Dedicated Customer Support Specialist with over 10 years of experience in healthcare environments, recognized for exceptional communication and organizational skills. Demonstrated expertise in utilizing CRM tools to effectively manage customer interactions, resulting in improved resolution times and heightened user satisfaction. Committed to fostering positive relationships while optimizing service delivery and operational efficiency.
Overview
12
12
years of professional experience
Work History
Patient Care Navigator/Referral Management Clerk
Novant Health
Charlotte, NC
08.2018 - Current
Managed referrals for 60 to 90 patients daily, ensuring timely scheduling and follow-up care, enhancing patient satisfaction by 80%.
Created and implemented a system for tracking referrals, follow-ups, and outcomes.
Communicated with physicians, specialists, and insurance companies to obtain necessary authorizations and approvals, reducing referral processing time by 50%.
Maintained accurate and up-to-date records in Epic, improving data accuracy and accessibility.
Served as an advocate for vulnerable populations ensuring access to necessary services is not denied due to lack of financial means or language barriers.
Verified patients' insurance and payment methods during admissions or check-in processes.
Stayed current on community-based resources and services useful to patients.
Performed follow-up calls or visits with patients post discharge from hospital or clinic settings to assess recovery status.
Patient Service Specialist
Ortho Carolina
Charlotte , NC
05.2016 - 07.2018
Handled specialized and escalated calls related to patient accounts, insurance companies, and financial accounts, ensuring accurate daily resolutions, and enhancing patient satisfaction by 20%.
Assisted patients in navigating complex healthcare systems, including insurance and treatment options, reducing referral processing time.
Assisted in resolving billing disputes between providers and insurance companies and patients.
Instructed patients on policies and required actions for different types of appointments and procedures.
Screened patients for eligibility for state, local and federal assistance programs.
Applied general knowledge, front-desk administration skills and clinical skills to patients in hospital, improving response to issues.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Collaborated with insurance companies to resolve billing discrepancies and pre-certification issues.
Educated patients on available payment plans and financial assistance options.
Enhanced tracking of client communications with CRM software.
Medical Billing Lead
Regional Group
Charlotte, NC
10.2015 - 04.2016
Managed a team of 4 billing and collections specialists to meet revenue objectives.