April Pena-Rolon
Carrollton,TX
Summary
Healthcare professional prepared to excel in patient benefits coordination. Proven ability to navigate complex healthcare systems and enhance patient experience. Collaborative team player with results-driven mindset, adaptable to evolving needs. Specialized in patient advocacy and benefits optimization.
Experienced with client relationship management, enhancing customer satisfaction through personalized service and strategic account planning. Utilizes negotiation and conflict resolution skills to maintain and renew client contracts, ensuring alignment with business objectives. Track record of leveraging analytical insights to drive client retention and business development.
Overview
15
15
years of professional experience
Work History
Finance / Account Manager
Unique Framing by JNIA
Irving, TX
08.2022 - Current
- Managed project timelines and ensured timely delivery of framing services.
- Developed strong client relationships to enhance customer satisfaction and retention.
- Conducted regular market analysis to identify trends and improve service offerings.
- Provided strategic guidance for pricing structures, enhancing profitability margins.
- Led cross-functional teams in the execution of large-scale framing projects.
- Negotiated contracts with suppliers to secure favorable terms and conditions for clients.
Healthcare Customer Service Representative
Alight Solution
Remote
10.2020 - 08.2022
- Managed high-volume inbound calls, providing accurate information to patients and healthcare providers.
- Collaborated with healthcare teams to streamline patient referral processes and improve service delivery.
- Maintained a high degree of professionalism and empathy during difficult calls, providing emotional support to distressed patients while addressing their concerns.
- Maintained accurate patient records with diligent data entry and effective communication with healthcare professionals.
Benefits & Healthcare Support Coordinator
Texas Benefits Administrators
Remote
08.2015 - 08.2020
- Streamlined benefits administration processes for increased efficiency and reduced errors.
- Coordinated with insurance companies for accurate billing and claim processing, reducing errors and financial discrepancies.
- Analyzed patient eligibility for benefits, ensuring accurate and timely processing of applications.
- Analyzed patient benefits eligibility to ensure accuracy and compliance with regulations.
- Facilitated patient inquiries, providing timely support and resolving benefit-related issues.
Billing Support Specialist
Amazon
Remote
06.2011 - 02.2015
- Coordinated account management workflows to enhance communication between departments.
- Reduced errors in financial reporting by diligently reviewing account reconciliations and discrepancies before submission to management.
- Managed billing inquiries and resolved discrepancies to ensure customer satisfaction.
- Conducted monthly pre-billing review and data quality analysis to verify complete accuracy of invoices delivered to customers and providers.
Education
High School Diploma -
Newman Smith High School
Carrollton, TX05-2020
Skills
- Benefits Administration
- Electronic Medical records
- Insurance Verification
- Customer Service
- Inbound and Outbound Calling
- Appointment Scheduling
- HIPAA Compliance Regulations
- Call Center Experience
- Clinical Documentation
- Account management
- Data Entry and Analysis
- Billing Systems and Software
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Finance / Account Manager
Unique Framing by JNIA
08.2022 - Current
Healthcare Customer Service Representative
Alight Solution
10.2020 - 08.2022
Benefits & Healthcare Support Coordinator
Texas Benefits Administrators
08.2015 - 08.2020
Billing Support Specialist
Amazon
06.2011 - 02.2015
High School Diploma -
Newman Smith High School