Data Entry Verification Specialist
Resume:
Kara Thompson
Radcliff Ky *****
adt313@r.postjobfree.com
Objective
To gain successful employment that highlights my skills, abilities and opportunities for advancement exist. Education
CERTIFIED PHLEBOTOMY TRAINING- CERTIFICATION (NC) /DEC 2017/CONTINUAL HEALTH AND EDUCATION TRAINING- CHARLOTTE NC
THE BASICS OF COLLECTING BLOOD SPECIMENS BY VENIPUNCTURE AND BY SKIN PUNCTURE. ANATOMY AND PHYSIOLOGY, MEDICAL TERMINOLOGY, SAFETY AND INFECTION CONTROL AND THE PROCEDURES. NON REG MEDICATION AIDE TRAINING-DIPLOMA (KY) APRIL 2015 UNC-CHAPEL HILL NC · Related coursework: Medical Terminology, Pharmacology, Medication Distribution, E-Mars/Narc Logs STATE REGISTERED NURSE AID TRAINING-STATE CERTIFICATION JAN 2012 CAMPBELLSVILLE UNIV CAMPBELLSVILLE ANNEX-HODGENVILLE KY
MEDICAL MASSAGE THERAPY-DIPLOMA JUNE 2011 DAYMAR COLLEGE-LOUISVILLE KY · Related coursework: Medical Terminology, Massage Therapy Techniques, Anatomy & Physiology, Pathology, Geriatric/Pediatric Techniques, Prenatal Massage. NCTMB, Business Management INTERDISCIPLINARY STUDIES UNDERGRAD WESTERN KY UNIV-BOWLING GREEN KY
· Major: Health Sciences and Humanities/Nursing
· Minor: Interdisciplinary Studies, Compilation of all current and completed college work
· Related coursework: Biology, Health Sciences, Nutrition, Hospitality Management ASSOCIATE OF SCIENCE MAY 2005 ETOWN COMM AND TECH COLLEGE-ETOWN KY
· 1 Major: Health Sciences and Humanities
· Minor: Fine Arts
· Related coursework: Biology, Health Sciences, Nutrition, Hospitality Management CULINARY ARTS DIPLOMA-KITCHEN SUPERVISOR MAY 2003 ETOWN TECH COLLEGE-ETOWN KY · Major: Culinary Arts
· Related coursework: Food Production, ServSafe Certification, Cooking, Catering, Business Management Experience
Customer Service Representative-CCR-Optum Louisville KY-April 2021-August 2021(Remote) Answer 50-70 incoming phone calls per day from customers and identify the type of assistance the customer needs
Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed Assist customers in navigating UnitedHealth Group websites while encouraging and reassuring them to become self-sufficient in using our tools. Various plans, products and benefit levels that are available to members. Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues PMR Recovery Specialist- Optum Equian, Louisville KY-March 2020-April 2021(Remote) Responsible for investigating, reviewing, negotiating, settling and monitoring pre-pay other party liability files
Verifying patient insurance benefit information.
Strong customer service experience.
Proficient Windows-based experience including fundamentals of data entry/typing. Proficient with Microsoft Outlook, Word, and Excel. Strong interpersonal skills and professionalism
Familiarity with verification of insurance benefits preferred. Benefit Investigation Specialist- Lash Group (Eylea4U)(MMC Group), Louisville Ky December 2019- March 2020
Benefits Verification Specialists play a crucial role in providing patients access to the medications and therapies they need by contacting insurance companies to verify patient-specific benefits for programs we administer. The Benefits Verification Specialist will ask appropriate questions regarding a patient’s benefits and complete data entry and/or appropriate forms to document patient benefits coverage. Their patient coverage, cost share, and access/provider options. Identifying any coverage restrictions and details on how to expedite patient access. Documenting and initiating prior authorization process and claims appeals.
Reporting any reimbursement trends or delays to management. Strong customer service experience.
work helps make therapy more affordable and allows patients to start treatment faster. As a Benefits Verification Specialist, a typical day might include the following: Verifying patient insurance benefit information.
