Patient Care Service Resume

SUMMARY:

To obtain a lasting and rewarding career with room for growth; with potential for working at home.

SKILLS:

Sales Management

Sales

Customer Service

Training/Coaching

Merchandising

Leadership

Customer Retention

Data Entry

HealthCare Criteria Review

Inbound & Outbound Phone Skills

WORK EXPERIENCE:

Confidential

Patient Care Service

Responsibilities:

Responsible for reviewing medical notes compared to Medicare, Federal, and Commercial insurance Medical Criteria Guidelines.
Retrieve benefits and eligibility for coverage, and submit for prior authorization/pre - determination as required.
Follow up with insurance companies (Health, Auto, Work Comp, Legal) to obtain prior authorization determinations.
Work to appeal any invalid denials, and provide support to the Area and Regional Sales Managers.
Balance time between new orders and existing order follow-up.
Manage my time between working accounts, monitoring the referral queue, department queue, and updates to the Payor database.

Confidential

Assistant Store Manager

Responsibilities:

Responsible for day to day operational and managerial duties including hiring, firing, coaching for success, coaching for improvement, verifying deposits, making plans for the merchandise, planning features based on sales trends and profit margin, analyzing reports to make business decisions, and more.

Confidential

Retail Store Manager

Responsibilities:

Responsible for day to day operational and managerial duties including hiring, firing, coaching for success, daily inventories, nightly deposits, merchandising, maintaining audit compliance, and more.

Confidential

Sales Associate

Responsibilities:

Confidential

Store Manager

Responsibilities:

Responsible for day to day operational and managerial duties including hiring, firing, coaching for success, inventories, nightly deposits, merchandising, maintaining audit compliance, and more.

Confidential

Assistant Store Manager

Responsibilities:

Assist my manager with the day to day operational and managerial duties, including opening, closing, coaching for success, daily paperwork, nightly deposits, inventories, and more.

Confidential

Sales Associate

Responsibilities:

Providing excellent customer service while maintaining sales goals and other metrics.
Assist with select operational duties, including opening, closing, nightly deposits, and more.