Summary
Sharp, dedicated administrative professional with long-standing and diverse experience throughout multiple industries and capacities. Deadline driven with outstanding organizational and multi-tasking skills. Fast and enthusiastic learner with a strong ability to work independently or as part of a team. Adept in bookkeeping and expense handling. Articulate communicator with direct sales experience. Proactive and reliable, with a meticulously detail-oriented and organized nature.
Highlights
Filing & Organization
Accounts Payable & Receivable
Multi-tasking Expertise
60 WPM typing
SharePoint
Worker's Compensation
No Fault
Certified Customer Service Skills
Written & Verbal Communications
MS Office, SmartOffice CRM software
Excel
Deadline oriented
Salesforce
Data Entry
Scheduling
ICD-10
Market Research & Sales
Presentation Preparation
Staff motivation
Continuing Education
Patient Relations
Live Chat
Experience
Ashfield Health Care
06/2022-Present
Patient Service Representative (Remote Contractor)
Performed patient chart verification and updates via Salesforce and MedConnect
Enter and update data accurately and efficiently into the company’s computer systems and databases.
Verify the accuracy of data by comparing it to source documents and performing regular quality checks before triaging.
Review and correct any errors or discrepancies in the entered data.
Met company productivity requirements of 50 cases daily minimum
Provided excellent customer service when calling the patients with any discrepancies and status updates being sure to thoroughly answer any questions and follow HIPAA protocol
Verified patient tier exception status with the payer
Called providers to inform them of tier exception requests by their patients and provided all necessary steps to fill out the form
Confirmed patients eligibility for medical tier exception
Responsible for updating patient chart information, creating necessary tasks for the Tier Exception process, and following the company policy for Tier Exception completion in Salesforce
Assisted and requested team assistance via Microsoft Teams
Completed and submitted all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payors.
Researched and resolved any electronic claim denials.
Effectively utilized various means for collections, including but not limited to phone, fax, mail, and online methods.
Effectively transferred patient information from fax to electronic charts
Provided exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
Department of Health and Human Services 08/2020 – 02/2023
Administrative Assistant/Program Management (Temp Solutions) Raleigh, NC
Maintains database by entering new site location.
Collect, clean, and maintain large datasets from various sources, ensuring data accuracy and integrity.
Managed coordination team during pandemic ensuring batch work was completed urgently and thoroughly
Oversaw program changes from inception to completion ensuring team had all the training and understanding to complete batches
Organizing batch information and effectively correcting errors
Schedule team meetings via Teams to train on new software or system processes
Create PowerPoint presentations for training materials
Gathering information from paper forms to key into database using various platforms
Recording staff completions, entries, and errors.
Recording and correcting recipient vaccine administrations.
Prepares source data for computer entry by compiling and sorting information.
Establishing entry priorities.
Processes account source documents by reviewing data for deficiencies.
Verifying recipient information through government sources and true people search.
Assist callers with Immunization and vaccination records requests or changes
Contact pharmacy liaisons with inaccuracies and vaccination entry updates
Processing tickets submitted by phone, email, and Salesforce
Hope Home Care 02/2019 – Present
PCA – Personal Care Assistant Long Island City, NY
Assisted patient with travel needs
Assisted patient with hygiene (bathing, grooming) and dressing
Cooked for patient according to doctor's orders
Ran errands, performed laundry duties
Ensured patient went for daily walks as could be tolerated
Performed activities prescribed by physical therapist
When returned home from surgery I dressed and cleaned the wounds
Dispensed medication
CVS Health
08/2019 – 12/2022
Claims Examiner - Remote
Wilson, NC
Answer calls to resolve patient, provider or vendor questions and concerns
Review, research, analyze, and process complex healthcare claims by navigating multiple computer systems and platforms and accurately capturing the data/information for processing
Investigate missing patient insurance payments
Maintain charts in salesforce
Assisted with patient billing concerns
Triage cases after verification for adjudication
Called patients for missing information to update charts
Called payers to update patient insurance charts
Collected and reviewed all patient insurance benefit information, to the degree authorized by the SOP of the program.
