Bilingual English/Spanish professional with extensive experience in customer service and office coordination, adept at managing operations and supporting team productivity. Proficient in Microsoft Excel and Word, with a strong understanding of collections processes and payment posting. Eager to leverage skills in a challenging role as a Retirement Pension.
Overview
17
17
years of professional experience
Work History
Office Coordinator
Cambio Communities
02.2024 - Current
Managing office operations, supporting staff, and ensuring a productive work environment.
Customer service greeting residents and visitors, looking to buy or rent one of our modular homes.
Assist with event planning and preparation.
Scheduling meetings between residents and managers.
Retirement Pension Representative
Trinity Health
Livonia, Michigan
11.2021 - Current
Company Overview: Livonia, Michigan
Answer all employee questions via phone and benefits-related issues promptly and professionally.
Organize and issue benefit pension packets to employees.
Retrieve employee confidential information regarding their pension.
Submit life insurance claims to Hartford Life Insurance.
Entering Power of Attorney information into employees' files.
Livonia, Michigan
Customer Service Representative
Trinity Health
Farmington Hills, Michigan
05.2019 - Current
Company Overview: Farmington Hills, Michigan
Handled 50+ customer inquiries daily in a timely, professional manner to solicit customer satisfaction by resolving issues.
Triaged phone calls and electronically referred the account to the appropriate area for resolution.
Validated and updated critical demographic and insurance data and forwarded the revised information to the appropriate department for review.
Provided excellent customer service in resolving inquiries and assisting the customers to navigate and understand their bills.
Verifying different insurances, taking payments, and setting up payment plans for the patient.
Farmington Hills, Michigan
Customer Service/Claims Representative
Net MD
Livonia, Michigan
10.2008 - Current
Company Overview: Livonia, Michigan
Reviewed, analyzed, and approved codes for diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments.
Responded to 50 or fewer inbound calls daily in a high-call volume environment.
Ensure compliance with established coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines.
Reviewed health records to identify proper relationships between procedure and diagnosis codes.
Guaranteed the physician's final diagnoses and operative procedures are valid and complete.
Collaborated with healthcare professionals to resolve discrepancies in coding practices.
Responsible for performing claims review based on medical records documentation and compliance guidelines to ensure accurate patient billing.
Coordinated and reviewed all patient accounts to ensure proper billing coding following medical guidelines and compliance rules.
Front Office Coordinator / Float at Center For Dermatology and Plastic SurgeryFront Office Coordinator / Float at Center For Dermatology and Plastic Surgery