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Ohio, United States
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- VAdvanced Medical Support AssistantVA Northeast Ohio Healthcare SystemMar 2023 - Current (3 years 4 months)• Schedule patient's appointments. • Assist provider with schedule scrubbing and make changes to patient appointment. Cancel and rescheduled them based on providers/patient preference. • Manage provider's panel. • Sets priorities and deadlines, adjusting the flow and sequencing of the work to meet team and patient needs. • Plans and organizes work with general assistance from Lead & Supervising staff. • Participates in and independently follows up on team huddle by sharing information and collaborating with the medical team to assure continuity of care. • Maintains the confidentiality of information obtained to carry out required duties. • Communicates with physicians, case management, social workers, & other allied professional sta
- MSenior Claims RepresentativeMedical Mutual of OhioMay 2018 - Jan 2019 (9 months)• Process routine to moderately complex healthcare claims and/or adjustments while providing customer service via inbound/outbound phone calls & written communications. • Conduct and respond to complex claims research projects in response to inter/intra departmental inquires and escalations. • Process higher paying claims to ensure payments are paid properly. • Approach situations pertaining to member satisfaction or concerns and solve the according to policies implemented by the company. • Educate members of benefits.
Customer Service RepresentativeCleveland Clinic• Handle a high volume of complex inbound calls from plan members. • Effectively diffuse upset members and resolve issues regarding their prescription benefits. • Handle member complaints while consistently demonstrating behaviors that contribute to the organization's achievement of service goals. • Identify the needs of members while educating them on benefits available to them. • Identify patient eligibility, file appeals on patient's behalf, provide clarification on billing Statements. • Identify payment errors in the system and on statements and revise based on the need. • Deescalate calls and communicate proper solution. • Perform duties & execute them in a timely manner.- HFront Desk CoordinatorHilton Hotels & Resort• Assist Guest Service Agents and Front Office leadership with checking in and checking out guests. • Respond to guest inquiries and in a timely, friendly and efficient manner. • Provide driving and/or walking directions to quest to local destinations. • Ensure a high level of product knowledge of the hotel, including but not limited to, directions, hours of operation, hotel services, hotel events and local and community events and attractions. • Assist fellow team members and other departments wherever necessary to maintain positive working relationships. • Provide or obtain accurate information furnished upon request.