Data Entry Clerk,healthcare Representative, Patient advocate coordinat

Lisa M. Holmes

**** ********** ** *** *** 843-***-****

North Charleston, South Carolina 29420 *.********@*****.***

OBJECTIVE An entry-level position in healthcare or business, with opportunity for advancement.

SUMMARY OF QUALIFICATIONS

ØAbility to communicate and interact effectively with individuals of all levels

ØTeam player that is goal oriented

ØRecognize client needs, and meet them

ØAbility to work under pressure, multi-task and meet deadlines

ØCheerful, courteous and enjoy working with people

PROFESSIONAL EXPERIENCE

TGB3 ENTERPRISES Charleston,SC

Patient Advocate June 2021 to Present

Call patients to pre-screen for qualifying criteria of various Federal & State Medicaid/Social Security Administration (SSA) programs.

Maintaining ongoing communication with various agencies throughout the application process

Documentation/other paperwork as well as computerized record keeping

Assess cases appropriately & utilize the most appropriate community resources to provide efficient client services

Prepare clear & concise reports, correspondence & other written materials

Use initiative & independent judgment within established procedural guidelines, organize own work, set priorities, & meet critical deadlines

Establish & maintain effective working relationships with those contacted in the course of work

Communicate exceptionally well orally, in writing, & over the telephone

Change Healthcare Charleston, SC

Healthcare Representative October 2015 to June 2021

Interviewing clients in a hospital setting and/or home visits to assist the clients in obtaining maximum benefits coverage.

Provide updates and assistance to hospital personnel and company staff.

Work effectively with hospital employees and patients.

Maintain ongoing communication with government agencies and obtaining status of claims..

Completion of applications for state and federal programs (including Health exchange/Marketplace programs) Reviewing medical records and taking all necessary action to expedite benefit approval.

Maintain documentation of status of claims and client contract on Change Healthcare and/or hospital computer systems.

Making a determination to take a Federal, State or Local program application based upon medical definition of disability as it relates to body systems and to functions of daily living, and information contained in medical records.

Island Podiatry Beaufort, SC

Assistant July 2013 to Oct 2015

Collect, count, and disburse money..

Communicate with customers, employees, and other individuals to answer questions, disseminate or explain information, take orders and address complaints.

Answer telephones, schedule appointments, check Patients in and out direct calls and take messages.

Data entry of incoming calls, Eligibility of Benefits, Verify Insurances.

Operate office machines, such as photocopiers and scanners, facsimile machines, voice mail systems and personal computers.

Beaufort Memorial Hospital Beaufort, SC

Data Entry Clerk/ Unit Secretary September 2001 to Dec 2015

ØOperate keyboard and other data entry devices to enter data into computer

ØExecute daily operations of processing charts for new admissions to unit, physician orders into

system, answer phones and direct to appropriate department

ØTrain and assist new staff in data entry and policies and procedures

ØUpdate and maintain records of work completed

ØSuccessfully handle 5th Unit front desk to assist staff, patients and visitors

Beaufort County Board of Education Beaufort, SC

Substitute Teacher September 2001 to August 2015

ØProvide outstanding personal care of children ages 5 to 13 years as well as providing educational, physical, emotional and social nurturing

ØImplement daily plans for students, monitor students and assist with class assignments

ØProvide direction and assistance to students in the classroom

Brightchoice Medical Bluffton, SC

Customer Service Representative/ Sales Associate June 2011 to September 2011

ØChecked to ensure that appropriate changes were made to resolve customers' problems

ØMaintained records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken

ØContacted customers in order to respond to inquiries and to notify them of claim investigation results and any planned adjustments

ØReviewed insurance policy terms in order to determine whether a particular loss was covered by insurance

ØDetermined charges for services requested, collected deposits and payments, and arranged for billing

ØConferred with customers by telephone and in person in order to provide information about products and services, take orders and cancel accounts, and obtain details of complaints

Amedisys Hilton Head, SC

Business office Clerk February 2010 to June 2011

ØCommunicated with customers, employees and other individuals to answer questions, explain and disseminate information, take orders and address complaints

ØAnswered telephones, directed calls and took messages

ØCompiled, copied, sorted and filed records of office activities, business transactions as well as any other assigned tasks

ØReviewed files, records, and other documents in order to obtain information and respond to requests

ØResponded to written and telephone requests for medical records

ØOpened, sorted and routed incoming mail, answered correspondence and prepared outgoing mail

ØMaintained and updated filing, inventory, mailing and database systems

ØOperated office machines, such as photocopiers and scanners, facsimile machines, voice mail systems and personal computers

ØPurchased medical supplies and materials for homehealth services, maintaining effective inventory control

Naval Hospital (Lsi, Allutiq) Beaufort, SC

Administrative Assistant II June 2008 to April 2009

ØScheduled, updated and maintained patient appointments using CHCS

ØAnalyzed data to determine answers to questions from customers and members of the public

ØOperated a multi-line telephone system to answer, screen and forward calls; provide information, take and input messages and schedule appointments

ØResponded to written and telephone requests for patient concerns and special requests

ØMaintained and updated mailing and database systems, manually and using a computer

Low Country Medical Group Beaufort, SC

Clinical Services Representative June 2007 to June 2008

ØExecuted daily operations of triaging and scheduling appoinments for patients and intake of physician referrals for specialist and other medical facilities

ØChecked to ensure that appropriate changes were made to resolve customer questions or concerns

Senior Services of Beaufort Beaufort, SC

Senior Site Manager June 1997 to August 2000

ØPrepared and maintained records and reports, such as budgets, personnel records, and training manuals

ØExecuted daily operations of senior center to include client assessment, planning and executing monthly activities as well as researching and collaborating community resources for seniors within the center

EDUCATION

Park University Beaufort, SC

Bachelors in Business Management May 2013

Denmark Technical College Denmark, SC

Associates Degree in General Business 1992

-Served as president of the General Business Club

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