Service Representative Data Entry

Rhonnell A McCullough

Rhonnell A McCullough

**** ****** ********** **, **********, FL 34786 321-***-**** (**************@*****.***) Professional Summary

A dynamic self - motivated, proven, caring medical administrative professional with extensive knowledge and expertise. Experience that encompasses both clinical and technical know-how. Strong organizational skills, with the ability to handle or direct multiple business matters. Superior customer service and unwavering attention to detail. A multitude of acquired skills that culminate well to produce an efficient, effective and satisfactory outcome. Professional Experience

Technical Product Support I (Customer Service Representative, Medical NON-IT) Alere, Abbott Rapid DX c/o Industrial Staffing Services (01/22 – 11/22) – Lake Mary, FL

Completed first level troubleshooting for all complaints or inquiries via phone, email or web-based tools

Use time management skills to drive key performance for team and positive customer experiences

Executed cross training with education for BinaxNow and ID NOW point of care products as well

Formulated good relationships with provider offices, customers, co-workers and administration alike Case Manager, Reimbursement (Specialty Pharmacy)

United BioSource Corporation (10/21 – 01/22) – Lake Mary, FL

Delivered day-to-day oversight and coordination of caseload using time management skills

Single point of contact for patients, healthcare providers, field representatives and external stakeholders

Data entry, inbound/outbound calls, fax, emails and complete welcome calls with patients

Troubleshooted complex cases (multiple disease-states), to ensure optimal start to therapy

Completed acquiring prior authorizations and appeal processing communications as needed Patient Access Coordinator (Benefits Investigation II Representative) Kroger Specialty Pharmacy (12/20 – 10/21) – Lake Mary, FL

Processed claims, amended rejections, obtained prior authorizations, handled appeals, billing and J-Codes

Spoke with patients, providers offices, health plans, to inform as well as collect pertinent data for claim

Ensured patients understood their financial responsibility and obtained financial assistance if necessary

Completed welcome calls. Insurance verification, fax, data entry and other administrative duties as needed Specialty Pharmacy Service Representative

A-Line Staffing Solutions, LLC (07/19 - 12/19) & CVS Specialty Pharmacy (5/20 – 12/20) - Orlando, FL

Efficiently scheduled patient’s medication deliveries, run/process claims, arrange for funding programs

Ensured patient understands their financial responsibility, treat patients with empathy and respect

Data entry, inbound/outbound calls, email, ensuring great care and following policy and procedures Medical Records Retrieval Specialist HEDIS/Traveling Field Technician/Team Lead/Auditor ECS/Ciox, (06/13 – 4/19 & Episource LLC (04/19 - 06/19) - Orlando, FL

Efficiently conducted medical record review services using company equipment by scan or upload

Team Lead, worked with management, and traveled Central FL and throughout the U.S.

Completed audits per healthcare corporation requirements: Hospitals, medical offices, clinics…

Maintained goodwill with hospitals and provider offices through professionalism & time management skills Rhonnell A McCullough

Medical Administrative Coordinator

Creative Technology Orthotic & Prosthetic Solutions C/O Insight Global, LLC (09/2018-01/2019) – Denver, CO

Responsibilities included checking in/out of patients (Orthotics and Prosthetics), appointment scheduling

Answer multi line phones, data entry, patient information intake, proofreading, collect and post payments

Cultivate good relationships with provider offices as well as patients, general office work

Insurance verification, collect copays, initiate and acquire prior authorizations as needed Insurance Verification Specialist/Exceptions Team

Alliance Rx Walgreen’s + Prime c/o Apex Systems (12/2017 – 03/2018) - Orlando, FL

Responsible for running test and live claims, benefit verification (major medical (J Codes), deductibles, OOP…)

Processed claims, handled rejections, obtained prior authorizations, handled appeals, peer to peer

Connected with patients, providers offices, health plans, to inform as well as collect pertinent data for claim

Fulfilled administrative duties utilizing Script Med, Share Point, Outlook, high dollar overrides and more Medical Records Department Manager/Provider Outreach Specialist Lead All Medical Personnel (08/08 - 06/19) - Magellan Complete Care Provider Outreach Specialist - Orlando, FL

Managed Medical Records Department and collaborated in departmental review meetings

Trained new employees and contributed with orientation classes, handled billing, credentialing…

Directed phlebotomy team for Long Term Care facility, blood draws, accessed ports…

Spearheaded HEDIS Team for a Managed Care organization and brought the Orlando region to 100% Education, Certifications, Skills & Accomplishments Keiser University-Bachelor of Arts in Health Services Administration, Completion 12/2023 Keiser University – Nursing – Associate of Science (ASN) Nursing, Completion 12/2024 Associates Credits Attained

Medical Terminology, Phlebotomy, N.A., MA, CPR, Sales, Retail, Team Lead, Management, Marketing, Credentialing, ED Tech, Unit Secretary, Took Customer Service Courses. Billing, FCC 862 Rejections, Prior Authorizations, Appeals, Peer to Peer Spearheaded Magellan’s HEDIS Team, brought region, (Orlando, FL) to 100% complete. Was invited and met with Supervisors, Directors, Managers to inform how and update on success… Experience

Microsoft Suite, EPIC: Resolute, ASAP, Cadence, EpicCare, Prelude, Sales Force (SFDC), Helix, SAP, Share Point, Script Med, Cover My Meds, SPARCS, HBS, SPRx, People Soft, CPR+, RxHome, Med Access, Availity, Misys, Care360, EWS, My Chart, e-MDS, eClinicalWorks, Athena, AllScripts, Practice Management, NextGen, Medisoft Advance, Medical Manager, Navinet, Optum, Intergy, IDX GE Centricity, Sunrise…

References

Personal and professional references available upon request

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