Jennifer Ball
Canonsburg
Summary
Dedicated and versatile professional with outstanding customer-service skills and ability to lead teams to productivity well beyond organizational expectations, seeking to build off a robust medical education with an innovative healthcare facility.
Overview
34
34
years of professional experience
Work History
PSR (Prescription Service Representative - Fertility Department)
CVS Specialty Pharmacy/CarelonRX Specialty Pharmacy
Pittsburgh
11.2022 - Current
- Take inbound calls to MDO and patients and/or make outbound calls to MDO and patients
- Adjudicate claims, explain benefits to patients pertaining to their prescription coverage, place orders, and download orders
- Work with the appropriate department in obtaining prior authorizations needed for specialty medications.
- Maintaining patient accounts and notating to confirm accounts are up to date with patients current medical and demographic information.
- Work with the patient and the insurance plan to help the patient understand coverage and benefits.
- Entering and verifying insurance coverage.
- Work closely with MDO to ensure patients medications are current, in need of refills, or if they need clarifications.
- Understanding of specialty medications and non-specialty medications.
- Understanding of basic computer knowledge needed to work remotely.
- Able to navigate several operating systems simultaneously.
- Work closely with a team if needed or on my own as needed.
Personal Assistant
Good Promotional Products
Pittsburgh
03.2019 - 08.2020
- Provide ongoing household management, emphasizing overall care of CEO's dog
- Handle collections and deposits of CEO's personal finances
- Maintain daily task list, meet with CEO's customers, and retain customer care
- Sustain cleanliness and organization of household
- Run miscellaneous errands when needed
Master Florist/Manager
Michaels Craft Store
Little Rock
01.2004 - 01.2009
- Confer with clients regarding price and type of arrangements desired
- Select flora and foliage for arrangements, working with numerous combinations to synthesize and develop new creations
- Order and purchase flowers and supplies from wholesalers and growers
- Oversee employees responsible for deliveries
- Plan arrangement according to client's requirements, utilizing knowledge of design and properties of materials, and select an appropriate standard design pattern
Owner/ Interior Designer/Florist
Jennifer's House of Floral and Design
Bryant
02.1992 - 01.2003
- Discuss with client's about their needs for design
- Ability to select appropriate concepts for space arrangement of furniture or custom floral arrangements
- Order and purchase of goods from wholesalers or growers
- Knowledge of principles and processes for providing customer service, customer needs assessment, meeting quality standards for services, and the evaluation of customer satisfaction
- Knowledge of design techniques, tools, and principles involved in production of precision technical plans, blueprints, drawings, and models
Education
Associate of Science - Medical Billing and Coding
Ultimate Medical Academy
Skills
- MS Office
- MS Excel
- MS Word
- MS PowerPoint
- Typing Speed: 32
- Written and verbal communications
- Proofreading and editing
- Decision-making skills
- Problem solving skills
- Critical thinking skills
- CMS 1500
- CMS 1450 (UB-04)
- Tricare Co-Payments
- Deductibles
- HIPAA Compliance
- Meaningful Use
- ICD-9/ICD-10
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Greenway EOBs
- Payment Posting
- Revenue Cycle Management
- Scheduling Insurance Verification
- Insurance Billing Procedures
- Insurance Claim Processing
- Manage Care (HMO, PPO, and POS)
- Government Payers
- Third Party Payers
- Worker's Compensation Medical Billing
- HCPCS
- Introduction to ICD-10
- EOBs
- Co-Payments Medical Billing
- Medical Coding
- ICD-9-CM
- CPT
- Medical Terminology
- Practice Management
- Medical Office Procedures
- Anatomy & Physiology
- Reimbursement Methodologies
- Fee Schedules
- Outpatient / Physician
- Inpatient / Facility
Awards
UMA Dean's List, 08/2017
References
- Adam Carcella, Project Manager, Connective RX, 412-389-1584, I have known Adam for 8 years and I have professionally cared for his dog.
- Barbara Simpson, Retired, VP of Citizens Bank, 412-523-2332, I have known Barbara for 8 years and I have professionally cared for her dog.
Education Certification
- Certificate of Continuing Education, The Centers for Medicare and Medicaid Services (CMS), 837P and Form Cms-1500, 90 min, 1
- Certificate of Continuing Education, The Centers for Medicare and Medicaid Services (CMS), Medicare Billing: 8371 and Form CMS-1450, 70
- Certificate of Continuing Education, The Centers for Medicare and Medicaid Services (CMS), Medicare Fraud and Abuse: Prevention, Detection, and Reporting, 70 min, 1
- Certificate of Continuing Education, The Centers for Medicare and Medicaid Services (CMS), World of Medicare, 60 min, 1
- Certificate of Recognition, Meaningful Use Regulations Module, 01/05/17
- Associate of Science in Medical Billing and Coding, Ultimate Medical Academy, 2017, 4.0
Professional Medical Skills
- Centers for Medicare and Medicaid
- CMS 1500
- CMS 1450 (UB-04)
- Tricare Co-Payments
- Deductibles
- HIPAA Compliance
- Meaningful Use
- ICD-9/ICD-10
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Greenway
- EOBs
- Payment Posting
- Revenue Cycle Management
- Scheduling
- Insurance Verification
- Insurance Billing Procedures
- Insurance Claim Processing
- Manage Care (HMO, PPO, and POS)
- Government Payers
- Third Party Payers
- Worker's Compensation
- Medical Billing
- HCPCS
- Introduction to ICD-10
- Co-Payments
- Medical Coding
- ICD-9-CM
- CPT
- Medical Terminology
- Practice Management
- Medical Office Procedures
- Anatomy & Physiology
- Reimbursement Methodologies
- Fee Schedules
- Outpatient / Physician
- Inpatient / Facility
Timeline
PSR (Prescription Service Representative - Fertility Department)
CVS Specialty Pharmacy/CarelonRX Specialty Pharmacy
11.2022 - Current
Personal Assistant
Good Promotional Products
03.2019 - 08.2020
Master Florist/Manager
Michaels Craft Store
01.2004 - 01.2009
Owner/ Interior Designer/Florist
Jennifer's House of Floral and Design
02.1992 - 01.2003
Associate of Science - Medical Billing and Coding
Ultimate Medical Academy