I am ambitious and always eager to learn. I am goal driven and can work in a fast paced setting while completing multiple tasks. I have years of customer service experience including interpersonal and communication skills. I have over three years of insurance, referrals, and pre-authorization services experience. I am a dedicated team player and driven for performance in all areas of the workplace. Organized with time management, and always able to learn new tasks quickly and effectively. My areas of expertise include guest/patient satisfaction, personal achievements, verbal and written communication, working calmly under pressure, and service and support.
Experience
09/2022 to Current
Referral Case ManagerInspira Health Network – Mullica Hill, NJ,
Prioritized referrals according to urgency and adhered to appropriate referral completeness and accuracy from referring physicians.
Reviewed referral details, demographics, clinical and insurance information before sending to referred specialists.
Contacted insurance companies to obtain necessary preauthorizations, notifications, and pre-certifications for patients.
Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
Assisted patients by answering questions and providing information regarding referrals.
10/2020 to Current
ServerJudicial Branch – Phoenix, AZ,
Operated POS terminals to input orders, split bills and calculate totals.
Displayed enthusiasm and knowledge about restaurant's menu and products.
Trained new employees on restaurant procedures and plating techniques.
Verified guest satisfaction with meals and suggested additional items to increase restaurant sales.
Completed opening and closing checklists to ensure smooth restaurant operations.
11/2020 to 05/2021
Financial CounselorMgm Resorts – Us, CA,
Assisted patients without healthcare coverage to find resources, services and assistance needed.
Liaised between physician, patient and insurance carrier to verify that each party had necessary information.
Advocated for patients by contacting insurance carriers and obtaining necessary benefits information.
Assigned procedure and diagnosis codes for insurance billing.
Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding and insurance purposes.
Managed and obtained insurance authorizations for patient referrals from physicians.
Collected necessary referrals and authorizations to attach to appointments for billing purposes.
10/2019 to 11/2020
Financial SpecialistReddy Ice – Dalton, GA,
Supported administrative and healthcare staff with skilled clerical assistance such as ordering supplies and organizing office inventories.
Interviewed patients to collect medical information and insurance details.
Managed physicians appointments and procedures.
Educated patients about procedures and physician's instructions.
Collected forms and copied insurance cards to coordinate patient information for billing and insurance processing.
Scheduled appointments for patients via phone and in person.
Trained new employees on scheduling, insurance verification, payments, and medical terminology.
Received and handled payments and payment processing.
Recognized by management for providing exceptional customer service.
03/2019 to 10/2019
Office RepresentativeMomofuku – Los Angeles, CA,
Cross-trained for check-in and check-out including scheduling appointments with providers and entering charges for visit.
Returned phone messages to patients within the same day and scheduled next appointments or reminded patient of future appointments.
Checked patients in for appointments and provided paperwork for the provider to receive.
Interacted pleasantly with patients and warmly greeted patients and family upon entrance to clinic.
Inputted patient data into system, updating information regularly with changes to chart.
Maintained a clean and welcoming waiting area for patients and family.
to
Retail MerchandiserCompany Name – , ,
Reorganized sales floor to promote sales, displaying high demand products in prime locations.
Placed prices and descriptive signage to enhance displays and promote items.
Greeted each customer and offered assistance in finding requested items, helping boost customer satisfaction and retention.
Calculated pricing, applied discounts and collected payments to process transactions.
Managed cash register operations using POS system and processed sales and returns.
Handled cash, check, credit and automatic debit card transactions with 100% accuracy.
Managed deposits, financial transactions and business inventory.
Skills
Leadership knowledge
Highly responsible and reliable
Multitasking
Flexible schedule
EPIC/Microsoft expertise
Patient and family focused
Staff training and development
Oral and written communication
Front desk operations
Problem solving and basic math skills
Understanding of medical terminology
Insurance precertification processes
Education and Training
Expected in
: Santa Fe College - Starke, Fl, GPA:
Completed continuing education in Medical Terminology
Becky Reddish Scholarship Recipient
Expected in 2017
High School Diploma: Bradford High School - Starke, FL GPA:
Expected in
Licensure: Skin Care Bly's School of Cosmetology - , GPA:
Activities and Honors
All honors core classes
President of school senior year including communication with leaders, faculty, support staff, and leadership of all students
Dual enrolled at Santa Fe College during high school
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