CSR, Healthcare, Insurance, Scheduler, Pharmacy Technician, Merchandis
Resume:
MARCY KAUFMAN
*****.*******@*****.***
Employment
Senior Scheduler June 2010 – June 2011
Scottsdale Health Care – Scottsdale, AZ
Duties included utilizing scheduling software programs to schedule ancillary outpatient procedures for all Scottsdale Healthcare facilities per department scheduling protocols and policies. Initiates the pre-registration process of patients in the hospital ADT system by attempting to verify authorizations, referrals, script completeness, compliance, assignment of ICD-9 codes for office provided diagnoses, obtains insurance information and collects patient data that is communicated to the departments for procedure workup. Initiates exam preparation and confirmation calls to patients. Maintains working knowledge of all departmental exam preparation requirements, supplies and needed resources. Obtains, organizes, and disseminates scheduling, registration data and pre-exam documents. Utilizes proper medical terminology. Transcribes patient information provided by physician's offices.
Lead Case Specialist July 2005 – April 2009
Coventry Workers’ Comp Services - Scottsdale, AZ
Duties included working with Workers Compensation Adjusters to monitor the daily progress and delivery of Medicare Set- Aside (MSA) products, as well as other related products that may help clients settle workers’ comp claims. Working with claims adjusters, attorneys, government agencies, claimants and marketing. Meet production requirements, created CMS packets and burned CDs. Worked with CMS, COB, SSB, billing, coding and medical records.
Intake Coordinator March 2004 – June 2005
United Health Care - Phoenix, AZ
Duties included working with medical professionals, benefit coordinators and members. Coordinated referrals, notifications, prior authorizations, verified insurance coverage; registration updated member information and helped with problem solving, assessing caller situations, identified urgent calls and forwarded to the triage team.
Pharmacy Technician/Customer Service April 1998 – February 2003
First Health - Scottsdale, AZ February 2003 (1 month contract)
Worked as a pharmacy technician/customer service representative on the member services team. Worked with pharmacies and members with benefits, claims, accumulations and prior authorizations.
PCS - Scottsdale, AZ October 1998 – July 2002
Pharmacy Technician for a pharmacy benefit management company. Read and processed prescriptions. Responsible for verifying information on prescriptions. Worked with benefits, claims, accumulations, and prior authorizations and prescription information.
Osco Pharmacy – Scottsdale, AZ April 1998 – October 1998
Worked as a pharmacy technician in a retail pharmacy. Data entered prescriptions, worked with insurance companies, patients and doctor’s offices
Skills: Computer skills include: Excel, Word, Power Point, Allegro, SQL systems, hospital ADT, At Task, MS office, ACESS and 10 key. Several years of experience with customer service trained and supervised other employees, experience working with people from all walks of life. Aptitude for problem solving and the ability to work with irate members and physicians, while remaining calm and professional.
Education: University Of Minnesota
Associate of Arts Degree, Certificate in Recreation for Special Groups with emphasis in helping services for developmental disabilities. My college credits exceed the amount needed to earn a Bachelor of Arts Degree.
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