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- 1. Ruth K Hubert 9223 S. Harper Ave Chicago, IL 60619 (312)709-9674 Email: ruth_hubert@yahoo.com OBJECTIVE Obtain a position as a Customer Service Representative in a people oriented organization where I can maximize my customer-service experience in a challenging environment to achieve the corporate goals. SUMMARY Strong communication, public relations, and customer service skills. Ability to coordinate multiple projects and meet deadlines. Excellent organizational, planning and time management skills. Answering a high volume of calls and handling all customer service aspects of a company. Mail Processing and Multi-tasking record and file maintenance. Process of digitizing information flow, eliminating paperwork and automating many of the manual processes involved in collecting information for case processing. MS Word, Excel, PowerPoint, Publisher, EEV, IntegriMatch, VidaServ, Vida Suite, Medi and HMS. EMPLOYMENT Member Service Family Health Network Chicago, IL 02/2015 to Present Receives pre-authorization from referring offices and/or insurance companies and documents appropriately. Makes outgoing calls to insurance companies; utilizes insurance websites for pre-certification authorization verification, or member eligibility. Accurately submits appropriate CPT and ICD-9 codes for prior authorization approval. Communicates via telephone or written correspondence with providers and referring clinic personnel to obtain additional clinical medical information. Communicates with supervisor and manager any changes or updates to insurance regarding authorization requirements. Work closely with staff on claim issues pertaining to insurance authorizations. Maintains all authorizations/referrals and ensures all are reissued in a timely manner. Meeting deadlines and manage multiple priorities, and 2 effectively adapt and respond to complex, fast-paced, rapidly growing and results oriented environments. Maximus Illinois Medicaid Redetermination Project (IMRP) Maximus Chicago, IL 12/2012 - 02/2015 Assist the state with backlog of cases waiting for redetermination and ensuring that future redetermination's will be carried out in a timely manner so that eligibility for Medicaid coverage is verified on an annual basis. Review Aid to the Aged, Blind and Disabled (AABD), including Long Term Care (LTC) Family Health Plans, including, Family Care/All Kids Assist, All Kids Share, All Kids Premium Cases, All Kids Rebate, Moms and Babies. Provide information to recipients who are selected for redetermination, answer any and all questions regarding the client’s redetermination application and decisions regarding eligibility made on the case by caseworkers. Verify all possible data electronically, and contact clients to complete the redetermination process as necessary using HMS. Medical Assistant Externship Roseland Community Hospital Chicago, IL 02/2011 – 05/2011 Obtains patient vitals and accurately maintain record keeping. Coordinates closely with patients, hospital staff and personnel, medical personnel, orthopedic surgeons and neurologists. Assists patients with personal hygiene, grooming, meals, and other needs requiring immediate attention. Maintains cleanliness, orderliness and safety conditions of rooms in compliance with mandatory regulations in coordination with custodial service personnel.
- 2. EDUCATION Medical Assistant Diploma Illinois School of Health Careers Chicago, IL Graduated with 4.0 GPA 08/2010 – 08/2011 High School Diploma Chicago, IL George Henry Corliss 08/2004-06/2008