Sonya Robinson

484-***-****.

adyk5i@r.postjobfree.com

Philadelphia, PA

PROFESSIONAL SUMMARY:

Sonya is a highly trained professional with over 10 year’s customer service experience, excellent oral and written communication skills. High volume call center qualified, team player, highly organized, able to accept and give constructive feedback. She is customer focused, technology savvy, positive work ethic and able to deal effectively with difficult people.

EDUCATION & TRAININGS:

Drexel University - Philadelphia, PA 2012

Bachelors in Behavioral Health Counseling

Associate's degree

TECHNICAL SKILLS:

●Ability to multi-task, proven aptitude to handle extensive office clerical tasks. Proven ability to consistently meet deadlines.

●Master skill in Microsoft Word. Proficient in Microsoft Office Suite, Type 75WPM, proficient in Epic and Navinet programs, CRM databases and 8500KPH

●Individual / Group Counseling

●Behavioral Health

●Case Management

●Medical Billing, ICD-10, EMR Systems

●Insurance Verification

●Workers' Compensation

●Crisis Intervention, Crisis Management

●Hospital Experience

●CPT Coding, ICD-9

●Medical Records

●Medical terminology

●Documentation review

●HIPAA

●VMWare

●Medicare

●Customer service

●Microsoft Excel

●Healthcare management

PROFESSIONAL EXPERIENCE:

Optum UHG - Philadelphia, PA Dec 2022 to Mar 2023

Customer Care Professional

●Work in a high volume call center. Quoting mental health benefits to members and providers.

●Perform in and out of network providers for members.

●View claims for providers as well as members.

Kensington Management Services - Upper Darby, PA Jul 2018 – Present

BHW

●Work with children in a school setting as a PCA, BHW, and TSS.

●Work with adults in a residential setting as a BH, personal counselor, and housing coordinator.

●Completed client treatment plans as required.

Kemberton Healthcare Services Inc. - Philadelphia, PA Sep 2021 – Nov 2022

Patient Account Representative

●Work in Jefferson Torresdale Hospital Emergency Department as a Patient Account Services Representative.

●Actively interview ED patients involved in motor vehicle and worker’s compensation accidents.

●Call insurance companies to verify claim status.

●Input insurance information into hospital’s EPIC database.

Aspire/Health Partners Plans - Philadelphia, PA Aug 2019 to Sep 2019

Claims Examiner

●Process claims for Medicaid and Medicare clients.

●Utilize MACESS and MHS programs.

●Process 180 claims daily.

Ranstad - King of Prussia, PA Feb 2017 to Nov 2017

Financial Processor

●Worked in a high volume call center receiving over 130 calls let day.

●Processed monetary transactions for clients to include 401K, stocks, bonds, and college funds.

●Deposited funds into private bank accounts or via check upon request from clients.

●Updated demographics for client profiles.

Aerotek - Philadelphia, PA Jan 2016 to Feb 2017

Senior Care Associate

●Approved outpatient and inpatient requests regarding DME, inpatient and outpatient procedures and ambulance transport for Medicare clients;

●Completed bio-psych socials and individual therapy.

ALLMED - Philadelphia, PA Oct 2014 to May 2015

Customer Care Professional

●Quoted mental health benefits for clients and providers within a high volume inbound call center, provided searches for in network treatment centers for clients

Amerihealth Caritas - Philadelphia, PA May 2013 to Aug 2014

Behavioral Health Coordinator

●Authorized mental health therapy sessions for providers, processed claims for mental health providers, authorized youth psychiatric evaluations,

●Approved IOP therapy sessions for select providers and maintained active account of all therapies and modalities

Keystone Mercy Health Plan - Philadelphia, PA Aug 2009 to May 2013

Care Management Technician

●Implemented and coordinated the HealthChoices and HealthConnection pilot program as a liaison between behavioral health providers

●Conducted screenings, assessments and surveys for case management services, interacted with members, providers and facilities and implemented program interventions

Keystone Mercy Health Plan - Philadelphia, PA Jan 2008 to Aug 2009

Claims Examiner

●Received and processed claims, maintained a quota of 130 claims daily and responded to providers regarding status of claims.

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