Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Patient Services Representative
American Health Connections
Remote, FL
06.2025 - Current
Provides patients with full-service, virtual central scheduling and communications services.
As a Patient Care representative, I handled 100+ calls a day assisting patients with their medical request
The Patient Services Representative is assigned to a team that supports a medical health system client.
Proficient knowledge of Microsoft Office Suite is required
Senior Administrator Benefit Claims
Metropolitan Life Insurance Company
Remote, FL
02.2023 - 12.2024
Utilizing fed data from sources including Electronic Death Match (EDM), customer/client referrals and online search engines, to validate the passing of qualifying participants (I.E: annuitants, joint annuitants, and beneficiaries) – for proper disbursement of annuity-based death benefits
Performing extensive research on all corresponding systems of records to identify forms of annuity, overpayments (if applicable), contract exceptions for appropriate benefit determination
Curating appropriate claim benefit packages to be mailed to the designated payee(s), estate and representatives whilst following all compliance requirements
Maintaining individual performance metrics to ensure overall team productivity
Follows Team protocols by adhering to the Match Validation procedures to determine if a death notification is a RIS customer and Benefit Determination procedures to confirm when a benefit is owed
Properly use the Benefit Claim Services checklist and update Status Code in ACE and PCTS to determine correct benefit determination
Maintain an error ratio of 5% or less monthly
Review rejection transactions daily and reprocessed to prevent financial
Working independently, perform complex tasks around core processing and administrative functions of the business unit
Maintain high standards of accuracy and data integrity
Execute special projects assigned by management within the allotted
Managed 80% of customer orders and inquiries through various channels, including phone, email, and in-person communication, prioritizing high-quality service delivery
Travel Site Specialist
Curative Inc.
Tampa, FL
01.2020 - 07.2022
Manage Field Operations Specialists at a particular testing site
Supervise the team, including scheduling and documenting performance
Answering and handling patient information (HIPAA) Ensure proper wear of PPE for employees
Manage accountability and inventory of test kits to ensure on-time deliveries
Work with the recruiting team, Training Managers and HR to schedule testing and training for new employees
Track and report key data points to Field Ops Manager at various locations throughout the region
Troubleshoot multiple issues as they arise & work on finding more efficient solutions
Maintain, clean and sometimes drive van to daily location (van operations only)
Conduct training of testing site staff on how to use Curative Inc. test kits and software (alongside assistance of the Training Team)
Conducts customer service training & proper wear of PPE to new employees
Ensure test sites have all test kits and PPE equipment to run operations
Manage accountability and inventory of test kits to ensure on-time deliveries Perform other duties as assigned
Assisted over 100+ customers per day in a fast-paced, back-to-back call environment, demonstrating energetic engagement
Patient Care Representative
Hillsborough County Schools
Tampa, FL
03.2020 - 07.2020
Managed a high inbound call volume in a timely manner by accurately obtaining patient demographic information and anything else for processing referrals/authorizations
Contracted to Hillsborough County to assist with COVID-19-related efforts, March 2020 – June 2020.
Provided any Covid-19 questions about testing sites, updated county information, or General questions the community had
Submitted patients' demographics into the online scheduling form for multiple testing sites.
Contacted patients with test results.
Entered lab Quest Requestions at the Covid-19 call center
Medical Administrative Assistant/Patient Care Representative
Tampa General Hospital
Tampa, FL
09.2017 - 09.2019
Verified patient benefits and processed authorizations for medical procedures and referrals.
Scheduled appointments and addressed patient inquiries to ensure seamless service delivery.
Collaborated with insurance providers to resolve eligibility and claim-related issues.
Answered phones and direct calls to appropriate physicians, clerks, accountants, insurers, and support staff.
Solved and answered patients’ concerns promptly and efficiently and communicated patient requests and/or problems to manager when needed.
Contracted to Hillsborough County to assist with Covid-19 related efforts, March 2020-June 2020
Verified patient eligibility for Covid-19 testing and obtained symptom information.
Managed high inbound call volume in appropriate time.
Managed call volume by accurately obtaining patient demographic information.
Provided any Covid-19 questions about testing sites, updated county information, or General questions the community had
Submitted patient demographic into online scheduling form for multiple testing sites
Contacted patients with test results
Entered Labs Requisitions for Quest at the Covid19 Call Center
Customer Service Representative, Benefit Claims
Medical Assistant
Convenient Medical & Health Services, INC
Tampa, FL
05.2014 - 08.2014
Supported clinical operations by collecting and verifying patient data for health services.
Performed scheduling for patients, insurance verification, and administrative support tasks.
Education
Certified Medical Assistant -
Concorde Career Institute
Tampa, FL
06.2014
High School Diploma -
Leto High School
Tampa, FL
05.2005
Skills
Advanced proficiency in MS Office (Word, Excel, Outlook)
Data Entry & Analysis
ICD-9 and CPT Coding Knowledge
EHR/EMR Systems
Strong Verbal and Written Communication
Call center management
Problem solving
Certification
CPR & AED Certified
HIPAA/OSHA Compliance
Timeline
Patient Services Representative
American Health Connections
06.2025 - Current
Senior Administrator Benefit Claims
Metropolitan Life Insurance Company
02.2023 - 12.2024
Patient Care Representative
Hillsborough County Schools
03.2020 - 07.2020
Travel Site Specialist
Curative Inc.
01.2020 - 07.2022
Medical Administrative Assistant/Patient Care Representative