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Customer Service Patient Care

Location:
Cleveland, OH
Salary:
20
Posted:
August 31, 2023

Contact this candidate

Resume:

J'Teia James

Euclid, OH *****

adzdta@r.postjobfree.com

+1-216-***-****

A pleasant and approachable individual looking to jump start a career in an organization that will provide opportunities to showcase my skills and attributes in an addition to grow within the organization through continuous learning and a commitment to excellence. I am also a very friendly, outgoing and hardworking individual that is great at multitasking and working in a fast paced environment. I finished high school with a 3.9 GPA and always put my all into everything i do. While being able to type 60wpm I can get a lot of work done. Always makes sure customers/ clients/patients are left satisfied and happy.

Authorized to work in the US for any employer

Work Experience

Document Specialist

Ricoh USA, - Garfield Heights, OH

May 2023 to Present

Processing center. Confirmed, Scanned, sorted, located and shredded confidential documents and returned mail such as death certificates, life insurance policies, birth certificates, wills and medical bills. Customer Care Representative

CVS CAREMAK - Solon, OH

November 2022 to April 2023

Completed prior authorizations

Completed prescription mail orders

Handled customers and patients confidential information Resolved customer issues with obtaining prescriptions, making a payment or accessing their account. Worked remotely from home.

Handled inbound/outbound calls.

Took payments for future and prior prescriptions

Reported any issues or updates back to my supervisor Reached out to doctors nurses and insurance companies regaining patients prescriptions, medical equipment and prior authorizations

Senior Executive Representative

Cognizant - Warrensville Heights, OH

January 2022 to November 2022

Trained on-site then worked remotely from home after 5 weeks. Worked through metrohealth handling patient insurance using RCCS and Epic. Handle inbound/outbound calls daily

Handle multiple accounts containing patients confidential information Process payments, send accounts back for coding reviews, help patients find resolutions to their problems they’re having with their medical bill.

Report any issues or updates to Supervisor

Educate the patient on the services, procedures, payments, or doctors notes within their account. PCNA/ Health Unit Coordinator/ Patient Service Specialist Cleveland Clinic - Cleveland, OH

February 2021 to November 2021

Within the time I worked at Cleveland Clinic, i fortunately had the privilege of working in three different positions.

• I started out as a personal patient care nursing assistant. My duties were: to Reports abnormal findings or changes in physical, mental and emotional conditions to RN. These may include but are not limited to vital signs, weights, assisting patients with personal care and activities of daily living, patient transfers/ transport, pulse oximetry, point of care testing, dressing changes, application of external monitoring devices, and removal of urinary Foley Catheter. Assists with keeping patient rooms clean & orderly. Demonstrate a positive, concerned and sensitive response in the workplace. Strong interpersonal skills to interact with patients and staff. Ability to read, write and speak English and to follow oral and written instructions.. Ability to perform basic clinical mathematics.Other duties as assigned. Competencies in both the professional, technical and clinical knowledge domains must be demonstrated in a safe, effective and efficient manner. Maintains personal growth and development through the ongoing process of formal and informal education.

• As a Health Unit Coordinator, my duties were: Conduct an in-person greeting, welcome and orientation to the unit for newly admitted and transferred patients.Responds to patient call lights in a manner that expedites appropriate follow through.Makes rounds on patients throughout their hospital stay.Communicates and facilitates communication with patients, families, other departments and health care team members regarding patient care.Assists with processing patient admissions, transfers and discharges.Provides concierge service to assist patients and families with way finding and directs them to available resources.Assembles and maintains patient medical records and other documents related to patient care.Assists with unit clerical functions.Assists in trouble-shooting equipment failures such as call system, portable phones, Wows and other unit devices.

• As a Patient Service Specialist, my duties were: Professionally investigates, triages, and resolves patient issues using the established HEART Model, ensuring patient’s visit is an outstanding experience. Proactively assists patients to minimize patient issues.Creates a welcoming and professional environment for our patients and visitors by demonstrating exceptional customer service based upon the expected service behaviors included in Cleveland Clinic’s START with Heart model.Proactively manages needs of patients and visitors in our waiting areas, seeking opportunities to interact with patients by actively greeting patients when appropriate, resolving patient issues and providing service recovery.Performs patient registration, pre-visit, insurance verification, scheduling, arrival desk and/or departure desk activities according to standards and guidelines ensuring accuracy and an outstanding patient experience.Performs point of service activities: visit preparation, co-pay collection, patient tracking and record tracking ensuring accuracy and an outstanding patient experience.Facilitates billing functions, accurately meeting compliance and organizational quality and productivity standards. Enters and maintains confidential and accurate patient information including patient insurance, billing, and payment information.Encourages patient utilization of front-end technology, provides guidance, encouragement, education and hands-on training.

Claims Representative

American Auto Shield - Lakewood, CO

September 2020 to November 2020

Remote position from home.

Filed vehicle warranty claims.

Handled inbound/outbound calls.

Resolved contract holder’s and repair facilities issues. Reported back to supervisor any customers escalations. Worked with two monitors while switching back and forth between systems and working with multiple softwares to accomplish my day to day work.

Collections Representative

National Enterprise Systems - Solon, OH

April 2018 to July 2019

Dialed and answered 100-150 calls per day in a fast paced environment, handling confidential information and providing high quality service while building brand value. Communicate confidently with consumers and their personal financial issues; assist consumers in securing payments.

Perform account maintenance, adjustments and enter appropriate comments and notations within customer database.

Escalate calls to supervisor as warranted.

Assistant Manager/Sales Clerk

Sunoco Gas Station - Euclid, OH

June 2014 to April 2016

Use courteous and friendly customer service skills to serve customers. Maintain the cleanliness of the store.

Checked and ensured gas dispensers operated well and in good condition. Hire, supervise, evaluate,and develop and effective workplace and delegate and and monitor work activities.

Handled payroll.

Receptionist

Focused Tattoos - Cleveland, OH

January 2013 to May 2014

Answered clients phone calls.

Scheduled and confirmed appointments.

Kept up with the store inventory.

Kept up with the cleanliness of the establishment. Sent out/responded to emails.

Made sure any and all paperwork remained organized and properly place at all times. Education

Graduated in Cosmetology

Inner State Beauty School - Mayfield Heights, OH

March 2023 to April 2023

Euclid High School - Euclid, OH, US

May 2016

Skills

• Front desk (2 years)

• Managerial (2 years)

• Scheduling (3 years)

• Customer service (10+ years)

• Medical Billing

• Data Entry (4 years)

• Insurance Verification (1 year)

• Call Center (2 years)

• Medical Records

• Microsoft (10+ years)

• Epic (3 years)

• Hospice Care (2 years)

• Document Management

Certifications and Licenses

Driver's License



Contact this candidate