Hardworking and knowledgeable Insurance processor well-versed in using insurance and personal expertise to address diverse customer concerns. Self-motivated and independent in preforming task Good conflict mediation and multitasking abilities. Versed in applying strong communication, problem-solving skills and polite, professional demeanor to resolve customer issues and maximize satisfaction. Experienced in exceeding performance goals in fast-paced call center environments. Trained in connecting with customers to build positive relationships and strengthen loyalty. Flexible Insurance Processor reports and arranging service. Well-versed in providing helpful answers and relevant information to retain clients. Compassionate Call Agent with documented strengths in building customer relationships. Caring and kind with focus on providing effective solutions to complex problems. Eager to provide superlative results for customers and employers alike.
Education and Training
: Electric And Electronic Ingeniree , Expected in - Universidad Politecnica La Salesiana - Guayas , GPA:
Certified: Medical Insurance Billing And Coding , Expected in 06/2021 - Florida Technical College - Orlando, FL GPA:
3.7 GPA
High Honors Member
Skills
Service scheduling
Personnel management
Documentation skills
Bilingual
Technical proficiency
Time management abilities
Collaboration
Fluent in Spanish and English
Accounts receivable expertise
Medical billing and collections
Claims processing
Coding proficiency
Interest calculations
General ledger entries
Revenue forecasting
Medical transport billing
Billing dispute resolution
Year-end reporting
Check processing
Payroll liabilities
Debt management
Generally Accepted Accounting Principles (GAAP)
Training experience
Customer communications
Payment processing
System documentation
Call documentation skills
Professional telephone voice
Account updating
Interpersonal skills
Call center experience
Communicating with clients
Call center operations
Medical terminology
Healthcare claim coding
Active listening
Fluent in Spanish
Computer skills
Customer service
Microsoft Office
Friendly, positive attitude
Conflict resolution
Transcribing
Basic math
Experience
Hospital Registration, 09/2019 - Current Asset Mark – Remote, OR,
Delivered clear instructions to direct patients to specific areas, including outpatient unit and cardiac care floor.
Assessed methods of payment for services, initiated processing and made referrals to specialists for financial options.
Cross-trained in Scheduling, Translation and Registration to assist during staff member absences.
Advised patients of monies required to be paid prior to services.
Thoroughly explained facility policies, prepared and distributed patient identification bands and arranged for transportation to assigned rooms.
Maintained HIPAA compliance and integrity of hospital policies and procedures.
Maintained daily calendars, set appointments with clients and planned daily office events.
Scheduled and confirmed appointments.
Verified patient information, including demographics, income and insurance for input into 1st Net and Ecare system.
Processed cash, debit and credit card payments for services rendered and printed receipts detailing services.
Managed health record database using Ecare, keeping all information confidential in accordance with federal privacy laws
Collaborated with nurses and other personnel to process patient paperwork and direct to appropriate departments.
Worked with nurses and other clinic staff to process patients and direct to appropriate departments.
Politely and personably welcomed incoming clients and offered seats prior to beginning registration process.
Explained forms and documents to patients, guardians and family members, distributing copies as needed and confirming comprehension.
Collaborated effectively with Nurses and other personnel to process Medical and insurance paperwork and direct to appropriate departments.
Responded to incoming department phone calls and directed callers to appropriate team members based on need.
Adhered to HIPAA guidelines and maintained integrity of hospital policies and procedures.
Scanned Medical documents, POA, Photo ID, including insurance cards to include in patient charts.
Kept processes moving along smoothly so that wait times were minimized to 3-4 minutes.
Provided customer service support and advice on regulations and requirements regarding various registration programs.
Asked various questions from clients to obtain the information necessary for paperwork.
Welcomed patients to facility and assisted with registration sign-in process.
Carefully checked insurance information for benefits coverage and input pre-authorization documents into system.
Maintained confidentiality of all patient information by adhering to HIPAA and facility procedures.
Registered patients for outpatient procedures and emergency services.
Sales Associate, 12/2017 - 12/2019 Maricopa County, Arizona – Phoenix, AZ,
Arranged new merchandise with signage and appealing displays to encourage customer sales and move overstock items.
Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
Sold various products by explaining unique features and educating customers on proper application.
Assisted customers by finding needed personal items and checking inventory for items at other locations.
Trained all new sales employees on effective sales, service and operational strategies to maximize team performance.
Helped average of 60 customers per day by responding to inquiries and locating products..
Collaborated with fellow sales team members to achieve group targets, frequently exceeding quotas 50% or more.
Processed orders through Atlas and coordinated product deliveries.
Offered product and service consultations and employed upselling techniques.
Kept apprised of emerging trends and provided informative customer service to assist in product selection.
Coached team members on security risks and loss prevention to aid in mitigating store theft.
Reset store displays for special events and seasonal merchandise changes.
Reduced process lags by training employees on best practices and protocols.
Recruited, hired and trained new hires to optimize profitability.
Call Center Representative, 03/2015 - 03/2017 American Call Centers – City, STATE,
Consulted with customers to determine best methods to resolve service and billing issues.
Managed customer expectations by clarifying needs, identifying options and recommending products and services.
Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
Shared detailed information regarding plan service options to help customers make decisions.
Met or exceeded call speed, accuracy and volume benchmarks on consistent basis.
Evaluated customer account information to assess current issues and determine potential solutions.
Documented conversations with customers to track requests, problems and solutions.
Pursued opportunities to advance client relations skills and further enhance customer satisfaction in every interaction.
Documented customer inquiries and feedback, including service delivery suggestions in company database.
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