Medicare Territory Developer

• Apr 2022 - Present

Driver

• Sep 2021 - Apr 2022

Founder

• May 2018 - Present

Errand and Courier Concierge Service Errand and Courier Concierge Service

Elite Benefit Advocate

• Jul 2020 - Aug 2021

Interviews patients and/or family members as needed to secure information concerning insurance coverage, eligibility, and qualification for various financial programs.Coordinates and performs verification of insurance benefits by contacting insurance provider and determining eligibility of coverage and communicates status of verification/authorization process with appropriate team members in a timely and efficient manner.Provides clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of pre-certification process.Confirms referring physician has obtained prior authorization as needed from insurance company for all scheduled healthcare procedures within assigned department/area.Contacts referring physicians and or/patients to discuss rescheduling of procedures due to incomplete/ partial authorizations.Acts as liaison between clinical staff, patients, referring physician’s office, and insurance by informing patients and families of authorization delays/denials, answering questions, offering assistance, and relaying messages pertaining to authorization of procedure/service.Maintains tracking of patients on schedule, ensuring that eligibility and authorization information has been entered into data entry systems.Pre-screens doctor’s orders (scripts) received for new patients to ensure completeness/appropriateness of scheduled appointment.Collaborates with Appeals department to provide all related information to overturn claims denied. Monitors insurance authorization issues to identify trends and participates in process improvement initiatives. Responds to all inquiries from throughout the system and outside related to authorization/pre- certification issues. Provides ongoing communication to physician offices, patients/families, and others as necessary to resolve insurance authorizations Show less

School Bus Driver

• Jul 2019 - Jan 2021

To transport students to and from school and other sites within designated route(s) and to ensure the safety of the student passengers while in a school vehicle. Responsible for the safe operation of a school bus and for ensuring the safety of student passengers while meeting established bus schedules. To transport students to and from school and other sites within designated route(s) and to ensure the safety of the student passengers while in a school vehicle. Responsible for the safe operation of a school bus and for ensuring the safety of student passengers while meeting established bus schedules.

Correctional Officer

• Oct 2016 - Feb 2019

Maintain security within the institution and oversee the health and safety of staff and prisoners. Perform inspections and searches of physical premises and cells, checking for contraband and compliance with regulations; investigate and report unusual circumstances. Conduct pat and/or strip searches of prisoners and visitors. Observe and respond to obvious and subtle changes in prisoner conversation or behavior that might be inappropriate or indicate the potential for trouble. Enforce institutional rules and Standard Operation Procedures (SOP). Stabilize and provide backup in emergency situations for the protection of the public, staff and prisoners in situations such as aggressive behavior, fights, riots or other disruptive behavior, escape attempts, fires, accidents and medical emergencies. Utilize emergency respirator equipment to include gas masks and air supplying respirators. Be exposed to Oleoresin Capsicum (O.C.) and other chemical agents. Be exposed to EID and other electronic immobilization devices. Show less

Bank of America Health and Welfare Specialist

• Dec 2015 - Apr 2016

Advice and counsel Bank of America associates, retirees, and their dependents with complex questions such as retirement process, payroll, beneficiary designation, COBRA enrollment, leave of absences, indicative data changes, update legal guardianship, and subpoenas. In terms of health group plans such as Medical (including prescription drugs), vision, dental and other benefits: advocacy services, health savings account/spending accounts, Medicare, Wellness program, dependent eligibility, HIPPA privacy notices, annual enrollment, QDRO and QMCSO In terms of payroll administration: sign up for direct deposit, overstatements, paycheck information, payroll calendar, requesting a manual check, stop payment and Tax/W-2 forms Show less

Benefit Advisor

• May 2014 - Apr 2016

Assists Medicare eligible retirees to select appropriate Medicare health plans by providing Medicare education, conducting needs analyses, and selling/enrolling retirees into appropriate Medicare supplement, Medicare Advantages, Prescription drug plans and Special Needs Plans. Was able to build a book of business with over 650 retirees across specific states and utilize problem solving skills for participants with special needs

Pension De-Risking Representative

• Jun 2015 - Oct 2015

Confer with clients to discuss their options for future investments meanwhile preparing and maintaining records and case files, including documentation such as clients' personal and eligibility information .Refine problem solving skills working on cases for participants with complicated or problematic accounts and transfer pension assets and liabilities to a third party to complete investment opportunities

Health Plan Advisor

• Aug 2013 - Apr 2014

Responsible for re-selling Individual medical plans to existing members in all WellPoint states. Responsible for increasing member retention (decrease in lapse rates) by working with at-risk members. Provides detailed analysis that identifies and promotes the value of the existing plan, discuss options, provides alternative plan options when appropriate and makes recommendations. Provide customers with counseling and recommendations for plan changes. Responsible for working with members during rate increases or any other time a member is a risk of leaving. Work with cancellation requests to prevent member attrition. Partner with the Underwriting team to provide alternate plan options to facilitate enrollment when the selected plan is not available, due to rate ups, etc. Show less

Delivery Driver

• Apr 2012 - Jul 2012

To take food to the customers in a timely fashion. Must also keep orders properly organized and have good communication skills and confidence when dealing with the public. To take food to the customers in a timely fashion. Must also keep orders properly organized and have good communication skills and confidence when dealing with the public.

Insurance Agent

• 2011 - 2012

Customer Service, Accountable for collecting, selling and providing policyholder service to current and new client, Record collection in the handheld, mark policy premium receipt book and remit all premiums, maintain accurate books of account and records of all business transacted, and comply with all state, federal and other applicable laws and regulations. Customer Service, Accountable for collecting, selling and providing policyholder service to current and new client, Record collection in the handheld, mark policy premium receipt book and remit all premiums, maintain accurate books of account and records of all business transacted, and comply with all state, federal and other applicable laws and regulations.

Accounting Assistance

• Oct 2009 - Oct 2010

Customer Service, Grant Coding Assessment, Data Entry, keep financial records that track a company's expenditure, such as check written and received, Ledger, Bank Reconciliation, Managing Account Payable, and Account Receivables, updating the trial balance, profit-and loss statement and balance sheet. Customer Service, Grant Coding Assessment, Data Entry, keep financial records that track a company's expenditure, such as check written and received, Ledger, Bank Reconciliation, Managing Account Payable, and Account Receivables, updating the trial balance, profit-and loss statement and balance sheet.

Remote Technical Support Representative

• Dec 2008 - Oct 2010

Customers Service, Responsible for handling all persistent cases, Handling Inbound and outbound call to troubleshooting Hardware related issues and limited Software and Application, Support to wireless and complex issues, Assist customers according to their warranty details, Performs miscellaneous job-related duties as assigned, Assist customer issues in a fast-paced work environment, and help other Technician with Technical question. Customers Service, Responsible for handling all persistent cases, Handling Inbound and outbound call to troubleshooting Hardware related issues and limited Software and Application, Support to wireless and complex issues, Assist customers according to their warranty details, Performs miscellaneous job-related duties as assigned, Assist customer issues in a fast-paced work environment, and help other Technician with Technical question.