Summary
Overview
Work History
Education
Skills
Additional Information
Personal Information
Timeline
Generic

Rhonda Haase

Sun City

Summary

I have experience of knowledge in the following areas. Provider application and enrollment, Eligibility verification and PCP referrals, Prior authorization, Billing and follow-up, Customer Service, Medicare, Medicaid, CMS, Claims, DME, Microsoft word, outlook, excel. Working on Multiple monitors. Financial industry, Data entry.

Overview

9
9
years of professional experience

Work History

Patient Representative Part-Time

Coram
03.2021 - 03.2025
  • Process refills for enteral feeding supplies
  • Verify and update demographic information
  • Maintained strict confidentiality of sensitive information in compliance with HIPAA regulations and company policy.
  • Implemented effective problem-solving techniques to resolve diverse patient concerns promptly.
  • Enhanced patient satisfaction by addressing concerns and providing compassionate assistance.
  • Developed strong rapport with patients through active listening skills, empathy, and understanding of individual needs.
  • Verified any changes or data updates to patient records and checked insurance.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Provided excellent customer service to patients.

DME Support Agent Part-Time

Homestead Orthotics LLC
01.2020 - 10.2020


  • Work with Patient's needing Diabetic Supplies or Body Braces. Follow up with Doctor's for approval, medical notes. Verify insurance.
  • Delivered professional phone and email support, maintaining a consistently positive tone throughout all communications.
  • Developed comprehensive knowledge of products and services to provide accurate solutions.

Provider Enrollment Specialist

Getix Health
06.2018 - 10.2019
  • Prepared and processed provider enrollments with Medicare and Medicaid in multiple states.

Provider Service Advocate

United Healthcare
10.2015 - 12.2018

• Research issues by navigating across multiple databases

and working with support resources to resolve providers’

concerns and/or partner with others to resolve escalated

issues

• Determine if prior authorization is required based on the

state mandates, CMS Medicare guidelines, and benefit

plan. If prior authorization is needed, submit for review to

appropriate nurses for approval or denial.

  • Managed high call volumes while maintaining quality service standards and positive customer interactions.
  • Demonstrated empathy and active listening skills when dealing with frustrated customers, diffusing tense situations effectively.
  • Handled escalations professionally, demonstrating composure under pressure while finding satisfactory solutions for both parties involved.
  • Worked effectively with fellow team members to coordinate effective solutions to any question or concern.

Education

High school or equivalent - General studies

Bell High School
Bell, CA
06.1976

Skills

  • Microsoft Office
  • Medicaid
  • Medicare
  • Data Entry
  • Medical Billing
  • Drug Formulary and Non Formulary
  • Prior Authorizations
  • Open
  • Service Desk
  • Financial Services

Additional Information

Experience in provider application and enrollment., Eligibility verification and PCP referrals., Prior authorization, billing and follow-up., Account reconciliation and appeals., Customer service, Medicare, Medicaid, CMS, claims, DME., Proficient in Microsoft Word, Outlook, Excel., Experience working on multiple monitors., Data entry in the financial industry.

Personal Information

Authorized To Work: US for any employer

Timeline

Patient Representative Part-Time

Coram
03.2021 - 03.2025

DME Support Agent Part-Time

Homestead Orthotics LLC
01.2020 - 10.2020

Provider Enrollment Specialist

Getix Health
06.2018 - 10.2019

Provider Service Advocate

United Healthcare
10.2015 - 12.2018

High school or equivalent - General studies

Bell High School
Rhonda Haase