Physical Therapy Customer Care
Resume:
KATRICE CALLOWAY
***************@*****.***
(H)502-***-**** (C)502-***-****
PROFESSIONAL EXPERIENCE
Authorizations Specialist
Advantum Health
July 2023-Current
Obtain verifications for surgeries, physical therapy and DME
Reviewing/Submitting surgical orders and clinicals
Contacting Insurance companies to verify eligibility
Initiating, processing and completing authorizations Patient Support Department Lead
Advantum Health
500 West Jefferson Street
July 2021-July 2023
Monitor Inbound & Outbound calls
Resolve Escalations
Review Eligibility
Update/Bill Insurance
Process Improvements
Direct Client Payments
Customer Care Representative
Advantum Health
500 West Jefferson Street
August 2019-July 2021
Receive Inbound Calls
Processing payments
Billing insurance
Itemized statements/medical records
Enrollment Specialist
Humana Inc.
101 East Main Street
November 2016-January 2018
Processing Late Enrollment Penalties
Resolving Member issues
Outbound calls to members
Reviews and process member applications, respond to inquiries, and resolve enrollment discrepancies
Resolve issues, inquiries, and concerns from members
Make outbound calls to members to complete the application process
Use attention to detail to ensure accuracy
Uses Macess, PBS, CI, Citrix, CCP systems to complete job EDUCATION & TRAINING
May 2008
High School Diploma
General Courses
Jefferson County High School
TOOLS & TECHNOLOGY
Distinguished in Microsoft Word, Excel, and Power point (48 wpm)
Expert in Athena,I-Pass, NexGen, POS, Kareo, RDP, E-Clinicals, ECW
Experience with Macess,PBS,CI,CCP,CAS,Marx systems
Contact this candidate