Janae Sims Email and Phone Number

• Responsible for Ambetter and Medicare members • Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources.• Provide assistance to members and/or providers regarding website registration and navigation• Document all activities for quality and metrics reporting through the Customer Relationships Management (CRM) application.• Process written customer correspondence and provided the appropriate level of timely follow up.• May coordinate member transportation and make referrals to other departments as appropriate.• Maintain performance and quality standards based on established call center metrics including turn-around them.• Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment• Ensure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing services• Follows all HIPAA and Private Insurance regulations and requirements

• Interview patients at workstation or at bedside to obtain all necessary accounts information.• Verify insurance benefits and determine pre-certification/authorization status via on-line or other resources.• Follow ADIET guideline in all interaction with the patients.• Search MPI completely and assign the correct medical record number. Notify HIM for any duplicate unit number.• Work with physician offices and ancillary departments, providing information when necessary or forwarding relevant documents.• Scan appropriate order in Front Office Scanning.• Activate all pre-registered patients that have reported for service.• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”.• Calling patients to get them Pre-Register for Clinicals, Pre-ops and Surgical appointments.

Strong knowledge and skills on operating frontline cashier • Provide excellent communication skills with customers and employees by greeting them and make sure their needs are met in a timely matter. • Proper educated and trained on the laws of Title 31. • Perform all other job-related duties as requested. • Accurate performance of monetary transactions with guests and other employees. • Ability to perform frontline duties such as chips and ez-pay payouts; issuing marker’s and using GCA.• Ability on changing foreign currency for customers in a timely and proper manner.• Knowledge of using 10-key machine.• Provide knowledge on the proper skills in working in Employee/Satellite Bank such as cashing employee tips and changing bills/coins for their banks. Preparing employees banks with the proper amount for their drawers.• Excellent customer service skills.

Strong knowledge and skills on operating multiple drawers such as Marker Bank, Jackpot, Chip Bank, Satellite Bank and Kiosk. • Strong skills on assembling large sum of blackjack chips that are being sent in and out through table games and customers. • Processing customers winning Jackpots such as 30 percent, doing a hold and printing their jackpots checks in a timely matter. • Proper knowledge on how to fill large sums of money in different amounts of kiosk cassettes and knowing how to place each cassette in the different kiosk machine. • Skills on knowing how to make banks for different employees that work in casino and getting them processed in a timely manner. • Proper educated and trained on the laws of Title 31

Head cashier. Cashing out customers order in a timely order.• Responsibility including inspecting the restaurant for cleanliness and maintaining safety of the restaurant.• Proper knowledge on how to take customers complaints and making sure they are handled in great care.• Made sure things were stocked and things were placed in the proper areas.• Comfortable with cashing customers out and assisting them in their needs.• Skills on closing a drawer and preparing a new drawer for the next day.

• Achieved with the flow of guests by taking food and drink orders as needed.• Cash handling and end od day revenue reconciliation and applicable paperwork.• Assisted servers during rush hours by helping with serving and packing the customers leftovers.• Welcome customers who enter the restaurant and ensure that they are being helped. • Properly prepared the take-out order in a timely manner.