Customer Service Rep
Resume:
Rhoda Mora
PO Box ********** Rodeo Lane-Alamosa CO 81101
719-***-************@****.***
Objective: To secure a stable and challenging position while having the opportunity for advancement. I am currently seeking a position where I can utilize my skills and expertise.
Work Experience: Rotech
May 2022-Current Customer Service Rep/Remote CPAP Processor
Work incoming/outgoing calls to patients/referrals sources in a professional manner. Process all PAP orders from the time it hits the inbox-enter patient demos, verify insurance eligibility, obtain insurance authorizations, qualify data to ensure all documentation is on hand prior to dispensing equipment to ensure claims will get processed timely for reimbursement for equipment/services being provided. Collect any upfront copays, schedule patients for in office setup vs. direct ship to patients homes*patient preference.
Rotech April 2022-Sept 2019 Location Manager
Managed daily operations. Adhered to Rotech Policies & Procedures, Developed & maintained working knowledge of Medicare, Medicaid and insurance guidelines. Maintained high level of satisfaction with patients, referrals and location employees along with upper management. Ran daily morning meetings with staff, prepared inventory on a monthly/quarterly/annual basis in addition to all Purchasing. Worked directly with purchasing vendors on return authorizations, accepted shipments in procurement system upon arrival. Hired/trained staff, managed employees, reviewed/approved employee timesheets daily-submitted payroll biweekly. Supervised Customer Service Rep, Patient Service Techs, RTs, and Acct Executive. Handled incoming phone calls, assisted walk-in patients/customers with needs. Confirmed tickets, logged certs & worked held item aging daily along with rental in error and pending pickup reports. Scheduled new 02/CPAP setup/deliveries to appropriate staff for VA and non-VA patients, scheduled equipment maintenance on patient’s equipment every 90 days or as per company policy. Verify insurance with carriers as well as with patients and updated accordingly. Obtained prior authorization requests needed for insurance reimbursement. Worked directly with physician offices in clinics/hospitals to obtain new referrals/medicals records/progress notes for insurance authorizations. Process PAP orders/sent to Sleep Central office for direct ship.
Rotech 2015-2019 Location Sales Manager
Face to Face sales calls, established and maintained relationships with doctors, hospitals, sleep labs, wound clinics and other referral sources in the medical community. Met/exceeded monthly sales quotas, educated patients and marketed our services, respiratory equipment and medications to new prospects. Sales reports. Managed daily operations.
Rotech 2019-May 1998 Location Manager
Same job functions included during April 2022-2019 (see above)
May 1998-July 1997 Customer Service Rep
Checked all paperwork for accuracy and completeness, performed all tasks and communication related to intake of patient information concerning the service of durable medical equipment and respiratory products/supplies with patients/clients, co-workers and referral sources as it related to patient services and third party reimbursement. Prepared tickets for daily routes, provided service for all retail/walk-in equipment requests. Worked with outside agencies to resolve customer issues, handled incoming/outgoing calls. Verified Medicare, Medicaid and private insurance coverage information.
Valley Courier
May 1986-July 1997
Balanced cash drawer daily, prepared all legal notice affidavits for notarization, month-end billing for display/classified advertising, general bookkeeping such as Payroll, AR, AP. Daily bank deposits.
Personal:
I enjoy working with people of all ages. I am energetic, friendly, hardworking and self-motivated. I am a fast learner and love to be challenged. I have a strength in multitasking even with various interruptions most importantly-have strong work ethics.
References: Available upon request
Contact this candidate