susan ricci

case manager

About

Dynamic, dedicated Administrative Professional with an outstanding track record in maximizing customer service, efficiency, and productivity during the day-to-day performance of administrative and patient support operations. Exceptional patient and customer service skills including communication, listening, interpersonal, and relationship building. Extremely detailed oriented and organized, with excellent follow-through, multi-tasking, and time management abilities. Adept at identifying and addressing challenges as they arise in order to minimize impact. Self-starter, works independently or as part of a great team. Experienced working in highly regulated, confidential, fast-paced, and sensitive environments. High level of comprehension with a short learning curve. Very strong work ethic. Technically proficient with industry specific software and Microsoft Office applications. Holds a Bachelor degree in Business Administration.

Country

united states

City

boston

Industry

hospital & health care

Skill

patient support, healthcare, hipaa, highly personable, customer service, healthcare management, time management, customer focused, highly detailed, invoicing, complaince, regulated industry, schedule, high volume, microsoft word, dentrix, eaglesoft

Experience

front desk receptionist and billing clerk

massachusetts general hospital

2012-1 - 2012-5 · 5 mos

front desk receptionist and billing clerk

falmouth dental associates

2000-7 - 2012-1 · 11 yrs 7 mos

* Facilitated smooth administrative operations and excellent customer service for this dental practice within the hospital system by communicating cordially and professionally with patients in person and on the telephone; including scheduling, answering inquiries, and resolving billing issues. * Complied with all regulatory requirements while verifying insurance, obtaining pre-authorizations for treatment, processing claims, and arranging payment schedules with patients. * Updated payment and patient information in an accurate and timely manner. * Performed insurance verification for eligibility and coverage; obtained pre-authorizations as needed. * Entered all private pay and insurance charges and payments into an electronic system; submitted and resubmitted claims when necessary. * Coordinated patient referrals and transfer of records. * Retrieved and distributed mail; performed all other administrative duties such as faxing, filing, and copying.

case manager

vertex pharmaceuticals

2015-2 - Present · 11 yrs 8 mos

* Work closely with patient/family to gain access to therapy * Partner with reimbursement vendor to obtain reimbursement information * Counsel patient/family on reimbursement options and assess financial assistance need * Act as the liaison and develop relationships with CF Care Centers * Partner with Field Sales Reps and internal departments to ensure customer problem resolution and consistency of message * Professionally field incoming telephone calls while making a positive impression * Answer customer inquiries and resolve customer problems * Provide ongoing persistency and compliance support * Maintain confidentiality pertaining to patient health information and act in complete & total compliance with all laws, regulations and Vertex policies