Service Representative Patient
Resume:
WORK EXPERIENCE
(REMOTE) Claims Specialist/Prospective Employer Protest Agent Fact Finder MMC Group/Maximus/CA Unemployment Department
Remotely (Sacramento, CA), 11/2021 current
Retroactive Certification Agents will perform job duties such as:
Analyzing claim information to identify discrepancies or missing information
Assessing the information against requirements based on UI Code, Policies, and Procedures
Sending claimants and/or employers standard forms or requesting information by phone based on these forms to obtain additional information or clear up a discrepancy
Working closely with subject matter experts to gain further understanding of how to process certifications or identify when a claim needs to be escalated
Referring complex issues to supervisor or tenured staff
Notating all actions taken on a claim clearly and thoroughly
Demonstrating the ability to make logical decisions
Demonstrating the ability to manage a workload in a way that meets timeliness requirements
Demonstrating computer proficiency required to navigate project systems
All other duties as assigned by management to support certification processing
REMOTE CARE and VOLUNTEER COORDINATOR Connected Home Living
Los Gatos, CA (physical location) Sacramento, CA(Remote), 07/2009 03/2020
Provided direct home care monitoring services, remotely assisted the wellness and safety of clients while teaming with families, physicians, nurses, other healthcare professionals, pharmacists, and outside vendors.
Performed daily client care oversight and assessment, provided daily written & verbal reports, followed up on client needs, and maintained accurate client health records.
Volunteered to provide psychosocial and companionship needs to patients.
Patient Service Representative II Sutter Health
Sunnyvale, CA, 06/2009 07/2009
A Patient Service Representative is a highly trained person with specialized skills who functions to manage the needs of infusion patients in a geographical team with a pharmacist. This includes maintaining appropriate levels of DME patient and nursing supplies and monitoring usage, scheduling and setting up deliveries, obtaining information and communicating with patient care team to meet patient needs and to help resolve incidents, performing prescription and supply order entry as well as documenting pertinent information.
The patient service representative will obtain information such as weight, changes in medication profile and other information and relay it to the pharmacist, and will identify client issues that require consultation with a pharmacist or nurse.
The patient service representative is a vital member of the pharmacy team.
The candidate will participate in product and supply selection and decisions and inventory control.
The candidate will also help resolve billing issues and will facilitate working with the billing office. The
patient service representative will also work with the intake team to facilitate new patient referrals.
Other duties include the development of supply templates, streamlining courier service processes and delivery processes, assembling DME patient charts and start of care packets, checking ancillary supplies, performing IV admixture, and/or picking and packing supplies and deliveries—when needed and other duties as assigned.
EDUCATION
2021,
2021 none DeAnza Junior College, General Education, Cupertino, CA
2004 High School Diploma Mount Pleasant High School, High School, San Jose, CA
1600 CNA Center Pointe Learning Institute, Certified Nursing Assistant, Sacramento,CA
SKILLS
Computer/ Technology : Epic Scheduling Software IDX Scheduling Software Handling Medical Records Vital Signs (Blood Pressure, Temperature, Pulse Oximeter) Multi line Phone Operations
MS Office Suite (Word, Excel, Powerpoint) OTECH CUBS
REFERENCES
Available on request
HOBBIES
Hobbies : Fishing Sewing Gardening
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