Experience

AmeriHealth Caritas Florida

• Hospitals and Health Care
• 1 - 100 Employee

• Member-Provider services

  • Nov 2015 - Present



Ronald McDonald House Charities

• United States
• Non-profit Organizations
• 700 & Above Employee

• Housewarming/Front Desk

  • Jan 2011 - Present

  The Housewarming/Front Desk is responsible to provide excellent customer service and assist manager in duty. • Responsible for the Kitchen area. • Responsible for the front desk. • Keeping everything organize, clean and presentable. • Responsible for check in and check out and signing sheet. • Answering the phones. The Housewarming/Front Desk is responsible to provide excellent customer service and assist manager in duty. • Responsible for the Kitchen area. • Responsible for the front desk. • Keeping everything organize, clean and presentable. • Responsible for check in and check out and signing sheet. • Answering the phones.



Citra Health Solutions

• 12276 San Jose Blvd, Suite 420 Jacksonville, FL 32223

• Patient Care Coordinator

  • Jul 2013 - Nov 2015

  The Patient Advocate maintains patient rights by educating patients; resolving patient issues; reporting unresolved issues. Duties and Responsibilities • Compassion: Patient advocates work with people in pain or trauma who are scared and may have a lot of questions. Being understanding of their needs is useful. • Patience: Patient advocates will work with people who want answers immediately, or have to deal with slow-moving and confusing health care procedures. Staying cool in stressful situations is important. • Communication Skills: Patient advocates need to be able to listen to patients and understand what they need, listen and communicate with insurance providers, doctors, nurses and specialists, and relay this information back to their clients. • Attention to Detail: Understanding the complex nature of healthcare will require attention to detail to ensure that patients get the proper care • Technical Support Representative: Interact with customers to provide and process information in response to inquiries, concerns, and requests about products and services; Gather customer’s information and determine the issue by evaluating and analyzing the symptoms; Research required information using available resources; Follow standard processes and procedures; Identify and escalate priority issues per Client specifications; Redirect problems to appropriate resource; Accurately process and record call transactions using a computer and designated tracking software; Offer alternative solutions where appropriate with the objective of retaining customers’ and clients’ business; Organize ideas and communicate oral messages appropriate to listeners and situations; Follow up and make scheduled call backs to customers where necessary. Show less



Novitas Solutions, Inc.

• United States
• Hospitals and Health Care
• 500 - 600 Employee

• Credentials Specialist

  • Aug 2012 - Jul 2013

  The Specialist will be responsible for Processing Medicare applications from Providers. Duties and Responsibilities • Responsible for Reviewing the application received and making sure all the information is fill out completely and accurate. • Process multiple screens to approve, develop or deny application. • Contact providers for any missing information or develop documentation. • Responsible for accuracy. • Follow up with updating documentation and process timeline. • Approve any completed and updated application. •.Track daily work load • Adhere to all Medicare Procedures and Work Instructions • Keep work area clean and organized. Show less



NGA Human Resources, an Alight company

• United Kingdom
• Human Resources Services
• 700 & Above Employee

• Analyst, Client Support

  • Jun 2010 - Jul 2011

  To provide first line SAP helpdesk support to external customers by assisting them with Payroll and Time and Attendance problems through e-mail, phone and ticketing support system. Duties and Responsibilities • Provided first line technical support; answering support queries via phone and email. • To maintain a high degree of customer service for all support queries and adhere to all service management principles. • To take ownership of user problems and be proactive when dealing with user issues. • To log all calls on the call logging system. • Respond to enquiries from clients and help those resolve and hardware or software problems. • Maintain a log of any software or hardware problems detected. • Support users in the use of Computer equipment by providing necessary training and advice through SAP and Portal. • To allocate more complex calls to the relevant IT Support member. • To arrange for external technical support where problems cannot be resolved in house. • Process internal UAT testing to verify updated changes to the system and process with the client to make sure everything is accurate and ready for release date. • Participate in weekly conference calls to discuss daily system issues. Show less



Convergys

• United States
• Outsourcing and Offshoring Consulting
• 700 & Above Employee

• HR Administrator Associate Recruiter/ LOA Specialist/ Benefits Specialist

  • Apr 1999 - Jun 2010

  Assist with the administration of the day-to-day operations of Human Resource functions and duties. • Gate Keeper for E-case, responsible to assign cases to the team and the correct towers. • Separation Reversal through SAP per request and updating record and closing cases. • Portal Issues. Investigating and contacting employee to resolve the issue and or forward to IT for further investigation. • Subpoena Request per case. Searching for any employee document record and submitting to DuPont Legal. • Separation reversal Process through Sap a separation that needs to be reverse from employee record. As a LOA Specialist administer all leaves of absence. These include: medical, FMLA, STD, LTD, military, unpaid personal leaves, jury duty, and bereavement and workers compensation. The incumbent will ensure compliance with federal, state and local laws and regulations and will understand and support the policies and programs. • Handle initial intake of first report of disability claim by conducting phones interviews with disabled employees and/or their employers. • Intake Specialists are responsible for mentoring Intake Level I Specialists as well as gathering pertinent medical, financial, and eligibility information and provide ongoing, comprehensive customer service. The job of Benefits Specialist is done for the purpose/s of coordinating all aspects of employee benefits and benefit Information; resolving insurance benefit, retirement, reporting and reconciliation problems; providing information to New and current employees, providers and/or administrators; researching providers for administrative review;Ensuring employee proof of coverage and accurate billing and ensure proper implementation of local, state and Federal benefits statutes. • Process Qualify Medical Child Support order per the State. • Translated incoming Spanish correspondence for program case workers. • Team supervisor for three years during Annual Enrollment period. Show less