Priscilla Franklin

  • Florissant MO
Priscilla Franklin

Consultant

Skills

Skills

Over 2 years' experience in freelance analyst. I can offer a great amount in web language and database technology. I deliver quality work on time, on budget, ensuring that your projects remain on schedule. I am a motivated self-starter, but I also can work comfortably in a team environment. 

Data base programming and Web. 

Javascript, Oracle and Visual Basic

Work History

Work History
Mar 2015 - Present

Claims Processor

Conifer Health Solutions/Healthcare Scouts
Accounts Receivable Clerk St. Louis Claims Processor Performs a variety of accounting and bookkeeping duties according to established policies and procedures. Maintains contact with attorneys, staff, vendors and clients and observes confidentiality of client and firm matters. Utilizes computerized accounting software programs(CMS, Excel, Word) to perform duties and responsibilities. Researches cash receipts, coding and posting of receipts. Researches and applies unallocated cash. Oversees client trust accounts, accounts receivable write-offs and payment reversals. Develops automated spreadsheets. Managed Staffing/Aetna Claims Inbound/Outbound Que Representative
Feb 2014 - Mar 2015

Claims Processor

Aerotek/Wellpoint
St. Louis Claims Processor Provide customer service support to COBRA beneficiaries, retirees, clients and internal departments. Maintain current knowledge of COBRA regulations by using available resources. Process COBRA and retiree elections when qualified beneficiaries elect coverage. Reinstate or terminate coverage in claims/prescription processing system. Processing of Medicare, Medicaid, VA, Work Comp. Notify fully insured clients and internal departments. Coordinate and update client records by processing rate changes. Health Outreach Specialist
Sep 2013 - Feb 2014

Call Center Representative

Aerotek/Express Scripts
St. Louis Call Center Representative Outbound Call Center operations. Conducting calls to members of insurance agencies helping them to maintain good health and communication. Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies and procedures. Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies. Supports and promotes Medicaid programs through participation in community events. Represents Medicaid programs in community collaborations. Supports member access to care through home visits, processing of reports, and distribution of collateral materials. Coverage Review Representative
Apr 2012 - Nov 2012

Call Center Representative

Aerotek/Express Scripts
St. Louis Call Center Representative Distributing prior authorizations for patients with insurance claims through pharmacy distributions. Handle inbound calls from physicians, physician office staff, patients & other health care providers. Determine how to triage or respond to questions. Use good judgment in referring calls of a clinical nature to a Pharmacist as defined by protocol. Handle inbound calls from patients concerning Managed Care formulary customer service issues. Adhere to scripting as defined. Make outbound calls to physician Amazon Fulfillment Reciever/Inbound Clerk Lewisberry, PA
Nov 2010 - Sep 2012

Warehouse Associate

Rosewood Care Center
Warehouse Associate Pick customer orders on all levels of a multi-level mezzanine, pack and ship orders, and troubleshoot problems to resolution. They are expected to understand all aspects of production; and adhere to strict safety, quality, and production standards. Certified Nurse Assistant Swansea, IL, USA
Jan 2010 - Apr 2010

Certified Nurse Assistant

Rosewood Care Center
Certified Nurse Assistant Carries out delegated nonprofessional nursing activities and provides general supportive care to patients under the supervision of a registered nurse to provide safe effective patient care.