Customer Service Care Coordinator
Resume:
TASANEE GARDNER
Baton Rouge,LA
Phone 813-***-****
***********@*****.***
Objective: To obtain a challenging position using my strategic and conceptual skills, complemented by my solution - based ideas enabling me to grow within a company.
Qualifications: Over 15 year experience in Medical Terminology and Insurance,
Customer Service, Computer and Communication Skills, Knowledge of Availity, Care-plus, Freedom and Optimum, United Health Care,for Referrals and Authorizations for Upcoming Surgeries and Specialists Visits .
Skills:
Assisting patients with Referrals and Authorizations, providing general information, Knowledge of EMR systems, Ubiquity, All scripts, and Epic and, Excellent customer service skills.
Relevant Experience:
OPTUM /Landmark Care Coordinator
02/27/2023 – Present
- Scheduling Appointments for providers
- Updating Demographics in patient’s chart
- Requesting notes or reports from PCP and Specialist visits
- Right fax for uploading documents
- Incoming calls from patient’s
- Reminder calls for upcoming Appointments
TGH Imaging powered by Tower
08/25/2022 -02/22/2023 Front Desk
- Check in
- Scheduling patient’s next appointment
- Calling Patient’s to remind about their appointment
- Preparing charts
- Answering incoming calls
- Excellent Customer Service
Optum Healthcare
05/15/2017-07/0/2022
Care Coordinator/Medical Receptionist
- Referrals and Authorization
- Answering Phone Calls
- Consult Not Receive Reports from Specialists
- Durable Medical Equipment Referrals
Heart and Vascular Assoc. Of Tampa
4/2016-3/2017
Office Administrator
-Answering incoming calls
-Check in and checkout patients
-Collect payments from patients
-Referrals and authorization
-Scan documents and put in patients charts
-Medical Records
-Insurance verification
-Scheduling
Pediatric Neurology And Epilepsy of Central Florida, Orlando, FL
4/2013-4/2016
Medical Records Specialist
-Create medical charts for all new patients.
-Organize all patient charts for next business day.
-Update patient charts and documentation with any same day schedule changes. - Scan all new documentation into patient files.
-Request and follow up on all outstanding MRI’s and lab reports. Handle all incoming phone calls and message delivery.
-Process all updates to primary care physician.
-Maintain patient file organization for office.
General Dynamics Technology, Riverview, FL
9/2009-4/2013
Customer Service Representative
-Verify Medicare insurance claims with clients.
-Handle clients’ calls regarding questions on policies.
-Follow up calls with client and beneficiaries card holders.
-Draft MSN/EOB explanations letters to clients.
-Research and process all aspects of claims.
-Part A, Part B, DME Claims.
Healthpoint Medical Group, Tampa, FL
3/2009 -7/2009
Customer Service Representative
-Draft EOB’s(Explanation of Benefits) letters for clients.
-Draft unpaid insurance claims to CMS ( Center Medicare/Medicaid Services).
-Verify clients’ insurance benefits.
-Researching non-payments secondary insurance companies.
Nextran Truck Center, Tampa Fl
3/2006 – 3/2009
Receptionist
-Answering multi-lined telephones.
-Accurate daily filling responsibilities.
-Accounts Receivable balancing.
Eckerds Drug Store, Brandon Fl
5/1999 – 2/2006
Pharmacy Technician
-Filled/Validated Prescriptions.
-Taking calls for refills of prescription.
-Typing prescriptions written by doctors for patients.
-Communicated with doctor’s office on medications validation.
-Inventory management for medications/drugs in order to keep the proper stock.
-Communicated with the wholesaler to secure medications needed for the pharmacy.
-Communicated with Insurance companies on “Prior-Authorization” of medications.
-Provided customer service to amend challenges on prescriptions with the doctors, patients, insurance companies when needed.
Education:
Sanford Brown Institute, Tampa, FL
Medical Billing and Coding Specialist
-CPT-4, ICD-9 and HCPCS Coding.
-Health Insurance Verification.
-Reimbursement Methodologies.
-Medi-Soft and Med-Cin Software training.
References provided on Request
Contact this candidate