Dedicated professional with over 15+ years of experience in office settings providing exceptional clerical and operational support. Ability to thrive in team-based or independently-motivated settings. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team.
Skills
Status meetings
Accurate recordkeeping
Program follow-up and assessment
Ongoing client support
MS Office expertise
Patient relationship management
Document management
Care planning
Program coordination
Interdisciplinary teamwork
Insurance billing
Invoice generation
Problem resolution
Team building
Customer service
Communications
Administrative support
Experience
06/2016 to 04/2021
Service CoordinatorAgreeya Solutions – Norristown, PA,
Maintain confidential member documentation to prevent data compromise and comply with HIPAA regulations.
Educate Legal Advocates/ Guardians/Member on various resources, services and programs to maximize care.
Establish and maintained quarterly contact with members' or designated family members and complete Outreach screenings to check on member for changes to medical conditions.
Coordinate services for multiple individuals and families.
Identify and contact appropriate community resources on behalf of members.
Solicit feedback from staff and volunteers to improve existing programs.
Identify gaps in current services and develop relationships with potential providers, including charitable organizations, schools and government agencies.
Built and maintain strong relationships with members and families by successfully resolving issues and responding promptly to phone inquiries to deliver high level of service or care.
02/2014 to 05/2016
Customer Service RepresentativeRich Products Corporation – Houston, TX,
Assisted approximately 60+ members each day with health plan insurance questions.
Answered 60+ inbound calls per day and directed to designated individuals or departments.
Answered customer questions and addressed concerns, resulting in 90% reduction in complaint calls.
Delivered high level of service and support to each member by asking probing questions
Applied cultural knowledge and interpersonal abilities to help members open up and explain concerns.
Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
Documented conversations with members (LAR) to track requests, problems and solutions.
Handled over 30+ translation calls per day with open and clear communication skills useful for efficiently getting to root of each issue.
Consulted with members regarding Driscoll Health Plan needs, addressing benefit concerns.
Provided detailed monthly departmental reports and updates to senior management.
08/2010 to 01/2014
Billing CoordinatorAnalysis Group – Boston, MA,
Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
Kept up-to-date with details of insurance plans and company requirements.
Prepared accounts for financial audits and supported audit process.
Submitted appeals on behalf of patients for denied claims.
Reported past due payments to collections department.
Input details into accounts and tracked payments.
Responded to telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
Completed documentation, reports and spreadsheets of financial information.
Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
Gathered information to produce accounts payable reports for review.
Maintained accounting ledgers by verifying and posting account transactions.
Facilitated payment of invoices due by sending bill reminders and contacting patients
03/2005 to 07/2010
Patient CoordinatorUniversity Of Utah Medical Group – Park City, UT,
Attended educational workshops and classes to increase professional knowledge and expertise.
Collaborated with interdisciplinary healthcare professionals to develop and modify individualized care plans for patients in multiple units.
Coordinated care for patients, including overseeing admission processes and managing patient flows.
Provided daily, structured routines for senior patients to reduce stress and anxiety.
Performed comprehensive patient assessments and interviewed patients to compile medical histories.
Ensured patient files were pulled and insurance verified before patient's appointment.
Education and Training
Expected in
: Medical Office Specialist Careers Centers of Texas - Corpus Christi, TX, GPA:
Expected in 06/1995
High School Diploma: Robstown High School - Robstown, TX, GPA:
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