ARIEL WALSH
New Braunfels
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
11
11
years of professional experience
Work History
Member Service Representative
Association of Certified Fraud Examiners
08.2023 - Current
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
- Processed account transactions accurately, ensuring proper documentation and timely processing.
- Responded to customer calls and emails to answer questions about products and services.
- Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions.
- Collaborated with team members to ensure seamless operations during peak hours or staff shortages.
- Learned internal systems and related service role duties to provide skilled team backup in handling customer demands.
- Partnered with other departments facilitating smooth resolution of complex cases resulting in improved member experience.
Administrative Supervisor
Unifiedhc
08.2013 - 08.2023
- Established and developed strong administrative team by delivering ongoing coaching and motivation and fostering career advancement.
- Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
- Achieved specific team objectives and collection activity.
- Recruited, hired, trained and supervised staff and implemented mentoring program that offered positive employee engagement.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
- Established and updated work schedules to account for changing staff levels and expected workloads.
- Monitored and evaluated personnel performance to complete annual reviews, recommend advancement or address productivity concerns.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Addressed questions and managed communications with patients and insurance agents.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Obtained prior authorization and precertification for outpatient procedures.
- Determined proper codes for medical records and patient services.
- Utilized Athena to manage and confirm patient data, such as insurance, demographic and medical history information.
Patient Care Taker
Home Instead Senior Care Home
07.2013 - 07.2014
- Helped clients with managed home care, ensuring efficacy of care by monitoring health status.
- Promoted development of healthy lifestyle to meet health and wellness objectives.
- Provided patients and families with emotional support and instruction in preparing healthy meals, independent living and adaptation to disability or illness.
- Coordinated daily medicine schedules and administration to help clients address symptoms and enhance quality of life.
- Provided mobility assistance such as walking and regular exercising.
- Completed entries in log books, journals and care plans to document accurately report patient progress.
- Helped patients safely transition between sleeping surfaces and mobility assistance such as wheelchairs by providing consistent support.
- Assisted patients with handling daily chores and errands by transporting to appointments, cleaning personal spaces and purchasing supplies.
- Interacted kindly with patients and families and displayed positive, outgoing attitude, resulting in establishment of long-term, professional relationships.
- Assisted patients with dressing, grooming and feeding needs, helping to overcome and adapt to mobility restrictions.
- Assisted with general household activities, such as cooking, meal preparation and grocery shopping.
- Assisted disabled clients in any way necessary to facilitate independence and well-being.
Education
High School Diploma -
Wimberley High School
Wimberley, TXEverest Institute - San Antonio
San Antonio, TXSkills
- Managed Care
- Inventory Management
- Data Entry
- Employee Performance Evaluations
- Administrative Oversight
- Schedule Management
- Coaching and Training
- Verbal and Written Communication
- Coordination of Administrative Activities
- Credit and Collections
- Customer Care
- Meeting Coordination
- Policy and Procedure Modification
Timeline
Member Service Representative
Association of Certified Fraud Examiners
08.2023 - Current
Administrative Supervisor
Unifiedhc
08.2013 - 08.2023
Patient Care Taker
Home Instead Senior Care Home
07.2013 - 07.2014
High School Diploma -
Wimberley High School
Everest Institute - San Antonio
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