Hello there! With over 3 years of experience as a customer service advisor, I was required to demonstrate high levels of detail orientation, empathy, and efficiency- qualities that I am eager to bring to your organization.
Proficient in medical and dental insurance verification. I’ve worked with Aetna Medicare Part C for Member Services and Medical Scribe at a private Optometry Clinic. I specialize in handling multiple inquiries such as:
- Insurance verification (benefits, copays, coinsurance, deductible, and MOOP)
- Claims (status, reprocessing, and stop pay reissue)
- Prior Authorization look-up
- Filing for grievances and expedite appeals
- Helping out the members with scheduling appointments for office visits and transportation
- Optional Supplemental Benefit enrollment
- HIPAA compliant
- Sending out forms and documents to the members (EOC, EOB, OTC catalog, disenrollment forms, appeals forms, etc.)
- Modifying and updating Coordination of Benefits
- Scheduling appointments
- Live Medical Scribing
Soft Skills:
- Empathy ability
- Administrative Support
- Organized and Detail-Oriented
- Customer Service
- Data and Research
- Willingness to learn
- Time Management
-Oral and Written Communication
Tools:
- Google Products
- Microsoft Office
- Salesforce
- Market Prominence
- Health Rules Payor (HRP)Rumba
- Transdirect
- Smart-front End
- PNC
- Avaya
- Five9
- Crystal PM
- Weave
- Slack
- Availity
- Envolve (sending claims to Medicaid)
- Eyemed
- Versant
The prospect of contributing to your company excites me, and it will be my pleasure to discuss how I can benefit your organization.
Experience: 2 - 5 years
Experience: Less than 6 months
Experience: Less than 6 months
“I had this VA that I could turn things over to made it a lot easier”
Kyle Mckenna
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