Service Representative Verification Specialist
Resume:
Ronie Jacobs
Cell: 972-***-****
Email: adwipw@r.postjobfree.com
SUMMARY
To seek a position in a fast paced professional environment. A diverse background Customer Service skills include, medical office procedures and claims, typing, word processing, assisting customers with billing, claims and medications, prior authorizations, order placing, and collections; also administrative medical assistant, helped office receptionist, set appointments claim processor,Insurance Verification,eob and denial reviewer E M P LO Y M E N T
Zotec Partners
Oct 2021-July 2022
Collections,physician billing,insurance update,medical claims processor,eob and denial reviewer
Teladoc Health
Sept 2018-Oct 2021
Insurance Verification, Medical Visit scheduling,Prescription review,claim processing Davita Rx
Insurance Verification Specialist-Sept 2017 to Sept 2018
● Contact insurance companies as required to obtain and enter accurate benefit information to positively impact insurance processing and minimize rejections.
● Effectively research and resolve prescription processing rejections to ensure patients receive medications within established patient standards.
● Prioritize orders that have been rejected for insurance reasons, working each order timely and accurately to ensure patient service standards are met.
● Contact patients as necessary to obtain information required for accurate claim adjudication.
● Clearly and concisely document all actions taken on each order to ensure all other pharmacy teammates know the current status of each order.
● Answer and respond to calls regarding insurance related issues in courteous, professional manner. Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position.
● Other duties as assigned including but not limited to: o Able to work overtime with little or no notice as needed o Attend staff meetings, teleconferences and patient care conferences as needed.
Prime Therapeutics
Customer Service Representative Sept 2014 to April 2015
● Placing Medication orders
● Collecting Payments for Patients
● Processing and checking delivery on Medication Orders
● Data entry and Web assistance.
Forest Park Medical Center
Office Administrator
● Front desk administration assistance
● Pre-Registration for new and existing patients.
● Insurance Verification
Aegis Communication
Customer Service
● Confer with customers by telephone to provide information about products and service, to take or enter orders, cancel accounts or to obtain details of complaints.
● Assist customers with medical claims and prescription; also assisting with billing and insurance policies with lost coverage. Check to ensure that appropriate changes were made to resolve customer's problems.
● Contact customer's to respond to inquiries or to notify them of claim investigation results and any planned adjustments. Determine charges for services requested, collect premiums and arrange for billing.
EDUCATION
GED FEB 2017
NorthLake COLLEGE ATI-Career Training Center/Medical Assistant - August 2007 to July 2008 VOLUNTEER EXPERIENCE AND LEADERSHIP
Continually seeks to understand the needs of those who depend on me (our patients, doctors, and our fellow team members) and then to exceed their expectations. On my work day I Continually remind myself of the importance of my job. I feel it’s important to remember that these are people that need our help to get through the day. I take pride and making sure the information I gather is correct and valid for our patients to get the medications they need to carry on.
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