Alexandra Villegas
Detroit,MI
Summary
Dedicated customer service representative with extensive industry experience, recognized for exceptional rapport-building skills and a positive demeanor. Proven ability to enhance customer satisfaction and drive company success through effective communication and teamwork. Passionate about cultivating partnerships and fostering business growth in dynamic environments.
Overview
6
6
years of professional experience
Work History
Patient Referral Coordinator
Community Health and Social Services
Detroit, MI
06.2022 - Current
- Utilized various software programs such as Microsoft Office Suite and Electronic Medical Records systems.
- Ensured compliance with HIPAA regulations when handling patient information.
- Assisted patients with navigation of complex healthcare systems, providing guidance on insurance and specialist services.
- Delivered exceptional customer service experience to external clients and internal teams.
- Coordinated with healthcare providers to verify patient insurance coverage and obtain necessary pre-authorizations for treatments.
- Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
- Coordinated with insurance companies to confirm patient coverage and process claims.
- Collaborated with internal departments such as clinical staff, billing department and health insurance companies to ensure efficient processing of referrals.
- Reviewed patient records and medical history prior to making any recommendations or decisions related to referral requests.
Customer Service Representative
Community Health and Social Services
Detroit, MI
01.2021 - 06.2022
- Delivered outstanding customer service both face-to-face and via phone promptly.
- Applied HIPAA privacy and security regulations while handling patient information.
- Optimized patient satisfaction by effectively managing patient flow.
- Verified patient eligibility for benefits according to healthcare policies and procedures.
- Assisted patients in completing consent documentation and essential medical forms.
- Managed numerous inbound calls, delivering outstanding service to patients and their families.
- Drove revenue growth through effective management of special orders received personally or telephonically.
- Coordinated appointment schedules across departments to enhance patient care.
- Executed data entry tasks to maintain accurate patient accounts.
Healthcare Supervisor
Passion Care Services
Riverview, MI
09.2018 - 09.2020
- Monitored the performance of healthcare personnel to ensure compliance with regulations and standards.
- Recruited, hired and trained new medical and facility staff.
- Assisted in developing nursing protocols for patient care.
- Answered questions from family members regarding patient care.
- Collaborated with physicians to ensure optimal patient care.
- Communicated effectively with nursing staff regarding patient care plans.
- Documented patient care in the electronic health record.
- Provided patient care according to established protocols and guidelines.
Education
CNA Certificate - Medical
Healthsolutions
Allen Park08-2017
High School Diploma -
Cesar Chavez Academy
Detroit06-2016
Skills
- Exceptional customer support
- Bilingual Spanish and English
- Experience in a virtual environment and in the office
- Data entry proficiency
- Excellent grammar and punctuation
- Software navigation
- Microsoft exchange
- Maintaining confidentiality
- Follow-up coordination
- Patient relations
- Critical thinking skills
- HIPAA compliance
- Filing and recordkeeping
- Customer service
- Microsoft Word mastery
- Medical terminology
Languages
Spanish
Native/ Bilingual
English
Native/ Bilingual
Timeline
Patient Referral Coordinator
Community Health and Social Services
06.2022 - Current
Customer Service Representative
Community Health and Social Services
01.2021 - 06.2022
Healthcare Supervisor
Passion Care Services
09.2018 - 09.2020
CNA Certificate - Medical
Healthsolutions
High School Diploma -
Cesar Chavez Academy