GOODNESS OGIAMIEN
Medical Claim Specialist
Data Entry Specialist
Technical Support Advisor
****************@*****.***
Houston, Texas
EDUCATION
**** - ********* ** ******ogy - Delta State University
2011 - Information Technology Certificate - Metropolitan Institute of Technology, Nigeria
2013 - Chartered Institute of Personnel Management (CIPM)
SKILLS / COMPETENCE
Microsoft office 365, SharePoint
Excellent oral & written communication skill, Good interpersonal communication skills, Integrity and leadership quality, people management, attention to details, tools & process, Dashboard/Reporting, information savvy, human relation
PROFESSIONAL SUMMARY
To strive for excellence, quality services and precision at all times, in all positions and circumstances to attain professional distinction and proficiency with exemplary professional expertise and superior communication skills in both written and spoken forms.
WORK HISTORY
Spectraforce Technologies Sep 2022 – Date
Patient Access Specialist-Medicare Dupixent My-Way Project
Review re-enrollment form and process to approval
Accurately enters/updates patient information in eligibility system
Identifies payer source, and verifies insurance eligibility.
Assists patients with completion of paperwork when necessary.
Identifies patients by date of birth and name in computer system.
Process and approve or denial cases based on patient income/FPL.
Send out Approval letter to doctors and patients.
Protects/observes patient confidentiality per policies and procedures/HIPPA Regulation
Sutherland Global Services Inc. Jan 2021 - Feb 2022
Medical Claim Processor -Remote
Processing and verifying of insurance claims.
Review and verify patient account information for payment.
Trained on Fraudulent claims, patient privacy and confidentiality in accordance with HIPPA regulations.
Allocation of deductibles and copays
Follow Adjudication policies and procedures to ensure proper payment of insurance claims
Kelly Connect – Remote. Aug 2020 – Jan 2021
Technical Support Advisor
Provide customer service result challenges, through series of troubleshooting and knowledge base research.
Taking high volume inbound calls
Support customer with Product feature inquiries
Resolving username and password difficulties
Navigating customers through various apps
Verifying proper hardware and software configuration and set up
Diagnosing and resolving issues including: internet connectivity, email, application downloads, and more
.