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Data Entry Authorization Specialist

Location:
Cincinnati, OH
Posted:
December 13, 2022

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Resume:

Robin L. Fink

*** ******** *****, **********, **** 45238

513-***-****

Energetic; reliable; hard worker; flexible and always willing to help others. Capable of maintaining high work standards with an elevated volume of work accomplished. Able to learn quickly and readily apply new skills effectively.

WORK HISTORY

SUPERIOR CARE PLUS, Cincinnati, Ohio July 2017 – Present

Administrative Assistant

Answer multi-line phone system and direct calls to appropriate staff. Receive and route messages, correspondence and administrative documents appropriately.

Copying, faxing, uploading documents, phone surveys, ordering office and medical supplies and maintaining all inventory, data entry of visits, general office duties, maintaining office equipment working properly and running reports from clinical databases.

Print client census i.e. Intake, Active, Hold, D/C & Hospitalized.

Maintain clinician’s maintenance equipment logs once a month. Missing equipment logs à call clinician. off charts.

Order supplies for patients from supply companies – Omni., Edge Park, McKesson & Apria.

Make packets for Start of Care – Qty. 10 always available on hand.

Lab results – Fax to MD & RN. Notify manager with any critical results and file in patient charts with confirmations.

Print Physicians orders – RN/PT/OT/ST – Fax orders to MD. After receiving fax from MD, file in charts.

Prepare new patient charts using names and information from intake paperwork.

oOpen – Wait for consents from clinicians – have them sign off they returned.

oD/C – Wait for Medicare non-coverage form and file in patient charts.

Pull all D/C patient charts and make sure everything is in them.

Track face to face and make sure we receive from MD within a 2-week period, if not, contact the MD office directly and work with office to receive everything needed.

31 years of Customer Service

CARE CONNECTION OF CINCINNATI, Cincinnati, Ohio January 2014 – July 2017

Insurance Authorization Specialist

Obtained authorization for home health care services for new patients whose insurance requires authorization for services.

Obtained re-authorization for home health care services for existing patients as their authorization expires.

Tracked authorizations for patients whose health care insurance requires authorization.

Communicated with field staff case manager and scheduling regarding authorizations obtained, amounts, date ranges and limits.

Communicated with Clinical Manager for difficulties obtaining insurance authorizations.

Obtained retro-authorizations as needed.

Requested authorization from insurance company case managers to provide specific services and parameters of care.

Reviewed the insurance verifications and completed the authorization process within established timeframes.

Accurately entered data into required software programs.

Received MD orders and coverage authorizations from branch designee.

Worked closely with branch and support team efforts to accomplish authorization/verification.

Provided effective communication skills to patient/family, team members and other health care professionals.

Negotiated rates with insurance providers if out-of-network.

Ensured payment for services by verifying benefits with insurance provider.

Obtained, reviewed and inputted insurance authorization and referrals prior to patient services.

Performed other duties as required.

Front Office Receptionist

Greeted all incoming visitors and staff. Mail delivery.

Answered multi-line phone system and directed calls to appropriate staff. High priority was to make sure that every call was answered and addressed. Received and routed messages, correspondence and administrative documents to the appropriate staff. Performed phone system/answering service functions.

Helped the Patients/MD’s/Field Staff as required and needed daily.

Uploaded orders into patient files.

Assisted the Schedulers as needed.

27 years of Customer Service

CINCINNATI ART MUSEUM, Cincinnati, Ohio February 1990 – November 2013

Security Supervisor

Created and maintained schedules of the 60 Art Museum full-time and part-time security staff.

Created daily work lists; assigned long distance codes for all Art Museum employees, answered phones for Security department, ran the switchboard and assisted with the lost and found logs.

Assisted with new name badge creations, absentee reports, relaying messages, and monitoring employee and delivery entrances.

Assisted other supervisors and team leaders with ideas for improving the visitor experiences. Worked with the frontline teams to create ongoing training and professional development opportunities for staff in visitor service.

Assisted with the frontline newsletter and worked with other supervisors to update the Art Museum on Security accomplishments and visitor success stories at monthly staff meetings.

Experienced with electronic ID and facility-access systems.

Cut museum keys and managed them using key wizard.

Trained new hire full-time and part-time security personnel.

Ensured all visitors and staff abided by the safety and security procedures in the Art Museum.

Monitored alarm and closed circuit monitor systems throughout the gallery buildings and grounds of the Art Museum.

Responsible for the dispersing and collection of keys as well as swipe cards, and signed in/out of outside vendors, employees and visitors in a friendly manner.

Handled various administrative duties and projects when assigned along with record keeping tasks for absent reports, vacation requests, updated the phone lists, department reports and payroll.

Supervisor of the museum mailroom; using Neopost mailing machine to run outgoing mailings and processing UPS requests; checked-in packages and processed all bulk mail requirements along with mail distribution to over 30 departments.

Checked the facilities for leaks or other system failures.

Maintained a clean and attractive office area; ordered office supplies.

CPR/ First Aid certification and first responder certification training.

Opened the Art Museum at 6:00 a.m. daily; relieved night watch and was on call monthly for a week.

Security Guard

Monitored artwork and museum areas to ensure safety and security.

Provided excellent customer service to the employees and the public to deliver a visitor friendly atmosphere.

Signed in and out contract employees.

Assisted security personnel in the parking lot as needed.

Greeted customers, developed rapport; accepted and processed entry into the museum.

Interacted with customers from diverse cultures and backgrounds.

Cultivated repeat and referral business through excellent customer relations.

Stocked service areas with supplies.

23 years of Customer Sevice

Skills:

Microsoft Office (including Word, PowerPoint, and Excel) Windows, Adobe Acrobat, Outlook, Key Wizard, Neopost and EZLabor Payroll



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