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Customer Service Patient Services

Location:
Gaithersburg, MD, 20877
Salary:
0
Posted:
January 29, 2025

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Resume:

JENNY WILTSHIRE

Gaithersburg, MD

240-***-****

********@*****.***

Professional Summary

Results-oriented Patient Advocate with 13 years of comprehensive experience in healthcare administration, patient services, and team leadership. Proven track record in managing complex cases, facilitating patient enrollment in financial assistance programs, and ensuring seamless communication between patients, hospital facilities, and government agencies. Fluent in Spanish with a dedication to providing exceptional customer service. Seeking a challenging role to leverage expertise in patient advocacy and mentorship within a dynamic healthcare environment.

Skills

• Patient Advocacy

• Case Management

• Bilingual Proficiency (English/Spanish)

• Team Leadership

• Customer Service

• Medicaid Enrollment

• Disability Claims

• Insurance Verification

• Clerical Skills

• Attention to Detail

Work Experience

Patient Rep II: 10/2011 - Present

Deco Recovery Management Washington, DC

Facilitated and completed applications for Medicaid, disability, workers' compensation, and insurance verification, ensuring accurate and timely submissions.

Scheduled benefit claimants for adjudication interviews and conducted periodic interviews to certify eligibility for continued benefits.

Monitored the payment of benefits throughout the duration of claims, maintaining meticulous documentation.

Collaborated with social workers, providing pertinent information gathered during applicant interviews to support holistic patient care.

Proficient in utilizing EPIC data software for comprehensive patient documentation and program management.

Social Worker: 10/2005 - 10/2011

Medhelp Inc. Baltimore, MD

Screened self-pay patients at the hospital for Medicaid, disability, and workers' compensation eligibility, guiding them through the enrollment process.

Utilized computer applications for database management and word processing to streamline administrative tasks.

Demonstrated strong communication skills by answering phones, providing information to callers, and transferring calls to appropriate individuals.

Ensured compliance by completing forms in accordance with company procedures, maintaining accuracy and efficiency in documentation. Education

Colonel Zadok Magruder High School – Rockville, MD High School Diploma



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