Krystal Medford
Coastline Imaging
Vlissingen
3
Languages
13
years of professional experience
Facilitated seamless communication and team dynamics to enhance productivity.,Optimized scheduling processes and utilized medical terminology for operational success.,Achieved high levels of team collaboration through 15 years of administrative experience.
Work History
Patient Service Advocate
5 Months- Stayed calm under pressure to and successfully dealt with difficult situations.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Verified patient insurance eligibility and entered patient information into system.
- Answered incoming calls, scheduled appointments and filed medical records.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Reviewed physicians' orders to determine medical imaging needs and operated radiologic equipment to capture, develop, and produce diagnostic images.
- Communicated test results to physicians and other healthcare professionals.
Remote Quality Monitoring and Analysis (RQMA)
2 Years 11 Months- Evaluate interactions (calls, chats, emails) between customers and contact center representatives
- Provide detailed feedback to our clients to help improve agent performance and drive customer excellence
- Document and listen to interactions to confirm compliance in state and federal government regulations
- During irregular operations and times of urgency open my availability to 6 days at a time to meet employer demands
- Acting in leadership roles to help the team ultimately meet goals
Pharmacy Care Representative
2 Years- Evaluate interactions (calls, chats, emails) between customers and contact center representatives
- Provide detailed feedback to our clients to help improve agent performance and drive customer excellence
- Document and listen to interactions to confirm compliance in state and federal government regulations
- During irregular operations and times of urgency open my availability to 6 days at a time to meet employer demands
- Acting in leadership roles to help the team ultimately meet goals
- Handling incoming calls from customers on issues related to benefit eligibility and prescription status inquiries
Patient Care Coordinator
2 Years- Contact members to update benefits accounts, educate members on how to use their benefits wisely throughout the year to create affordability and efficiency for them
- Answered incoming calls and looked to create a positive experience for all members
- Using research and resources to minimize the need to escalate the call and create an experience where member issues and concerns could be resolved with just one phone call
- Liaison new hires in Advanced Care Scripts systems and philosophy to enhance the new hires versatility to perform and meet the members needs
Eligibility/Insurance Verification Specialist
5 Years- Verified members eligibility and assisted with order of medication and as needed
- Handled provider inbound and outbound provider inquiries as it pertained to members benefits eligibility
- Using empathy and resourcefulness to find members resolutions that would be best for them and following the company values
- Acting as an authorization rep for Express Script in this role I had to actively contact providers to verify medication adherence issues and other health related matters from the members clinical assessment
Education
Bachelors of Fine Arts - Digital Media
GPA: 3.8
Associates Degree - Liberal in Arts
GPA: 3.7
Skills
Registration management
Records maintenance
Eligibility determination
Quality assurance
Multitasking and organization
Work quality evaluation
HIPAA compliance
Call screening
Friendly and outgoing
Data entry
Languages
English
C2
Bilingual or Proficient
Spanish
A2
Elementary
Dutch
A1
Beginner
Timeline
Patient Service Advocate
Coastline Imaging
12.2023 - 05.2024Read More
Remote Quality Monitoring and Analysis (RQMA)
BPA Quality International
01.2020 - 12.2022Read More
Pharmacy Care Representative
OPTUMRX
01.2018 - 01.2020Read More
Patient Care Coordinator
Advanced Care Scripts
01.2016 - 01.2018Read More
Eligibility/Insurance Verification Specialist
Express Scripts Inc
01.2011 - 01.2016Read More
Brevard Community College
Associates Degree from Liberal in Arts
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University of Central Florida
Bachelors of Fine Arts from Digital Media
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