Lisa Proctor
Medical Services Representative at Lumeris- Claim this Profile
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Topline Score
Bio
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Experience
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Lumeris
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United States
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Hospitals and Health Care
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700 & Above Employee
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Medical Services Representative
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Dec 2015 - Present
• Receive preauthorizations and referral requests via provider phone calls or faxes • Enter authorizations and referrals into system and provide confirmation of entry back to requesting provider • Perform data entry to support multiple processes • Adhere to regulatory and departmental timeframes for received requests • Maintain HIPPA standards and ensure confidentiality of protected health information • Ensure compliance with all state and federal regulations and guidelines in all activities • Investigate, analyze, and process claims in a timely manner
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Essence Healthcare
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United States
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Hospitals and Health Care
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100 - 200 Employee
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Benefits Specialist
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Sep 2015 - Dec 2015
• Answered inbound phone calls and address inquiries from potential members as part of a three month contract • Navigated software applications and several windows simultaneously • Utilized multitasking skills while talking on phone and entering data concurrently • Established working knowledge of Medicare guidelines • Maintained strict confidentiality • Answered inbound phone calls and address inquiries from potential members as part of a three month contract • Navigated software applications and several windows simultaneously • Utilized multitasking skills while talking on phone and entering data concurrently • Established working knowledge of Medicare guidelines • Maintained strict confidentiality
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The UPS Store
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United States
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Retail
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700 & Above Employee
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Sales Associate
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Oct 2006 - Sep 2015
• Maintained extensive knowledge of domestic and international shipping policies to accurately serve customers • Explained complex guidelines in terms that are easily comprehended by customers • Conducted cost analysis with customers to assist with purchasing decisions • Used computer database system to input data and track items • Input customer information into system to generate contracts and discuss legal obligations to client seeking a mailbox • Maintained extensive knowledge of domestic and international shipping policies to accurately serve customers • Explained complex guidelines in terms that are easily comprehended by customers • Conducted cost analysis with customers to assist with purchasing decisions • Used computer database system to input data and track items • Input customer information into system to generate contracts and discuss legal obligations to client seeking a mailbox
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Tesoro Corporation
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Appliances, Electrical, and Electronics Manufacturing
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1 - 100 Employee
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Sales Associate
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Jun 2011 - Oct 2011
• Navigate difficult situations by making quick decisions and providing service with patience • Check, order, and maintain appropriate levels of inventory • Insure customers and coworkers adhere to safety and hazardous material guidelines • Maintain safety protocols at all pump stations and surrounding areas • Navigate difficult situations by making quick decisions and providing service with patience • Check, order, and maintain appropriate levels of inventory • Insure customers and coworkers adhere to safety and hazardous material guidelines • Maintain safety protocols at all pump stations and surrounding areas
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The Cottage Pub
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United States
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Restaurants
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Bartender
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Jun 2004 - Sep 2006
• Create personal system of efficiency for maintaining high volumes of orders • Establish relationships with customers • Maintain sufficient stock to keep current with customer needs • Handle difficult situations with care and patience by exerting excellent communication skills • Create personal system of efficiency for maintaining high volumes of orders • Establish relationships with customers • Maintain sufficient stock to keep current with customer needs • Handle difficult situations with care and patience by exerting excellent communication skills
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Education
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Webster University
Bachelor of Arts (B.A.), Human Resources Management -
Webster University
Bachelor of Arts (BA), Human Resources Management and Services