Service Representative Data Entry
Resume:
Patrice M. Andrus
Hazelwood, MO 63042-3810
Cell: 314-***-****
Email: **************@*****.***
Introduction
I am seeking a full time position in which can be primarily working from home or near me, where I can use my skills and knowledge to help others and be a great part of your organization or company. I enjoy meeting and helping others to achieve their expectations and more in services provided. If you are seeking a reliable person who is able to work independently, one with integrity, compassion, honesty and is organized, these are the qualities you will find in me. I am seeking employment with a reputable company whom demonstrates history of good ethics, and great services to those who are depending on such qualities and outcomes. Job Title Seeking
Intake Specialist, Customer Service Specialist, Medical Testing Scheduler, Medical Eligibility Specialist, Prior Authorizations, Medical Claims/Reimbursement, Pharmacy Claims/Reimbursement infusion-injectable- Oral, Customer Service Representative, Front Desk/Receptionist, payment posting, pharmacy tech. I am willing and capable of learning new systems, job procedures and skills. Preference
A job to utilize my knowledge and skills.
Professional Experience
Supervisory experience over home infusion billing, insurance verification, prior authorizations, contracting and negotiation for outsourced agencies, guidelines, protocols, medical terminology, ICD-9, ICD-10, CPT, NDC, HCPC codes, ABN, LMN, running end of month and annual reporting, electronic billing, training office staff, working closely with the pharmacy staff, various other departments DME, nursing, PT, OT with referral needs, collection of OOP and part D co-pays, problem solving, outsourcing care for patients due to overflow or out of systems service area for care and physician office referrals, knowledge of various insurance contracts and guidelines, PPO, EPO, HMO, POS, Commercial, Government, Medicare, Part C plans, MO Medicaid and IDPA, Data entry of referral in relation to personal information, medical history, orders, insurance and any other relevant information required. I worked on various applications over the years and am willing to learn anything being used currently.
Employment History
2007-2017 BJC Home Care Services 1935 Beltway St. Louis, MO 63114 phone: 314-***-****
Title: Customer Service/Intake Specialist Home infusion Therapy and Pharmacy
Insurance verification, scheduling, authorizations, setting up nursing,physical/occupational therapy, DME for out of area and overflow due to high census, entry of medical history, coding, running part D drugs, taking co-pays-deductibles, orders, working close with other departments, referral sources, price negotiations per contracting and more to ensure best quality of care. Resigned due to back surgery complication.
2006-2007 Express Scripts 1 Express Way St. Louis, MO 63121 phone: 1-800-***-**** (Worked at Earth City, MO 63045) Title: Epoetin Case Manager
Case manager for ESRD and epoetin management needs. The patent law suit with Roche was lost and all of us were let go due to it.I was offered a lower paying position but was not interested in it unfortunately.
2002-2005 My husbands health became critical and total care due to his prior military service. The doctors gave him three months, so I took FMLA, to care for him. FMLA ran out as he suffered four more years.
1999-2002 St. John Mercy Home Care Services Home Infusion
(Now Mercy) 615 New Ballas Rd. St. Louis, MO 63141 Phone: 314-***-**** (Worked at Earth City Location 63045) Title: Supervisor Home Infusion Therapy Intake/Billing Overseeing Intake and billing, working closely with home infusion pharmacy, month end, year end reporting, payment posting, coding, working closely with home health and DME departments and outsourced agencys when census high or out of are and price negotiations when applicable.
Additional work history/experience 1976-1998;
Medical Center of Florissant 1125 Graham Rd. Florissant, MO 63031 Floated in various areas and capacities for 24 physicians and surgeons from scheduling, front desk, back office, Urgent Care, Billing and Radiology on Saturday mornings as assist. Harry Raybuck, M.D. OB/GYN Christian NW Office Building Florissant, MO 63031 Managed office, billing, scheduling, insurance verification and assisted in back office. Sylvester Folotte, M.D. New Halls Ferry Medical Arts Building, Florissant, MO 63033 Internal Med Front office desk duties and back office assist as needed.
Risinger Insurance Agency Car, Home, Life 3465 McKelvey Rd. Bridgeton, MO 63044 Customer Service, intake, run rates, data entry to companies as independent agency, driver checks, heavy phone volume, set appointments,filing.
Continuing education: through employment in various applications, guidelines, contracts, negotiations, procedures, HR policies, management reporting, coding, and leadership, working with home infusion pharmacy.
References: Available on request.
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