Camila Morales
Tampa,FL
Summary
As a meticulous professional, I dedicate myself to enhancing organizational results through the vigilant oversight of performance initiatives. My specialization lies in the strategizing, implementation, and improvement of processes, especially focusing on Quality Assurance procedures aimed at elevating quality standards.
Overview
14
14
years of professional experience
Work History
Associate Clinical Administrative Coordinator
Optum
05.2023 - Current
- Effectively managing a large number of outbound calls to arrange in-home visits with physicians or nurse practitioners for valued members via an auto dialer system.
- Ensuring accuracy of member demographic information and collected supplementary member data using specific plan scripting.
- Accurate scheduling of appointments in accordance with department guidelines.
- Achieving customer satisfaction by resolving issues and providing assistance.
- Provided training to colleagues on QA guidelines and accuracy standards.
- Maintaining confidentiality of client data in accordance with HIPPA privacy standards.
- Streamlined communication by quickly and accurately routing calls to the right department if needed.
Health Assesstment Coordinator
Healthsun
10.2022 - 04.2024
- Ensured HIPPA compliance in healthcare settings, implementing privacy and security protocols to protect patient data.
- Confirmed accurate eligibility with members in consultation with case managers.
- Demonstrated expertise in adapting assessment tools for phone based interviews, ensuring accurate and comprehensive assessments.
- Conducted member assessments and referred individuals requiring additional support to case management services.
Bilingual Collections Specialist
T-Mobile
Tampa, FL
04.2015 - 03.2024
- Utilized strong communication skills to address inquiries, resolve issues, and provide excellent customer service.
- Processed customer payments via various payment methods (e.g., credit cards, checks, online payments).
- Set up and managed payment arrangements, including payment plans and schedule.
- Resolved payment discrepancies and addressed customer concerns.
- Demonstrated attention to detail and accuracy in processing payments and managing financial data.
- Utilized software systems and tools to process payments and manage payment information
Bilingual Intake Coordinator
SET
Tampa, FL
03.2019 - 10.2022
- Effectively handled communication through inbound and outbound calls with members and claim adjusters.
- Simplified communication by providing simultaneous over-the-phone translation and recording statements.
- Arranged transportation services for members to ensure access to healthcare appointments and services.
- Coordinated translation services to facilitate communication between members and healthcare providers.
- Demonstrated strong communication skills, coordinating with medical offices and members to schedule appointments and resolve any issues.
Concierge Specialist
Global TPA
Tampa, FL
09.2013 - 12.2014
- Verified patient eligibility and benefits for medical services and procedures.
- Determined patient responsibility, including copayments, coinsurance, and deductibles.
- Researched and resolved eligibility and benefits issues.
- Utilized insurance verification software and systems to confirm patient coverage.
- Communicated benefits and eligibility information to patients, providers, and internal teams.
Sales Representative
Latinos Connection
Tampa, FL
02.2010 - 12.2014
- Emphasizing the ability to provide excellent customer service, including responding to customer inquiries, resolving issues, and building relationships.
- Coordinated and processed international money transfers via various payment systems (e.g. SWIFT, ACH, Wire).
- Ensured compliance with regulatory requirements and anti-money laundering (AML) regulations.
- Conducted currency conversions and calculated exchange rates.
- Utilized software systems and tools to manage and track international payments.
- Collaborated with banks, financial institutions, and customers to facilitate seamless transactions.
Education
High School Diploma -
Alonso High School
Tampa, FL05-2009
Skills
- Native-level understanding of Spanish grammar and syntax
- Attention to detail and accuracy
- Rapid adaptation to new technologies, processes, and systems
- Ability to absorb and apply new information quickly
- Strong aptitude for learning and mastering new skills
- Adaptive thinking and problem-solving
- Ability to learn from mistakes and apply lessons to future situations
- Eager to learn and take on new challenges
- Excellent active listening
- Multitasking and Organization
Timeline
Associate Clinical Administrative Coordinator
Optum
05.2023 - Current
Health Assesstment Coordinator
Healthsun
10.2022 - 04.2024
Bilingual Intake Coordinator
SET
03.2019 - 10.2022
Bilingual Collections Specialist
T-Mobile
04.2015 - 03.2024
Concierge Specialist
Global TPA
09.2013 - 12.2014
Sales Representative
Latinos Connection
02.2010 - 12.2014
High School Diploma -
Alonso High School
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