Provided assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications.
Platinum Health Care 02/2010 – 02/2020
Executive Administrative Assistant Flushing, NY
Interview, hire and train staff
Manage office services by organizing office operations and procedures, designing filing systems
Preparing Payroll Reports
Prepare memos, schedule meetings, scan documents and input information
Coordinate employer's meetings with vendors
Transport/deliver medical records to various sites
Maintain employer's scheduling and court calendar
Verified insurance and managed Accounts Payable/Receivable
Optimize patient satisfaction, provider time, and treatment room utilization by scheduling appointments accordingly.
Greeting claimants and visitors, in person or on the telephone; answering or referring inquiries.
Maintains patient accounts by obtaining, recording, and updating personal and financial information.
Recording and collecting patient charges; controlling credit extended to patients; filing, collecting, and expediting third-party claims.
Maintains office flow by notifying provider of patient's arrival, reviewing service delivery compared to schedule and reminding provider of service delays.
Maintains business office inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, scheduling equipment service and repairs.
Verifying Workers Compensation or No Fault exams for IME appointments.
Detailed system allowing debt cap of $25,000 to be rectified. All debts owed paid in a 12 month period.
SD Protection Inc 03/2018-07/2018
Temporary Night Safety Agent
Conduct foot patrols to identify at-risk behaviors of the guests
Respond to reports by guests outside of tour group regarding at-risk behavior
Maintain communications with other agents to ensure all stations worked together
Provided appropriate dispute resolutions when necessary
Provided public safety by maintaining order, responding to emergencies
Kept detailed record of incidents and hourly patrol details.
Law Office of Joseph A Marra, PLLC 06/2012-08/2015
Legal Secretary/Intake Specialist Yonkers, NY
Initiate procedures to grant, modify, deny, or terminate legal representation, or refer applicants to other agencies for assistance.
Interview and investigate applicants for legal representation to gather information pertinent to their applications.
Frequently communicate with attorneys, paralegals and legal secretaries in order to process and adjudicate new cases
Record, compile and enumerate factual data and detailed evidence of potential claims
On behalf of the law firm, provide the initial contact with potential clients for Personal Injury, Worker’s Compensation, Social Security Disability, and Mass Tort claims via phone, walk in, or email.
Eye Care Advantage Inc 3/2005-1/2011
Sales/Delivery Queens, NY
Suggested eyewear for patients, sold eyewear
Delivered orders and responsible for house calls for the handicap and elderly
Responsible for booking and confirming patients
Phoned patients for late payments on glasses left in store before sent in to be dismantled
Verified patients insurance and collected payment
Entered all patients' information in INFOCUS system
Dispensed glasses and adjusted frames
Inventory control, managing supplies in the office as well as ordering supplies
Utopia Records 11/2003 - 12/2007
Office Assistant/Marketing/Promotion Brooklyn, NY
Supervised interns and responsible for all office duties (i.e. answering phones, making copies/faxes, routing mail, ordering supplies, etc.)
Scouting talent both on the street team and at clubs
Scheduling meetings, interviews and auditions, overseeing interviews/auditions
Calling clubs/high schools/colleges for Internship as well as radio stations
Creating presentations for photo shoots and marketing ideas, also the makeup artist
Arranging travel plans on the ground and in the air for CEO as well as Artists
Universal Survey Center 10/2001-08/2005
Call Center CSR New York, NY
Responsible for phoning clients to follow up on ticket submissions
Assisted prospective clients in managing their accounts
Dispatched customer calls to appropriate company departments for unresolved questions and concerns
Communicated with distraught customers, resolving concerns and questions, decreasing negative customer reviews by 46%
Address customer service inquiries in a timely and accurate fashion.
Give accurate and appropriate information to answer questions, troubleshoot issues, and resolve complaints.
Professional Development
06/2002 - Continental Academy
Received HS Diploma
8/2023 - Southern New Hampshire University
BS - Human Services