Annette Faulk
North Miami Beach, Fl.
**********@*****.***
Work Experience
Medical Records
Advent Health FL/NY (Remote/Temp)
Data entry
Input incoming faxes to patients medical records
Effectively and exceeding meeting the daily quota of 150 faxes indexed
Customer Service Representative
Anthem, Inc. Florida (Remote)
09/2021-01/2023
Assisted Anthem's Medicaid customers with questions, or concerns
Followed HIPAA guidelines and regulations Authenticated calls
Assisted with PCP changes, ordering ID cards, explained benefits
Set up transportation appointments, set doctors appointments when necessary
Promoted the company website
Navigated the numerous systems to find information to assist members
Transferred calls to appropriate departments when necessary
Maintained 100% Quality Score
Pediatric Receptionist
Be Well Primary Healthcare Brooklyn, NY
08/2019-11/2021
Handled inbound/outbound calls for the pediatric department
Scheduled appointments, confirmed appointments, rescheduled appointments, and recall appointments
Data entry: enter new patient information, and demographic updates
Preform retention calls via list
Cleaned and organizationed waiting area, bathroom when necessary
Directed patients to appropriate departments
Insurance verification, authorizations, referrals Collected and processed copays
Complete school forms, WIC forms, requested certified medical records for patients in a timely manner (tax purposes, IRS, Social Security benefits)
Fax, copy, scanned important documents
Order free samples to give to parents/patients monthly
Follow HIPPA guidelines Cover front desk for various departments when needed
Front Desk Manager/Receptionist
Premier Pediatrics
New York, NY
12/2018-08/2019
Provide a great customer experience for parents and their children from the point of entry to their exit
Controlled the flow of business by controlling the scheduled
Check the system for cancellations, rescheduled appointments prior to starting the business day.
Scheduling sick and wellness appointments
Check in patients upon arrival, verifying insurance, collecting copays, processed payments
Answer phones, faxing, printing, scan documents
Completed school forms, Provided back to school and work letters
Order and stock office supplies
Order physicians meals
Clean offices twice a day
Work in other locations when needed
Following HIPAA laws and regulations
Nurse Scheduler/Receptionist/File Clerk
Americare Home Health Brooklyn, NY
2/2018-12/2018
Set up monthly schedules for 10 visiting RNs to make routine home visits, post hospital visits, and urgent care visits to patients home
Print out all applications, documents, fulfillment need for home visits, knowledgeable of medical terminology
Collect and create files for every new patient
Files all patients documents in an organized manner
Set orientation/training classes for home health aides
Recruiting to fill training sessions in a timely manner
Print fulfillment for training and certifications of completion
Run monthly reports to calculate new enrollment, amount of monthly visits, dis enrollees
Process payroll
Clerk/Customer Service
Jennifer Temps Agency
New York, NY
08/2017-05/2018
Assisting various Dept. of Education offices and schools on short assignments
Data Entry
Handling inbound and outbound calls
Handled Fulfillments, Packaging, Sorting, Mailing
Organizing office and Supply rooms
Scanning documents, faxing, copying
Record keeping
Customer Service Representative
MTM Transportation Brooklyn, NY
12/2016-08/2017
Answer inbound calls from members of various health insurance plans schedule transportation appointments
Verified personal information following HIPAA guidelines
Follow individual health plans call flow, policies and procedures and protocols
Entered and updated information in AS400 to set up trips, and addresses
Escalated transportation requests for authorization from the health plans forn medically necessary (ambulance, stretchers, trip extensions, out of area trip)
Choosing the proper form of transportation to suit the members needs. (Paralift, cab, Mass Transportation/Bus, ambulance, etc.)
Efax (LON) level of need forms to physicians, calling medical facilities to verify urgency of appointments on short notice trips
• Call transportation providers to get ETA's for pickups and drop offs, negotiating short notice pickups and drop offs and the pricing on such trips
Unemployment Insurance Consultant
Equifax Brooklyn, NY
12/2013- 12/2016
Respond to inquiry/calls/faxes/emails from the NYS Dept. of Labor regarding claims filed by former employees or current employees entitled to file for unemployment
Contact schools, human resource personnel and other units for supporting documentation regarding the claimants’ separation from employment
Process unemployment claims and appeals filed by employees/former employees of the DOE
Gathered documents from employer to send to the Department of Labor (income information, investigation reports, termination letters, resignation letters, signed acknowledgement of rules policies and procedures, warning letters
Complete questionnaires/claims forms, documenting and processing state calls
Meet state deadlines
Education
Some college 50+credits in Early Childhood Education And Development
Miami-Dade Community College - Miami, FL
01/1997-04/1999
High school diploma 1992
Brooklyn, NY