Chelsea Gonzalez
Longwood
Summary
Professional with significant experience in handling claims and ensuring efficient processing. Known for strong team collaboration and adaptability to changing needs. Skilled in problem-solving, customer service, and data analysis. Reliable and results-driven with focus on achieving organizational goals along with contributing to the growth of the organization.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Claims Coordinator (Remote)
Florida Orthopaedic Institute
02.2024 - Current
- Manage and process over 400 medical claims daily and accurately in a timely manner.
- Review insurance policies to determine coverage and resolve discrepancies.
- Communicate with internal departments to ensure proper documentation and claim resolution.
- Utilize Athena and billing systems.
- Maintain compliance with HIPAA and other healthcare regulations.
- Developed comprehensive reports outlining trends in common claim issues which allowed for proactive problem-solving initiatives.
- Contributed to departmental meetings by sharing insights gained from daily work experiences which helped improve overall team performance.
Customer Service Representative
Checkr
10.2022 - 02.2024
- Assist candidates with background check inquiries via phone and email in both English and Spanish.
- Verify candidate identities before releasing sensitive information.
- Create and manage tickets to document customer interactions.
- Follow a structured weekly schedule of tasks and deadlines.
- Collaborate effectively with internal teams to address concerns and improve service.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike..
Manager / Trainer
CKO Kickboxing
04.2019 - 07.2022
- Managed front desk operations, membership sales, and merchandise transactions.
- Trained new employees and supervised a team of 12.
- Maintained cleanliness and safety standards in the gym.
- Created and updated promotional content for the website.
- Sent weekly revenue reports and managed payroll processing.
- Taught kickboxing classes to members with a focus on proper form and safety.
Medical Translator
Behavior Medicine Analysis
02.2017 - 03.2019
- Navigated cultural nuances during translations, fostering greater understanding and empathy among healthcare providers and patients.
- Enhanced patient comprehension by accurately translating complex medical terminology and concepts.
- Maintained strict adherence to HIPAA regulations and professional ethical guidelines while handling sensitive patient information during translations.
- Maintained a clean and welcoming environment.
Education
Associate I. Occupational Studies - Medical Assistant
ASA College
New York, NY02.2023
Skills
- Microsoft office
- Excel
- Word
- Athena
- Organizational skills
- Team leadership
- Claims management
- HIPAA compliance
Certification
- Medical Assistant Degree
- AED / CPR certification
Languages
English
Native or Bilingual
Timeline
Claims Coordinator (Remote)
Florida Orthopaedic Institute
02.2024 - Current
Customer Service Representative
Checkr
10.2022 - 02.2024
Manager / Trainer
CKO Kickboxing
04.2019 - 07.2022
Medical Translator
Behavior Medicine Analysis
02.2017 - 03.2019
Associate I. Occupational Studies - Medical Assistant
ASA College
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