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Associate Principal Engineer

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Working Professional who excels in fast-paced environments. Adept at multitasking and maintaining attention to detail, I foster strong relationships with clients while ensuring compliance with retirement accounts. My ability to complete task's with firm deadlines with problem-solving skills with a positive attitude, enhancing customer satisfaction and operational efficiency.

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

A first-year Electrical Engineering student at the University of New Brunswick with a penchant for teambuilding. Demonstrates strong communication abilities and fluency in both English and Sinhala. Aspires to carve a career path focused on the development of renewable and clean energies. Recognized for meticulous attention to detail and adeptness in fostering teamwork. Exhibits exceptional organizational prowess and adeptness in managing multiple projects concurrently, ensuring precision in execution.

My position at Life Pittsburgh as the Health Plan Specialist I am responsible for maintaining all medical Authorizations for our Participants and also the claims that were submitted for those services. I enter New Participants enrollment in our main system called Plexis and make sure to keep that information up to date if any changes. At end of month I need to compile their enrollment or Dis-enrollment into individual forms to submit to the state for review and submit all center enrollment count monthly. I verify that claims were submitted correctly by corresponding with different departments and checking the EHR for appointments and service orders. I enter all Durable Medical Equipment authorizations including clinical and wound care supplies, food supplements, and Incontinence supplies. I also entered authorizations for Oxygen rentals, Lifeline and Med box dispensers , Chemo and Dialysis treatments, Physician visits for nursing and office appointments. Also,Hospital and Nursing Home admissions and discharges, Housekeeping Services (Laundry, pest control) Transportation emergent and non emergent authorizations, for over 500 participants. I have also been responsible for checking claim statuses and resolving any pending claims, matching the claims with the authorizations and making sure they had the correct coding in the claim, denying them if they were incorrect, or denying them for timely filing and adjudicating the correct ones. I also enter claims for housekeeping and for participant Durable Medical Supplies. I have to check with providers for outstanding claims, and close any "extra authorization's in Plexis. I verify patient eligibilty with providers who call and provide Insurance and billing information. I have previous call center experience from previous roles with Highmark Wholecare CVS and Sears Holding. Types 32wpm, excellent oral and written communication skills. Well-equipped in Microsoft Office.
Conversion salary $20.70
Glider 81% https://hire.glider.ai/auth/reviewer/f7CwRAucn2BNTbphr/MeERD7B4DK3N2BvEt/ojynHEkHdear22ZPK/type/62c5ec045a007552b60bcd3d/default
Excellent verbal and written communicator with strong background cultivating positive relationships and exceeding goals. Also am very skilled at completing daily assignments and contributing to team success. Always willing to take on any task. Adapts quickly to new needs and policies. Customer relation, Time management, Microsoft Word, Excel Task prioritization, Supply management, and Employee training. Also known for having great organizational skills. Gifted at working with all types of customers. Looking for a new role where hard work and dedication will be highly valued and a place that I can grow, learn and plant roots.

Siphesihle Mkhonza

Overview

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One Plan Brocker

Sales Agent

Sales Agent

Customer Service

Education

High School Diploma -

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One Plan Brocker

Sales Agent

Sales Agent

Customer Service

High School Diploma -

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