customer service rapport serving the following States Arizona, Louisiana, Kansas, Mississippi, Texas, Washington, New Jersey, Wisconsin & New York
Responded to and Resolved inquires by identifying the topic & type of assistance Health Care benefits available to them like enroll in new plan with Traditional Medicaid including Health Care Benefits for members & handling various call types with Billing, Claims, Prior Authorizations, Outreach calls to Providers Offices, Vision well care, Dental Coverage, Pharmacy, Clinic facility, OptumRx Claims to remove a Flag for members to get there Prescriptions at there Pharmacy for Medicaid members Using databases like Icue to view Prior Authorizations for members Familiarity with CMS, COB Claims denials, Appeals & Grievances processing, rules, regulations requirements
Familiarity working from Queue assisting members
Assist members with navigating website.
Humana Louisville, KY
Enrollment Representative I
03/2023 - 10/2023
CMS Portal responsible for Medicare enrollment, Re-enrollment, processing applications, determining eligibility, knowledge of CPT codes, Mentor system Hogmod system, ID Cards, Benefits, Medicare plans ABCD, IVR system, TRS, TRR, CRM, ALS .
Parrollon Houston HCA Healthcare
Houston, TX
Document Imaging Technician
01/2019 - 03/2020
Revise work Queue at the beginning of the day to identify batches to process for Assigned practices and continues to monitor throughout the day for incoming batches
Assess & evaluate medical records documentation to ensure all physician documentation is completed in compliance with established guidelines and uploaded to the correct patients medical records in a timely and accurate manner.
Oakbend Medical Center Houston, TX
Food Nutrition Assistant
07/2016 - 12/2017
Delivery of Nutritionals meals to Patients, Staffing, other duties assigned, interact with Patients while there to further assistance Interact with Staff, Patients, Providers, and Hospital Administrators, Staff Celebration for Mothers, Family, Newborns, Answering incoming calls through IVR Phone Services System from Patients for Diet Nutrition meals & ICU care units .
Houston Community College System
(HCCS) Houston, TX
Financial Aid Assistant
10/2016 - 11/2017
Research Students Government Financial Aid Document's, and Downloaded Government Documents into Laserfiche file folders for completion, Answer Students Inquiries through call center systems, assist students with refunds, and students parent & W2s forms . U.S. Department of Health & Human
Services Houston, TX
Community Liaisons
07/2010 - 09/2010
Instructed education session on available Social Service Resource Topics to the public
Conducted & Documented Outreach activities regarding population affected by Hurricane Ike, Perform site visitations & surveys Research, evaluated, reviewed, & maintain information referral guide, Assist with other duties .
Deloitte & Touche Houston, TX
Proofreader/Editor
03/2010 - 05/2010
Editing Sensitive Correspondence Documents
Department of Health and Human Services
Houston, TX
Health Program Specialist
Conducted & Documented Outreach activities to evaluated Immunization needs in assigned areas
Disperse Vaccines to Private Doctors, TB Control, Mobile Team Nurses, 08/1995 - 09/1997 All City Health Clinics, Walgreens locations, Specials site Clinics, prepared monthly Immunization reports for CDC, Vital Statistics reports
& Region field reports, Coordinated Childhood & Adults Inoculations Records to the Public, Prepared Medical Records Downloaded into database, Provided instructional training session with Programs, TB Vaccine Control, Epidemiology, Immunizations, Medical Support Training, Assist with other duties .
Health & Human Services Department
Houston, TX
Senior Clerk Clinical
02/1990 - 03/1994
Process Immunizations Records, Assist with Mobile Team Nurses while giving inoculations to public, Shot record reading, Vaccines Dispensary to Private Doctors, Nurses, TB Control, Clinics, Epidemiology, Data entry medical records, special clinics as needed, reports, vital statistics, field reports, regulations to ensure safety health, vehicle maintenance, Answering health care calls, ordering supplies, scanning, medical records filing, faxing documents, CDC correspondence, seminars, Immunizations Records training, Assist with other duties . Paul Quinn College Houston, TX
Some College in Biochemistry
08/1984
BLS Certification
Education and Training
Certifications