Christian Leonardo Cruz Fuentes
Lake Worth,FL
Overview
4
4
years of professional experience
Work History
Front Desk Receptionist
SOMA Medical Center PA
Lake Worth, FL
04.2021 - 02.2025
- Validated insurance and advised patients of benefits and coverage.
- Collected payments, processed receipts and informed policyholders of outstanding balances.
- Monitored expiration dates of existing policies and ensured timely renewals were completed accurately.
- Performed data entry into computer systems to maintain accurate records of customer information.
- Handled payment processing and provided customers with receipts and proper bills and change.
- Answered multi-line phone system and managed calls by routing to proper extensions or taking messages.
- Generated monthly reports summarizing sales activities, customer feedback surveys and other relevant data.
- Answered incoming calls, directed them to appropriate personnel and took messages.
- Maintained an organized reception area and ensured that all guests were attended to promptly.
- Transmitted information or documents to customers through email, mailings or facsimile machine.
- Preserved office security by following safety procedures and controlling access via reception desk.
- Resolved any customer complaints or issues in a timely fashion following established protocols.
- Operated telephone switchboard to answer, screen and forward calls to appropriate personnel.
Insurance Verification Specialist
SOMA Medical Center PA
Lake Worth, FL
04.2021 - 02.2025
- Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
- Implemented process improvements to enhance efficiency and accuracy of insurance verification.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Scheduled tests, lab work or x-rays for patients based on physician orders.
- Responded to patient inquiries regarding insurance coverage and billing issues.
- Updated patient and insurance data and input changes into company computer system.
- Navigated through multiple online systems to obtain documentation.
- Communicated with patients with compassion while keeping medical information private.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Developed and maintained professional relationships with insurance representatives.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Scheduled and confirmed patient appointments and consultations.
- Ordered and maintained supply inventory for medical office.
- Answered telephones and directed calls to appropriate medical or adminstrative staff.
- Coordinated with the billing department to ensure correct insurance information is applied to claims.
- Participated in training sessions on new software programs used for verification purposes.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
Skills
- Mail distribution
- Correspondence drafting
- Departmental support
- Appointment confirmation
- Correspondence typing
- Spreadsheet tracking
- Handling a high call volume
- Appointment scheduling
- Listening skills
- Scheduling
- Supply management
- Initiative-taking
- Attention to detail
- Call forwarding
- Work prioritization
- Conflict management
- Customer service
- Multitasking and organization
- Skilled in [Excel, Word, ECW, Power Point
- Team collaboration
- Customer assistance and interaction
- Office organization
- Data entry
- Inventory control
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Timeline
Front Desk Receptionist
SOMA Medical Center PA
04.2021 - 02.2025
Insurance Verification Specialist
SOMA Medical Center PA
04.2021 - 02.2025