Triages cases with missing information to appropriate program associates. Verifies patient specific benefits and precisely documents specifics for various payer plans including Proficient Windows-based experience including fundamentals of data entry/typing. Proficient with Microsoft Outlook, Word, and Excel.
Strong interpersonal skills and professionalism.
Independent problem solver and ability to make good decisions. Robust analytical skills.
Strong attention to detail.
Effective written and verbal communication.
Attention to detail, flexibility, and the ability to adapt to changing work situations Familiarity with verification of insurance benefits preferred. Phlebotomist, Mobile ParaMedical Examiner-Exam One, Quest Diagnostics, Louisville KY March 2019-July 2019
Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collection and processing duties following established practices and procedures. May also be required to act as coach, mentor, instructor and resource person for new employees who have completed the required phlebotomy-training program.Ensures all specimens are collected accurately and on time.
• Collects specimens according to established procedures.
• Conducts in center exams and mobile exams, which include taking basic vitals, medical histories, venipuncture, urine collection, and EKG. Also collects specimens for pre- employment drug screenings and other Quest Diagnostics services.
• Responsible for completing application packets and other paperwork accurately. • Label, centrifuge and split specimens as required by test order.
• Upload and complete cases in the portal within 24 hrs on weekdays and within 48 hrs on weekends. • Package specimens for transport and ship to lab indicated on work orders. Certified Nursing Assistant-Malone Staffing Agency, Louisville KY February 2019-July 2019 Responsible for the care of elderly individuals including bathing, feeding, dressing and assisting with all other daily adls in their home and in nursing facilities. Donor Floor Technician-Octapharma Plasma, Charlotte NC March 2018-Oct 2018 Responsible for disconnecting donors from Haemonetics Plasmapheresis Machines. Which includes but is not limited to disconnecting blood lines and needles. Disconnecting plasma bowls and bottles as well as AC and saline connections. Identifying donors, labeling plasma bottles and blood samples. Warehouse Assembly Line Clerk, Kit Sales /Advantage Resourcing(Pelton and Crane/Kavo Kerr)-Charlotte NC/July 2017-March 2018
· Responsible for manufacturing tools and screw kits to be used in manufacturing dental chairs and equipment. MSDS data sheets, copying, filing, data entry. Certified Nurse Assistant /BrightStar Healthcare-Charlotte NC/Oct 2016-July 2017
· Responsible for the care of elderly individuals including bathing, feeding, dressing and assisting with all other daily adls in their own home.
CERTIFIED NURSE ASSISTANT SIGNATURE AT NORTH HARDIN-RADCLIFF KY JULY 2015-JULY 2016 · Responsible for the care of elderly individuals including bathing, feeding, dressing and assisting with all other daily adls in an Nursing Home/ Rehabilitation facility. Also assisted Restorative Therapy Staff with walking, ambulating, passive/resistance movement therapies, gait control. CERTIFIED NURSE ASSISTANT KENSINGTON CENTER-ETOWN KY JUNE 2012-JULY 2015 · Responsible for the care of elderly individuals including bathing, feeding, dressing and assisting with all other daily adls in an Nursing Home/ Rehabilitation facility. Also assisted Restorative Therapy Staff with walking, ambulating, passive/resistance movement therapies, gait control. CERTIFIED NURSE ASSISTANT/NON REG MEDICATION AIDE COMMUNICARE, INC-ETOWN KY APRIL 2015-JUNE 2015
· Responsible for the care of elderly, mentally and developmentally challenged individuals including bathing, feeding, dressing and assisting with all other daily adls in a Group Home/Residential setting. · Planned daily activities and outings, scheduling, filing, faxing, answering telephones. Cooking, preparing meals, grocery shopping, meal planning, cleaning.
· Distributed, passed medications to clients. Data entry, recorded med pass on E-Mars, Narc logs. Certifications/Skills
*Phlebotomy Certification-NC
Dec 2017
*State Registered Nurse Aide Certification KY -Jan 2012-Current
*CPR Certification-American Heart Association-Oct 2014-Current
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