Bio
Credentials
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MD Health Benefits Exchange Specialist
-Jul, 2015- May, 2026
Experience
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Kaiser Permanente
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Baltimore, Maryland Area
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Medical Records Administrator
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May 2017 - May 2018
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Baltimore, Maryland Area
Facilitated the processing of medical records at the Baltimore Harbor location. Processed requests from healthcare providers, third party insurances, legal offices, and patients. This also included requests from local, state, and federal offices requesting medical documentation. Advised in-house providers and their certified assistants how to have patients request medical records. Reviewed completed documents received from providers for accuracy and completion prior to returning documents to patients. Diagnostic and Radiological reports were generated while patient waited. Received incoming call inquires regarding status of medical requests. Responded to e-mails in a timely manner. Responsible for outgoing mail and Lasership documents and forms.
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Johns Hopkins Medicine International - Keswick
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Baltimore, Maryland
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Patient Access Specialist
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Apr 2016 - Oct 2016
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Baltimore, Maryland
Received in-coming calls from patients and healthcare providers requesting information on scheduling procedures and availability. Probed patients for details of injury received to accurately schedule patients for Orthopedic surgery. Reschedule surgery and follow-up visits upon request. Responded to e-mails received with calls or correspondence. Documented all calls. Verified health insurance prior to surgery and follow-up visits. Confirmed referrals prior to orthopedic evaluations. Used EPIC system for all activities.
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Maryland Health Benefit Exchange
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2555 Lord Baltimore Drive - Winsor MD
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Customer Service Specialist - Health Benefits
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Jul 2015 - Jan 2016
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2555 Lord Baltimore Drive - Winsor MD
Responded to incoming calls from Maryland Residents inquiring about the Affordable Care Act. Provider detailed information to multiple plans and their benefits. Enrolled callers in either premium plans or medicaid plans. Verified medicaid eligibility through Maryland Medicaid Information System and the Center for Medicare and Medicaid Services. Provided Tier 1 assistance to on-line users completing enrollment. This also included creating and resetting passwords. Correspondence sent to providers requesting eligibility inquiries.
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Cigna-HealthSpring
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Baltimore, Maryland Area
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Customer Service Associate
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Sep 2010 - Jun 2014
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Baltimore, Maryland Area
Provided information to customers, providers, and healthcare insurance providers regarding multiple issues into healthcare. This would included authorizations, referrals, in/out network benefits, prescriptions, specialists, and claims.
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APS Healthcare, a subsidiary of Universal American
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Baltimore, Maryland Area
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Client Service Coordinator I
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Feb 2006 - Aug 2009
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Baltimore, Maryland Area
Mental health care administrative services, Uninsured enrollment, provider help desk, medication and therapy evaluations.
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Education
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Franklin University
Studies in Computer Science and Business Administration, Computer Science/Business Administration -
Bliss College
Associate of Arts (A.A.), Business Administration and Management, General -
Community College of Baltimore - Harbor Campus
Associate of Arts (A.A.), Electronic Technology
Suggested Services
This profile is unclaimed. These are suggested service rates with 0% commision upon successful connection
Industry Focus. “Health, Wellness and Fitness”
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References
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