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Minacs - Patient Care Advocate Resume Example

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Dcarhe Tckercot
XXXX XXXXXXXX XXX, Richmond, VA 23224
XXXX XXXXXXXX XXX, 23224, Richmond VA
XXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXX
Summary of Skills and Qualifications
  •  More than 5 years in the customer service field with experienced claims training for part A hospital, part B medical cost and DME durable medical equipment.
  • Proficient in Microsoft Suite to include Microsoft Word, PowerPoint, Microsoft Excel, Microsoft office and Microsoft Outlook.
  • Possess strong data entry skills with attention to detail. Superb customer service interaction. 
  • Able to follow instructions and follow through on projects.
  • Ability to organize daily task in an efficient manner.
  • A goal oriented, energetic, skilled worker with proven and effective work ethics
  • Able to work independently along with being an effective team member. 
Experience
Patient Care Advocate Sep 2013Current Minacs Richmond, VA
  • Review requests from doctors and pharmacists to determine whether medication coverage prior authorization can be given.
  • Screen and review requests based on benefit plan design, client specifics and clinical criteria.
  • Handle inbound telephone and written inquiries from pharmacists and doctors regarding prior authorization.
  • Facilitates resolution of drug coverage issues and pro-actively address research and resolve issues while maintaining accurate and complete documentation of all inquiries for continuous improvement.
Claims Service Representative Jan 2008Mar 2013 General Dynamics Chester, Va
  • Utilize databases and written materials to look up and provide information to telephone inquiries.
  • Provided knowledgeable responses to telephone inquiries in a courteous and professional manner.
  • Maintain quality control/satisfaction records, constantly seeking new ways to improve customer service.
  • Answered general information questions from pharmacists for prescription drug confirmations, advocacy groups and Medicare contractors.
  • Read scripted responses to beneficiaries' questions dealing with personal information regarding Medicare.
Customer service Aug 2007Jan 2008 Capital One chester, va
  • Confer with customers by telephone to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
  • Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
  • Check to ensure that appropriate changes were made to resolve customers' problems.
  • Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
  • Complete contract forms, prepare change of address records, or issue service discontinuance orders, using computers.
Education
Associate of Science : Nursing Jan 2013 Bryant & Stratton College Richmond, Va
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Resume Details

This is a real resume for a Patient Care Advocate in Richmond, Virginia with experience working for such companies as Minacs, General Dynamics, Capital One. This is one of the hundreds of Patient Care Advocate resumes available on our site for free. Use these resumes as templates to get help creating the best Patient Care Advocate resume.

Previous Companies:

  • Minacs
  • General Dynamics
  • Capital One

Previous Job Positions:

  • Patient Care Advocate
  • Claims Service Representative
  • Customer Service

Schools:

  • Bryant & Stratton College

Level of Education:

  • Associate of Science

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