Highly motivated and adaptable employee with exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Strong work ethic and experience managing customer service and claims processing for policyholders.
Overview
6
6
years of professional experience
Work History
Customer Service Representative/Remote
UnitedHealth Group
Cleveland, TX
09.2023 - Current
Answered customer inquiries and provided accurate information regarding services.
Gathered customer feedback through surveys and used the data to improve customer service.
Assisted customers with product selection, billing, and technical support.
Maintained detailed records of customer interactions, transactions and comments for future reference.
Resolved complex problems by working with other departments to provide solutions that meet customer needs.
Reviewed medical records and documents to determine coverage eligibility of claims for insurance benefits.
Performed data entry into the computer system to record information regarding claim status.
Utilized specialized software applications related to the job role.
Collaborated with other departments to resolve issues regarding incorrect data entries.
Certified Nursing Assistant
The Heights Hospital
Houston, TX
01.2023 - 09.2023
Answered signal lights, bells or intercom systems to determine resident needs.
Facilitated activities of daily living, personal hygiene management, feeding and ambulation.
Conducted routine checks on patient vitals, blood pressure, blood sugar and heart rate.
Maintained accurate, timely flow of information by completing thorough patient records and updating healthcare team on patient status.
Documented activities and recorded information in EMR system.
Rendered hands-on nursing care under direct RN supervision, adhering to medical center policies and procedures.
Input client information into spreadsheets and company database to provide leaders with quick access to essential client data.
Proofread and edited documents to correct errors.
Built and strengthened client relationships to form long-lasting, profitable bonds.
Maintained facility and patient confidentiality, complying with HIPPA policies and procedures.
Assisted patients with activities of daily living such as bathing, grooming, and dressing.
Provided basic patient care by taking vital signs, measuring height and weight, and recording intake and output.
Reported changes in patient condition to registered nurse or physician.
Medical Records, Medical Billing, Accounting Assistant
4U Clinic
Kingwood, TX
02.2020 - 12.2022
Retrieved medical charts for healthcare staff for filing in medical records.
Scanned and validated medical records for upload.
Processed and invoiced records requests from patients, providers and third parties.
Managed daily bookkeeping functions with attention to accounts receivable, accounts payable, banking reconciliation and disbursements.
Coded invoices and other records to maintain organized and accurate records.
Communicated with vendors and clients to facilitate timely payments and reduce outstanding accounts receivable.
Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Educated customers on special pricing opportunities and company offerings.
Understood and followed oral and written directions.
Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Demonstrated leadership by making improvements to work processes and helping to train others.
Prioritized and organized tasks to efficiently accomplish service goals.
Clinic Aide
Austin Elementary- Conroe ISD
08.2018 - 10.2022
Answered incoming phone calls and directed callers to appropriate departments and personnel.
Provide care to students' Pre-K-4th grade under the supervision of a Registered Nurse
Provide First Aid, emergency procedures, and administer scheduled and as needed medication as directed by the nurse
Compile, maintain, and file all physical and computerized reports Record and document medical information on E-school
Maintained a daily log of office activities; including reportable incidents, communicable disease data, and referrals to the nurse.
Maintained documents by managing files following established procedures.
Inspected and proofread documents to check accuracy.
Entered data into spreadsheets, documents and databases with high accuracy rate.
Education
CNA - Nursing
Lonestar Collage
03-2018
GED -
Lonestar Collage
01-2016
Skills
Appointment Scheduling
Call Management
Data Collection
Account updating
Information Security
Inbound and Outbound Calling
Multi-Task Management
Customer Service
Claims
Claims review
Claims Processing
Managing records
Microsoft Office
Insurance claims processing
Denied claims identification
Insurance claims cases
Insurance claims analysis
Account Management
Documentation skills
Timeline
Customer Service Representative/Remote
UnitedHealth Group
09.2023 - Current
Certified Nursing Assistant
The Heights Hospital
01.2023 - 09.2023
Medical Records, Medical Billing, Accounting Assistant
Senior Provider Relations Advocate, Account Manage at UnitedHealth Care, UnitedHealth GroupSenior Provider Relations Advocate, Account Manage at UnitedHealth Care, UnitedHealth Group
Clinical Transformation Manager at UnitedHealth Group- UnitedHealth Care DivisionClinical Transformation Manager at UnitedHealth Group- UnitedHealth Care Division