Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking opportunities to expand skills while facilitating company growth with a detail-oriented mentality and ethical nature.
Skills
Microsoft Office Suite (10+ years)
Customer Service Skills (7 years)
Cash Management (5 years)
Hospitality (5 years)
Office Administration (3+ years)
Multi-Line Telephone Systems
Medical Terminology (2+ years)
Data Entry (2 years)
Schedule Appointments (1 year)
Payment Processing (2 years)
Administrative Experience (4 years)
Clerical Experience (3 years)
HIPAA Compliance
Documenting and Recording Information
Caring and Empathetic
Verbal and Written Communication
Benefits Administration (1 year)
Patient Care (2 years)
Epic (1 year)
Salesforce
New Hire Training
Insurance Verification
Experience
07/2022 to Current
Consumer Access Specialist-PreAccessNorthwell Health – Uniondale, NY,
Obtained necessary signatures for privacy laws and consent for treatment.
Corrects demographic, insurance, or authorization related errors and pre-bill edits
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards .
Obtains pre-authorizations from third-party payers in accordance with payer requirements and within established timeframe before scheduled appointments and during or after care for unscheduled patients.
Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries
Minimizes duplication of medical records by using problem-solving skills to verify patient identity through demographic details
Registers patients for all services and achieves the department specific goal for accuracy
Attempts to collect patient cost-sharing amounts and outstanding balances before service.
Payment Management; Patient Data Collection; Insurance Verification/Authorization:
02/2018 to Current
E Band OfficerWestern Dental – Huntington Park, CA,
Responsible for the safety of passengers traveling through Orlando, Florida
Successfully manage and direct large groups of passengers during the highspeed and sometimes high- stress environment of security screening
Conduct screening of passengers, baggage, and cargo to ensure compliance with Transportation Security Administration (TSA) regulations
Searched individuals and baggage for weapons and other prohibited items.
Guarded restricted areas to prevent unauthorized entry.
Utilized metal detectors, wands and X-ray screening machines to perform thorough check of individuals, belongings and cargo.
Used x-ray scanners to check luggage and carry-on items for unauthorized materials.
Watched each individual to assess demeanor and look for suspicious behavior.
Communicated with other screening staff to promptly call attention to potential or active safety problems.
Responded to emergency situations quickly to minimize risk and injury.
Inspected carry-on items through x-ray viewing equipment to determine whether content included objects warranting further investigation.
10/2021 to 03/2022
Radiology Imaging SupportViejas Enterprises – Alpine, CA,
Sorts, filters, opens and closes images from a patient list within a distribution median and/or an archive
Scans, transmits, archives, and manipulates film images whenever needed
Opens, reads and burns images to a CD for patient or physician release
Performs data integrity and validation of transferred/copied images to ensure no data loss has occurred
Learns and maintains proficiency in all existing and new image and data retrieval and distribution medians such as RIS, HIS, PACS, CR and Image Workstations
Maintains thorough knowledge of policies, system problem resolution techniques, and system downtime processes
Understands departments and hospital systems and operations, how they correlate and interface to other services and systems provided by OH and other facilities and the impact on our customers
Resolves conflicts within the team and provides service recovery for our customers
Understands HIPAA regulations and applies such concepts as applicable to the exchange of confidential information
May be required to perform basic systems administration functions such as calibration and action log analyses
When needed, will be required to become an active team leader in order to maintain constant work- flow and team cohesiveness.
08/2020 to 03/2021
Clinical Pharmacy SpecialistTotalMed Staffing-REMOTE – City, STATE,
Primarily made inbound/outbound calls to provide information about prior authorization and faxes
Maintain documentation of status within multiple computer programs simultaneously
Maintain ongoing communication with providers regarding the status of claims
Utilized Microsoft office (word and excel) to track data
Maintained demographics obtained through phone calls in a database
responsible for the pharmaceutical care of patients within a patient care team, as well as drug therapy, control/analysis of prescriptions, drug monitoring, and remediation of any adverse side effects.
Worked with pharmacy technicians to expedite urgent requests.
Answered patient questions and data requests.
