Customer Service Data Entry

Candice L Patterson 704-***-****

Charlotte, NC **216 *************@*****.***

Objective: To obtain a position utilizing my professional medical office, customer service skills and strong work ethic to obtain a position where my skills can be valued and can benefit the organization. QUALIFICATION SKILLS

● EHR (6 years)

● Salesforce (8 years)

● Application Installations (6 years)

● Medical Insurance (3 years)

● Insurance Verification (4 years)

● Attention to detail

● Data Entry

● EMR Systems

● Customer Service (20 years)

● Good Communication

● Detail Oriented

● Computer Literacy

WORK EXPERIENCE

Operations Supervisor, Caremetx (Remote)

07/08/2024-Present

● Program management: Assisting with development of program training documents, project task plans, and standard operating procedures.

● Contract obligations: Understanding contract obligations, and helping the manager meet them

● Program issues: Proactively identifying program issues, and proposing ways to address them

● Customer service: Maintaining a positive rapport with customers, and providing exceptional customer service

● Communication: Communicating with provider office staff, and collaborating with cross functional partners and vendors

Reimbursement Specialist, Caremetx (Remote)

05/15/2023-Present

● Collects and reviews all patient insurance benefit information, to the degree authorized by the supervisor of the program.

● Maintains frequent phone contact with provider representatives, third party customer service representatives, and medical staff.

● Coordinates with inter-departmental associates as necessary.

● Reports any reimbursement trends/delays to the supervisor.

● Performs support/supervisor duties for the team, per management requests. Candice L Patterson 704-***-****

Charlotte, NC 28216 *************@*****.***

Program Support Specialist, All Care Plus Pharmacy, Charlotte, NC 08/2022-05/2023

● Contacted insurance companies to perform appropriate benefit investigation(s) and coverage eligibility for client product.

● Assisted patients with the enrollment process for manufacturer and non-profit organization copay assistance programs.

● Provided courteous, friendly, professional, and efficient service to internal and external customers including physicians and patients.

● Performed eligibility authorization and enrollment into Patient Assistance Program(s)

● Verified insurance requirements to support current billing processes.

● Demonstrated a firm grasp of medical billing processes communicating knowledge to internal and external customers.

● Accountable for single point of contact communication with providers and patients in a designated geographical area

Benefit Investigator, Bristol Myers Squibb at Amerisource Bergen, Charlotte, NC 11/2021 – 05/2022

● Collected and reviewed all patient insurance information necessary to complete claim(s) to be processed.

● Verified patient benefits for specific diagnostic lab and COVID testing; documented specific benefits for various payer plans and patient coverage types.

● Updated patients’ accounts as necessary, with correct demographic info such as correct name spelling, date of birth, guarantor info and addresses.

● Utilize approved resources and maintain compliance with program standards.

● Provide Program information for prescribed product.

● Take Inbound calls and make outbound calls to assigned patients and answer inquiries. Clinical/IT Application Specialist, Eye Care Leaders, Charlotte, NC 01/2016– 06/2021

● Implemented and developed training programs and provided services to Office Administrators and Health Care Providers

● Provided support with CMS Meaningful Use guidelines to increase providers success.

● Provided support for Software Application Programs

● Resolved customer issues within designated SLA’s.

● Responding to client requests submitted via email (automatic ticketing) or phone.

● Installed and uninstalled Ophthalmology software on multiple workstations via Secure Link

● Resolved system errors within application and SQL database.

● Utilized Secure link software program for linking to external applications, desktops, and databases.

● Kept track of weekly schedules for appointments and meetings with clients.

● Provided basic interface and troubleshooting.

● Trained/analyzed software application workflows to the program effectively. Candice L Patterson 704-***-****

Charlotte, NC 28216 *************@*****.***

● Created workflow and training documents with step-by-step instructions for application usage.

Dietary Aide, Genesis Healthcare, Mooresville, NC 07/2013 – 12/2015

● Performed and defined work routines using various dietary utensils, supplies, and equipment assigned by Dietary Manager.

● Knowledge of Federal, State, and Facility rules and regulations, policies, and procedures.

● Assisted the cook in the preparation and service of meals.

● Responsible for scheduling and execution of resident's meals and snacks. Deli Clerk, Lowes Foods, Charlotte, NC 07/2002 – 07/2013

● Resolved customer complaints face to face and via phone.

● Greeted customers warmly and ascertained problems and assisted with requests.

● Assisted with placement of orders, refunds, or exchanges.

● Worked with deli manager to ensure proper customer service is being delivered. EDUCATION

Administrative Assistance, Kings College- Charlotte, NC GPA 3.75

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