Diligent and dependable professional experienced in customer service and data management, with a proven track record of maintaining high standards of customer service and data integrity. Skilled in database maintenance, possess extensive healthcare knowledge, and proficient in member retention strategies. Known for being highly organized, proactive, and punctual, with a strong team-oriented mindset.
Overview
10
10
years of professional experience
Work History
Member Service Associate
American Podiatric Medical Association - Bethesda,
Bethesda, Maryland
06.2021 - 02.2024
Developed strong working relationships with existing members to build loyalty.
Provided guidance to junior team members when needed.
Resolved customer queries related to database issues promptly and accurately.
Monitored performance of queries and tuned them as needed using Explain Plan tool.
Utilized SQL queries to extract relevant data from databases for report generation.
Scheduled meetings to address exception reporting issues and solutions.
Developed new reports, updated existing reports and created routine reports based on defined requirements.
Completed daily reports.
Reviewed and updated maintenance data to ensure accuracy of information.
Responded promptly to member questions regarding services offered by the organization.
Imported, Exported and maintain external source data.
Maintain selected committee roster and reporting.
Serve as point of contact for all membership administrative initiatives for components ,affiliates and related organizations.
Administrative Support Staff
Conifer Health Solutions
Annapolis, Maryland
12.2018 - 01.2020
Accurately, timely process incoming medical documentation that support medical necessity for authorization process
Upload documentation to authorization and notify nursing staff of incoming medical records
Communicate with nurses via email to inform them when an urgent authorization is being escalated
Verify demographics before uploading authorization
Maintain record of daily authorization on an Excel spreadsheet.
Patient Service Coordinator lead
Righttime Medical Care
03.2016 - 08.2018
Assisted the clinical staff in maintaining efficient Care Center workflow by directing patients to assigned rooms
Managed daily verification of patient's eligibility of coverage with insurance policies, HIPAA, and OSHA-certified
Completed daily deposit, reconciliations, and bookkeeping
Maintained an open and clear communication with the medical staff in care centers and corporate office personnel
Maintained highest level of customer service, ensuring a memorable, positive family-oriented attitude, guaranteeing reliability and networking with patients and the community.
Patient Representative
Annapolis Pediatrics
Annapolis
08.2017 - 07.2018
Met and greeted patients upon arrival
Answered and screened telephone calls in a professional manner and effectively communicated with patients
Maintained patient accounts by collecting and updating personal and financial information
Collected all co-payments and balances at time of service
Proficient use of the E.H.R
Assisted with managing the appointment schedule and provided updates to the provider or patient regarding possible delays
Responded to miscellaneous patients inquiries (form completion, prescription requests, or medical record requests)
Handled general office duties such as retrieving messages from voicemail
Followed processes to route messages to appropriate dept
Maintained fax server, generated excuse notes for patients
Scanned documents for patient’s E.M.R and task documents to appropriate provider
Carried out any administrative task assigned by Practice Manager or Provider
Participated in department meetings and daily huddles
Followed HIPAA guidelines in maintaining patient confidentiality and Code of Conduct Policy.
Sales Representative
Lord And Taylor
11.2013 - 04.2018
Explained multiple lines of products to customers while gaining their understanding of the purchase and care of their merchandise
Engaged with and listened to customer's needs, ensuring proper client service was met to satisfaction with focus on repeat business
Effectively communicated with marketing and administrative teams on a daily basis to provide a lasting customer experience
Maintained sales floor presentation and restocking, also monitored cash transactions to maintain compliance with accounting procedures
Helped drive sales goals and achieve monthly quotas.
Education
General Studies, Business Administration -
Prince George's County Community College
05.2009
Skills
Member Retention
Customer Service
Database Maintenance
Healthcare Knowledge
Database Management
SALES FLOOR
HIPAA
Leadership
OSHA Certified
Timeline
Member Service Associate
American Podiatric Medical Association - Bethesda,
06.2021 - 02.2024
Administrative Support Staff
Conifer Health Solutions
12.2018 - 01.2020
Patient Representative
Annapolis Pediatrics
08.2017 - 07.2018
Patient Service Coordinator lead
Righttime Medical Care
03.2016 - 08.2018
Sales Representative
Lord And Taylor
11.2013 - 04.2018
General Studies, Business Administration -
Prince George's County Community College
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