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Team Coordinator/Patient Access Specialist

Location:
Charlotte, NC
Salary:
*17.80- $19.00 hourly
Posted:
March 09, 2020

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Resume:

Casilia Henry

**** ****** ***** **** *** *** Charlotte NC 28216

adb7xe@r.postjobfree.com

407-***-****

Qualifications Summary

Interim Team Coordinator, Trainer, Reimbursement Counselor, Quality Assurance, Assistant Manager, Medical Assistant, Insurance Verification Specialist, Audits and Appeals as well as Customer Service experienced working in fast-paced environments demanding strong organizational, technical, and interpersonal skills. Trustworthy, ethical, and discreet, committed to superior patient care. Confident and poised in interactions with individuals at all levels. Well-versed in health insurance and medical office procedures. Capabilities include:

Supervisor Experience: Lead Supervisor, Assistant Manager

Computer Operations: Microsoft Excel, Microsoft Word, Medical Office Software

Medical Education: Completion of Medical Assistant courses at MedVance Institute with honors

Medical Courses: Anatomy & Physiology, Clinical Lab, Phlebotomy, EKG, Law & Ethics

Office Equipment Operation: PC Navigation, Fax, Copier,

Certifications: CPR, and Leadership, First Aid, HIV

Telephone Reception: Scheduling, Appointment Setting

Leadership Courses: Building Relationships with Customers, Employees, and Clients

Recruitment: Interviewing and screening for job placement

Experience Highlights

Interim Team Coordinator /Patient Access Specialist, AmerisourceBergen Co. Charlotte, NC 10/2017-Current

Trained associates members on program standard operating procedures for AR Regeneron Eylea

Compiled a wide range of routine reports related to program operations for program management and clients

Monitors adherence to standard operating procedures.

Audits program activity related to contract and data integrity

Understands program contract obligations and is able to communicate in order to drive program performance

Participated in team meetings, prepared agenda, and meeting notes.

Provides day-to-day mentoring to team members on performance metrics, program processes ensuring team members are performing in-line with program standards.

Pre-screening candidates by using preliminary assessment through interviews and job simulations to select candidates with the highest potential for job success.

Patient Access Specialist, AmerisourceBergen Co. Charlotte, NC 09/2014-10/2017

Trained on the techniques of performing a thorough benefit verification

Using our Patient Plus patient management suite to ensure comprehensive benefit verification

Probe to uncover reasons for non-coverage, provide payer education around product benefits and track/deliver data to manufacturers around payer policies

Facilitate the prior authorization process on behalf of patients to the degree allowed by the payer, supporting patients through any required administrative paperwork with the goal of removing all hurdles to product access

Assisted with verification of benefits for Medicaid, Medicare, and Private Commercial policies

Addressing inbound inquiries regarding the billing, coding and claims submission process

Assisted Reimbursement Counselors with Sit-Ins for program procedures

Responsible for updating patient and provider information

Research requirements for patients whose claims have been denied and ensure payer forms are complete

Seamlessly support the specialty pharmacy triage process with extensive experience across multiple programs, we review incoming requests and triage to the appropriate specialty pharmacy based on manufacturer-desired business rules

Customer Service Professional, Connextions Inc., Concord, NC 05/2013-09/2014

Customer Service Representative responsible for assisting members enrolled in a Medicare Prescription Drug Plan through United Health Care

Processing prescription request through OptumRx clinical pharmacies

Premium billing payment assistance and inquiry solutions

Insurance eligibility and verification confirmation processing

Fulfillment request materials distribution

Customer Service Representative, Convey Health Solutions, Ft. Pierce, FL 12/2012-4/2013

Customer Service Representative responsible for assisting members enrolled in Silverscript with account

Information

Processing prescription request through CVS clinical pharmacies and its affiliates

Premium billing payment assistance and inquiry solutions

Insurance eligibility and verification

Quality Assurance Assistant Manager, Ivox Solutions, Palm City, FL 05/2010-12/2012

Customer service representative rapidly promoted to a Lead Supervisor

As an Assistant Manager, oversaw twelve employees supervising system log in time, monitoring, and assisting with questions and concerns

Responsible for submitting daily reports, agent summary reports, and enforcing company rules and regulations as well as adherence to policies and procedures

Medical Receptionist, Coastal Primary Care, Ft. Pierce, FL 2/2008-9/2008

Set appointments for new and established patients of a family practice office

Faxing and filing medical documents

Responsible for retrieving authorizations and referrals

Accurately and efficiently verified insurance coverage

Administrative Assistant, Humana Marketpoint, Stuart FL 5/2007-8/2007

Performed administrative and secretarial support functions for Humana

Coordinated and managed multiple priorities and projects. Provided discreet secretarial and reception services for an insurance company

Maintained accurate and up-to-date confidential client files

Provided telephone support, investigated and resolved billing problems for clients enrolled in the insurance company

Document Acquisition, Liberty Medical Supply 1/2006-1/2007

Registered incoming patients for diabetic supplies for Liberty Medical Center. Order intake as well as prescription preparation

Retrieving and distributing doctor orders for diabetic patients. Distributing claim checks to individual approved by the state

Demonstrated the ability to work efficiently in a fast-paced environment while preserving strict confidentiality

Responsible for the verification of insurance, appointment setting, referrals, and authorizations

Education & Training

JSG Medical Group Dr. Gorodetsky, Stuart, FL (5/2012- 6/2012) Medical Assistant Externship

MedVance Institute, Port St. Lucie, FL (2011-2012) Medical Assistant Diploma

Indian River State College, Ft. Pierce, FL (2006-2009) Concentration in Nursing

PCDI, Technical College, Orange, NJ (2001-2003) Certification in Medical Billing

Professional References

Abigail Thompson Human Resources Manager 772-***-****

Ruth Ann Duren Career Services Director MedVance Inst. 772-***-****

Community Involvement

Enrolled in the Hurricane Katrina Disaster relief counsel and received plaque award for services delivered for the 2005 Hurricane Food for Florida Program. Extensive involvement of people affected in communities from Hurricane Katrina.



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