Dependable industry worker equipped for fast-paced work and changing daily needs. Serves customers effectively with attention to detail and hardworking approach. Seeks out opportunities to go beyond basics, improve processes, and increase customer satisfaction.
Overview
10
10
years of professional experience
Work History
Patient Access Representative
Conifer Health Solutions LLC
09.2022 - Current
Stayed calm under pressure to and successfully dealt with difficult situations.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
Providing excellent customer service by promptly answering patient inquiries.
Claims Representative
Sedgewick CMS
02.2021 - 10.2021
Followed up with customers on unresolved issues.
Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
Analyzed and addressed escalated claims to resolve issues quickly.
Updated claims system to track claim status and provide relevant information to other department.
Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
Maintained accurate and up-to-date records of claim information for future reference.
Department Manager
Walmart
05.2014 - 01.2021
Engaged customers in friendly conversation and effectively implemented suggestive selling techniques
Documented department activities through logs, reports, and [System] updates
Coordinated smooth department receiving, inventory storage, and product management
Handled personnel issues in-person through effective motivational and disciplinary strategies
Implemented and improved merchandising strategies to achieve department sales goals
Taught employees to provide prompt and courteous service and how to handle many situations without input
Organized smooth responses to store, employee, and medical emergencies during business operations
Trained employees in department policies and procedures, as well as sales techniques and customer service strategies
Championed customer service standards to consistently meet targets
Inspected department daily to verify team conformance with policies and expectations
Stocked, rotated, and marked product to maintain displays and promote sales
Resolved escalated issues with positive approach, persuasive communication skills, and effective conflict management strategies
Reported losses, employee behavioral issues, customer complaints, and other significant issues to upper-level management
Developed employees to improve their knowledge bases, increase team value and improve leadership potential
Established clear objectives and set effective policies to achieve each target with minimal waste.
Receptionist
A plis tile
01.2014 - 01.2016
Greeted guests promptly and consistently set professional tone with friendly assistance
Updated business website pages and social media profiles with current operations information
Used clerical abilities to support needs of office staff and back up administrative team members
Shared information about office hours, procedures, and requirements to resolve walk-up and telephone questions
Accepted incoming mail and packages and routed to appropriate staff
Helped gather supplies and set up spaces to coordinate meetings and office events
Stayed on top of the whereabouts of all staff members throughout the day
Supported the work of office staff by providing skilled clerical assistance
Resolved guest and staff issues independently by using strong organizational, conflict management and decision-making abilities
Answered telephone calls to provide information, take messages and set up appointments.