Ami Davis Email & Phone Number

Ocala, Florida

Roles:Client: Solutran. Tier 2 representative. Assist with inquiries from tier 1 associates. Address escalated calls that cannot be assisted by tier 1 associates or per member request for transfer. Process phone orders for member accounts, including mixed tender payment orders. Process online orders for members that submit details via online portal. Request benefit materials for members. Provide account balances and frequencies. Provide technical support for patient portal and accessibility. Submit Support tickets for escalations and review. Client: Doctor on Demand. Process inquiries based on patient accounts. Initiate cases regarding medication issues for patient visits for Clinical Review. Assist with requisitioning medical records. Verify patient co-pays and assist with scheduling. Provide technical support for patient portal and accessibility. Accurately document and escalate patient concerns. Provide concise information regarding policy and procedure regarding patient requests. Provide support for Physician’s technical issues and scheduling needs. Client: L.A. Care. Process inquiries regarding individual Medicaid health plans. Create new physician assignments based on member needs and location. Initiated insurance verification for medical and pharmacy services. Confirm current and prior eligibility, member’s benefits, physician details, and claim status, in adherence to Federal and State HIPPA laws.

Ocala, Florida Area

Virtual call center representative for high volume clients.Client: Allstate. Executed initial automotive insurance claim for accident adjudication. Managed high volume of incoming calls processing inquiries. Collected specific accident details. Verified personal client information to ensure validity of claims. Created repair and inspection assignments for vehicle damages. Independently accessed client databases and third party software for business and information purposes. Contacted adjudicators for specific claim handling purposes. Accurately documented accident details and police report information for incident recording.

Ocala, Florida Area

Tasked with assisting the Administrator to manage key facility indicators as it related to interdepartmental financial and budgetary management. Participated in interdisciplinary team meetings i.e. A/R reviews, Safety Committee Meetings, Quality Assurance, and Quality Improvement meetings as well as Business Development programming. Compiled a wage and payroll spreadsheet to detect pay rate discrepancies of CNA’s to facilitate wage increases through a Wage Analysis Proposal. Confirmed timesheets for salaried employees for payroll department. Learned about the Center’s mission, vision and core values.

Processed patient documents using EMR system for scheduling, importing medical records, refilling medication. Executed file maintenance and conversion from hard copy medical records to EMR. Initiated insurance verification and authorizations for medical and pharmacy services.

Initiated customer problem resolution. Mentored coworkers in software application and use. Specialized in insurance adjudication. Utilized as a diabetic counselor and Spanish translator. Processed outdate returns, orders, and overstock returns. Maintained and audited inventory levels. Acknowledged as a senior technician. Recognized for great patient care customer service.

Round Lake Beach, Il

Managed all pharmacy technicians. Direct assistant to pharmacy manager. Trained and mentored new hires on software, policies, and procedures. Completed pharmacy reports, orders, audits, and insurance authorizations. Maintained pharmacy inventory levels. Processed outdate returns, orders, and overstock returns. Assigned as Medicare specialist for store. Received multiple customer service and employee of the month awards. Utilized as Spanish translator.

Bachelor Of Applied Science (Basc), Health/Health Care Administration/Management, 3.66 Gpa

Activities and Societies: Graduate Dec 2014 Magna cum LaudeBachelor's of Applied Science: Business and Organizational Management.

Associate Of Arts (A.A.), Pharmacy

Activities and Societies: Graduate Dec 2012 Summa cum Laude