Rick Jayson Flores

I have vast experience in Healthcare Business. I am currently employed with my local employer and looking for a part time job. I am responsible for sending alert notifications to doctors, site coordinators and site monitors. Alerts are being generated if one of the analytes from the lab results is higher or lower than the normal range. This needs to be notified to the assigned personnel in the study within 24hrs for necessary or immediate action.

We also receive phone calls and emails from the site for assistance and any escalation requests to the project coordinator and manager.

The job role is more on administrative work, inbox management and phone calls. The task requires attention to detail as we are not only talking to the site or study personnel but also reporting directly with the clients.

January 2023 - March 2023

I also worked as an intake coordinator at a House Call Company in Michigan that sends providers to the patient's service address. My job role is more on administrative work, data entry, answering phone calls and responding to emails. As the intake coordinator, we are responsible for creating the patient's chart and making sure that all paperwork is uploaded in our database (Aprima) before sending a task to our scheduling team. Referrals can be sent via email or fax, we need to thoroughly scan the intake forms or patient's face sheet once it is received and check if we are missing documents or information needed to complete the chart. It is very critical that we have all the details double checked, most importantly the patient's demographics, recent diagnosis, history, current medications and any helpful information that we can upload on the patient's chart. We even call the facilities, patient's relatives, pharmacies and referrers to obtain the missing information. I was also trained for medication reconciliation and Insurance Verification.

August 2019 - February 2023

I worked with Aetna Medicare Prescription Drug Plan and stayed with them for more than 3 years and was trained for 4 LOBs

-Premium Billing

Assist members with their Premium Payment, Payment Inquiries, Account Reinstatement and Automatic Payment Set Up Requests through Bank Account or Social Security Administration Deduction.

-Customer Care

Help members answer their queries about their plan (Plan Education and Benefits).

Process Prescription Refills and New Prescription Requests from their providers/doctors.

Check Medication coverage and formulary.

-Late Enrollment Penalty Attestation

Sends an attestation directly to Medicare for the Late Enrollment Penalty incurred by the member.

-Address Change

Updating the member's address on file using the USPS website as the main tool.

Make sure that the member is enrolled in the plan to which state he/she is permanently residing in to avoid disenrollment.

Non-medical Related Work Experience

March 2019 - July 2019

Food Delivery Account - Customer Service Representative

• Skilled for phone, e-mail and chat support

• Trained to the following LOBs:

1. Customer Support

• Order Status

• Refund Request

• Basic App and Website Troubleshooting.

2. Dasher Support

• Referrals Incentives

• Power Hour Incentives

• Book Schedule Request

• Schedule Adjustment

• Schedule Cancellation

• Cancel Booked Order Request

3. Merchant(Restaurant Owner/Staff) Support

• Refund Request

• Payment Cycle

• Menu Update

• Temporary Store Closure

- Permanent Store Closure

August 2018 - January 2019

Satellite Account - Customer Service Representative / Tier l Tech

• General Customer Care

• Billing concerns and processing payments

• Tier 1 Tech Support

September 2017 - May 2018

Retail Account - Customer Skilled for phone and email.

Help customers to the following concerns:

• General Inquiry

• Order Cancellation

• Refund Request

• Product Information

• Order details/status

• Shipment/tracking information

• Third Party Seller Support

• Website Support