Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Skills
Professional Hospitality Relations
Excellent written and oral communication
Professional telephone demeanor
Medical terminology knowledge
Good communication skills
Administrative support
Creative problem solving
Strategic sales knowledge
Work History
09/2015 to Current
Self EmployedMount Sinai Medical Center Of Miami Beach – Hialeah, FL,
Established positive and nurturing bonds with school faculty to keep the line of communication open for best educational experience for children.
Multi-tasked/Organized schedules for schools, sports activities and fundraising events to maintain balance of social, physical and intellectual development, all while raising funds to improve family programs.
Supported extracurricular programs, while volunteering at schools, sporting venues, shelters, fundraisers etc. as needed to monitor and provide assistance.
Maintained CPR/AED/FIRST AID certification to provide safety for my family members.
Researched and trained in Environmental Allergy Awareness to better parent for safety of family in allergy sensitive household.
Coordinated fundraising events, overseeing management of volunteers, vendor relations and publicity to increase community outreach and awareness.
Proved successful working within tight deadlines and fast-paced atmosphere as part of team leader to improve communication with parents and coaches during season sports.(Cheer Team Mom, Dance Competitions, and Hockey Team Manager)
Collaborated with community programs to help develop social skills, structure and goals to achieve healthy and structured balance for family.
09/2007 to 09/2014
Health Insurance Claims ManagementTufts Health Plan – City, STATE,
Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
Managed modifications by detecting and correcting coding errors, decreasing error rates at high volume and speed.
Used vertex software to process insurance claims in timely and efficient rate for increase of benefit transactions on daily basis.
Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
Scanned, received and sent faxes to appropriate departments, including insurance claims, co-pay assistance information and patient documentation.
Maintained professional relations while answering calls from existing and future policyholders to answer inquiries and discuss insurance options.
Exceeded goals through effective task prioritization and great work ethic
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor
06/2005 to 08/2007
Certified Medical CoderHoly Family Hospital – City, STATE,
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Verified, coded and added modifiers to diagnoses using( HIPAA) Health Insurance Portability and Accountability Act regulations.
Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
Accurately selected proper descriptive code when more than one anatomical location was indicated.
Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
Coded (APV) Ambulatory Procedure Visit/Outpatient charts accurately and efficiently in timely manner to succeed at high rate production per hour.
Education
Expected in to to
Bachelor Of Science: Environmental Health UMASS - Lowell, MA, GPA:
Continuing education in Public Healthcare Services
Expected in to to
Associate of Arts: Liberal Arts And Sciences Middlesex Community College - Bedford, MA GPA:
Completed professional development in Science & Technology
Expected in to to
Associate of Science: Health Management And Clinical Assistance Northern Essex Community College - Haverhill, MA GPA:
Dean's List Maintained GPA 3.9 last year of program
Completed Certificate in Medical Terminology, Coding and Billing
Completed CPR/AED and First Aid Certifications
Completed full series of vaccines for clinical/hospital personnel criteria
Expected in to to
High School Diploma: Woburn High School - Woburn, MA GPA:
Relevant Coursework Completed: Business & Arts
Member of Photography Club
Volunteered with Special Education Program
Volunteered in Front Office with reception and administrative duties
Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.