Detailed Client Service Associate known for having great organizational skills. Gifted at working with all types of customers. Looking for a new role where hard work and dedication will be highly valued.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Inbound Collector
Cognizant Technologies Solutions
Orlando, FL
01.2021 - Current
Handle, manage, and maintain case load of up to 100 assigned claims.
Implemented basic troubleshooting and support techniques to enable speedy resolution of callers' issues.
Asked probing questions to determine service needs and accurately input information into electronic systems.
Document and communicate all claim activity in EPIC and internal portals.
Benefits Verification Specialist
Amerisource Bergen -Lash Group
Orlando, FL
11.2020 - 12.2020
Facilitated timely verification of insurance benefits and financial clearance.
Verified and obtained required referral, authorization, or pre-certification prior to services being provided.
Coordinated benefits processing, including enrollments, terminations and claims.
Prior Authorization Specialist
CMT Solutions
Orlando, FL
03.2020 - 10.2020
Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
Coordinated resolutions for issues and appealed denied authorizations.
Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
Medical Biller
MH Geriatrics
Orlando, FL
10.2018 - 09.2020
Reviewed account information to confirm patient and insurance information is accurate and complete.
Verified accuracy of billing data and revise any errors.
Checked claims coding for accuracy with ICD-10 standards.
Enrollment Representative/Intake
BioPlus
Altamonte Springs, FL
07.2018 - 10.2018
Identified consumer needs, clarified information and researched issues to provide alternative solutions.
Worked effectively with cultural, economically, and educationally diverse population
Forwarded calls to management if outstanding issue required immediate resolution.
Medical Coding Analyst
WellMed Medical Management - United Health Group
Winter Park, FL
06.2017 - 07.2018
Coded medical claims to obtain reimbursement from various insurance companies and governmental health programs.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Maintained high accuracy rate on daily production of completed reviews.
Education
Associate of Applied Science - Health Information Technology
Plaza College
Forest Hills, NY
06.2015
Some College (No Degree) - Medical Assisting
Valencia College
Orlando, FL
Skills
Transaction Processing
Multitasking and Prioritization
Courteous with Strong Service Mindset
De-escalation Techniques
Issue and Complaint Resolution
Product Recommendations
Regulatory Compliance
Certification
Register Behavior Technician (RBT) Training - 2023
Project Management, gener8tor Skills Central Florida Program - 2023
Timeline
Inbound Collector
Cognizant Technologies Solutions
01.2021 - Current
Benefits Verification Specialist
Amerisource Bergen -Lash Group
11.2020 - 12.2020
Prior Authorization Specialist
CMT Solutions
03.2020 - 10.2020
Medical Biller
MH Geriatrics
10.2018 - 09.2020
Enrollment Representative/Intake
BioPlus
07.2018 - 10.2018
Medical Coding Analyst
WellMed Medical Management - United Health Group
06.2017 - 07.2018
Associate of Applied Science - Health Information Technology
Networking & IT Infrastructure at Cognizant Technologies Solutions India Pvt LtdNetworking & IT Infrastructure at Cognizant Technologies Solutions India Pvt Ltd
Process Specialist-Voice Programmer Analyst at Cognizant Technologies SolutionsProcess Specialist-Voice Programmer Analyst at Cognizant Technologies Solutions