Achievements: Exceeded expectations for customer service. Assisted customers in finding new products that resulted in cost savings for their budget. Responsibilities• Create purchase orders for the acquisition of materials• Research, interview, and negotiate with suppliers to obtain best pricing and specifications• Compile necessary information to obtain supplies• Coordinate with end users and vendors to identify resources and options to meet supply needs• Maintain comprehensive records on vendors and suppliers for materials in area of specialty• Track orders and maintain ordering records• Identify opportunities for cost reduction• Collaborate to coordinate improvements• Collaborate with cross-functional teams to identify cost-saving opportunities and ensure alignment of supply chain activities with business objectives

Achievements: Exceed expectations for customer service. Maintain performance standards. Responsibilities• Communicate needs to vendors• Work with internal customers/employees to resolve any invoice issues• Research and resolve discrepancies between invoices and payments• Reconcile vendor accounts to ensure accuracy of payments and compliance with established policies and procedures• Collaborate with cross-functional teams to ensure invoices and payments are properly processed• Track and monitor vendor payments to ensure timely payments

Temporary buyer position with the same role as the following permanent position.

Achievements: Maintained excellent quality rating. Exceeded customer service expectations. Completed customer service phone skills training. Maintained a customer satisfaction rate of 95% for the entire duration of employment.Responsibilities• Maintain performance standards• Research and report HIPAA disclosures• Assists with compiling data for reporting of debt collection inquiries• Provide prompt, accurate thorough and courteous responses to complex customer service inquiries• Perform research to resolve inquiries• Review and adjudicate complex or specialty claims and/or non-medical appeals• Determine whether to return, deny or pay claims following policies and procedures• Review claim or appeals issues, complaints and inquiries referred by customer service representatives• Research to identify, prevent and correct underlying causes for complaints and appeals issues• Identify and report potential fraud and abuse situations• Ensure claims are processing according to established quality and production standards• Provide feedback to management regarding customer issues and follow through on complaints until• Assist with process improvements• Assist in training customer service representatives

Achievements: Assisted and worked on a special project quality improvement team. Trained new appeals specialists: Created training material.Responsibilities• Perform non-medical reviews• Process redetermination letters ensuring timeliness and accuracy• Prepare unit reports, analyze and interpret workload and process issues utilizing various software tools• Update letters and documents within the department• Reprocess claims and ensure payment when appeals are approved• Follow through to make sure approved appeals are paid within timeliness guidelines• Perform other duties as assigned

Achievements: Maintained 100% quality rating for duration of employment.Responsibilities• Research and respond to telephone and written inquiries• Identify incorrectly processed claims and complete adjustments and related reprocessing actions• Identify complaints of a complexity level that cannot be resolved following desk procedures and refer to a team lead or manager for resolution• Complete projects and assignments related to claims processing and customer service functions