Customer advocate/Provider Specialist

JESSICA BROOKS

*** ****** *** **** ****** Garden, FL 34787 · 407-***-****

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

Detail oriented Provider Specialist with 15 + years of medical experience. Highly organized, self-motivated, dependable, honest, and trustworthy. Looking to make sure that Medrisk is proficient with procedures and protocols.

EXPERIENCE

JUNE 2024 – PRESENT

PROVIDER SPECIALIST LEVEL III, Medrisk 2020 (acquired spnet in 2020)

Manage relationships with existing Providers by providing education on all aspects of MedRisk, facilitating and resolving issues, and maintaining the integrity of the Provider Account demographics. Point of contact for Provider inquiries and offer education on various operational processes.

CUSTOMER ADVOCATE LEVEL III, Medrisk 2020 (acquired spnet in 2020)

Tracks patient progress from the initial treatment to closure by obtaining updates from providers and relaying the information to the referring adjusters and nurse case managers. Handles initial and continued authorization requests acting as a liaison between the network providers and the carriers. Assists with Outbound escalation emails from the adjusters and nurse case managers.

COMPLIANCE TEAM LEAD, spnet 2018-2020

Provided visit management and compliance updates to the referring adjusters and nurse case managers for the Traditional Compliance department. Trained new hires on job duties and procedures. Assisted with shadowing for new hires and current employees, while providing feedback on their progress to upper management. Pulled weekly and monthly productivity reports for staff, also provided weekly lists of patients/accounts for each individual employee to work on.

REFERRAL COORDINATOR, spnet 2017-2018

Provided visit management and compliance updates to the referring adjusters and nurse case managers for the HES Compliance department. Tracked patient progress from initial treatment to closure.

DECEMBER 2016 – JUNE 2017

PROJECT COORDINATOR, filmscape productions

Prepared and analyzed invoices and service agreements for clients to ensure accuracy and efficiency. Coordinated filming schedules and assisted with the planning of filming details.

APRIL 2005 – DECEMBER 2016

LEAD X-RAY TECHNICIAN/MEDICAL ASSISTANT, carespot (acquired Solantic in 2011)

Performed X-rays and developed x-ray film. Assisted in diagnostic appointments, minor surgeries, and medical consultations. Trained staff on front and back office responsibilities. Created staff schedule and sat in during interviews.

EDUCATION

AUGUST 2009

A.A. GENERAL STUDIES, Valencia Community college

AUGUST 2004

A.S. RADIOLOGIC TECHNICIAN, High Tech Institue

SKILLS

Time management

Word, Excel, In design, and Google Sheets proficient

Active listening

Attention to detail

Professionalism

Critical thinking and problem solving

ACTIVITIES

I was the treasurer for SPNet’s Employee Engagement Committee. Volunteered for the American Cancer Society and Make a Wish foundation.

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