Customer Service Medical Center
Resume:
Laura
Frank
*** *. *** **. *********, PA *****
*********@*****.***
To obtain employment within a company where I can utilize my background knowledge and skills to assist customers/members to improve their health and wellness while enhancing their overall wellbeing.
Skills
●Excellent Customer Service
●Excellent Communication Skills
●Exceptional Time Management
●Highly Adaptive
●Masters concepts quickly and efficiently
Experience
10/21-PRESENT
Medical Documentation Auditor / Performant Corp, Sunrise FL
●Auditing medical claims for CMS to ensure providers documented all necessary information required pertaining to the injections and/or infusions billed is included in the medical documentation for the claims.
●Approving or denying claims based on the information provided.
●Training new hires.
1/20-10/21
Pharmacy Reimbursement Coordinator / Geisinger Medical Center, Danville PA
●Responsible for assisting/obtaining resources for member’s out of pocket expenses related to medications.
●Coordinating/obtaining medications related to specialty referrals and prior authorizations.
●Coordinating/overseeing shipping and receiving of high dollar specialty medications as well as ensuring member has received medications in a timely fashion.
7/18-1/20
Administrative Secretary / Geisinger Medical Center, Danville PA
-Responsible for receiving/reviewing/distributing incoming paperwork to appropriate recipient.
●Assist with completion of time sensitive paperwork.
●Ability to communicate needs effectively between patients, providers, insurances, vendors etc. to ensure appropriate information
●Utilization of multiple programs to assist in updating the Electronic Medical Record, settling business expense
●Responsible for letter generation
Education
JUNE 2005
Diploma / Shikellamy High School, Sunbury PA
General education
References
References available upon request
Contact this candidate