10/2018 to 02/2019
Patient Care CoordinatorAerotek-Contract – City, STATE,
Respond to incoming calls from current patients and prescribers’ offices, as primary representative, to process medication refills and schedule delivery to ensure continuity and maintenance of therapy
Provide status updates to prescribers’ offices and manufacturer offices, while alerting necessary areas of the pharmacy
Multitask answering inbound calls and running test claims to determine patient copay amounts
Utilize personal effectiveness and effective listening to quickly assess caller’s needs and use critical thinking skills to determine best resolution
Contact patients to schedule delivery of medications in keeping with their requirements or to communicate refill denials and encourage follow up contact with their prescription provider
Follow up on failed attempts to contact patients and providers to schedule medication deliveries and re-attempt contact, maintaining attention to details and avoid delays or interruptions in therapy
Facilitate communication between internal team, patients and prescribers’ offices to support patients, status updates, template letters, notifications of triage
Document case activity, communications and correspondence in computer system to ensure completeness and accuracy of patient contact records
Verify current active insurance with a paid claim before scheduling shipment
Contact patients insurance when needed
07/2017 to 12/2018
Premier Support TechnicianAsurion – City, STATE,
Provide exceptional customer service and technical expertise on the phone or throughout messages throughout the website,chat, and email
Work one on one with customers walking them through their technical problems and finishing the solutions
For example with iOS and android devices.
Supported customers having data connectivity issues, assisting with troubleshooting steps and rebooting of hardware.
Responded to support tickets within established timeframe to improve customer service.
Supported customers with online billing, access and account issues.
Used remote login tools to assist clients with technical and product questions.
Demonstrated advanced product knowledge to solve customer issues.
Stayed abreast of latest software developments to enhance job knowledge.
01/2017 to 08/2017
Reservation AgentBluegreen Vacations – City, STATE,
Answer inbound reservation calls
Utilize exemplary sales techniques
Provide outstanding service to all guests / Process guest requests,
Meet booking conversion rates, sales quotas and other performance metrics
Sell enhancements and upgrades where applicable
Problem solving and guest de-escalations
Deliver prompt and professional solutions for customer inquires via direct contact, phone, email and
online chat
Responds to customer inquiries/concerns by understanding inquiry; reviewing previous inquiries and
responses; interact with contracted vendors, hotel/resort staff, etc to gather and research information;
assembling information; verifying customer's understanding of information and implementing a prompt
solution
11/2015 to 02/2017
Tier II Technical Support/ MentorConvergys Paypal Corp – City, STATE,
Ensure service delivered to our customers meets contractual Key Performance Indicator (‘KPIs’)
Clarify customer requirements; probe for understanding, use decision-support tools and resources to
appropriately provide resolution to the customer
Listen attentively to customer needs and concerns; demonstrate empathy while maximizing
opportunity to build rapport with the customer
Greet customers in a courteous, friendly, and professional manner using agreed upon procedures
Maintain basic knowledge of client products and/or services
Prepare complete and accurate work including appropriately notating accounts as required
Participate in activities designed to improve customer satisfaction and business performance
May offer additional products and/or services
Track, document and retrieve information in call tracking database
May respond to customer inquiries by referring them to published materials, secondary sources or
more senior staff
-Process payments
-obtaining customers credentials and financials
Mentor new hires
03/2015 to 07/2016
Park OperationsSea World – City, STATE,
Loaded and unloaded guests from attractions quickly and efficiently to enhance flow of guests through attraction.
Served guests with enthusiastic, helpful demeanor to promote positive, memorable experiences.
Handle money
Answered guest queries and satisfied customer concerns to improve overall customer satisfaction.
Guided guests into following protocols to maintain safe environment.
Directed guests to other attractions, locations and events throughout park.
Education and Training
Expected in 06/2016
: Medical Assistant Florida Technical College - Orlando, FL GPA:
Expected in 01/2013
High School Diploma: St. Croix Educational Complex High School - Kingshill, VI GPA:
Certifications
Typing Certificate Present
Cosmetology
OSHA Certified Present
CPR/First Aid/AED
Food Handler Certification
Additional Information
Flexible Availability
, Authorized to work in the US for any employer
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
