Experienced administrative and eligibility specialist with 15+ years in healthcare-related and customer-facing roles. Skilled in verifying patient benefits, documenting insurance data in EMR systems, and ensuring accurate and timely coordination of benefits. Proven ability to communicate with patients and cross-functional teams to resolve insurance and eligibility issues efficiently.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Human Services Worker II / Case Aide
Department of Economic Security, DDD
02.2023 - Current
Serve as the first point of contact for in-office clients.
Verify coverage and process patient documentation in accordance with program and policy requirements.
Identify and flag potential benefits discrepancies during intake and redetermination processes.
Request and process medical records from providers; maintain tracking logs.
Respond to client inquiries; assist with referrals and document workflows.
Adhered to strict client confidentiality laws and site-specific procedures to uphold privacy and provide best experience possible.
Prepared documents for review and completion by service applicants, supporting completion and responding to questions.
Inputted information and obtained quantitative and qualitative data on client details to provide services requested.
Utilized complex client management systems, both digital and manual and maintained sensitive information in highly encrypted databases.
Secretary
Department of Economic Security, DDD
05.2022 - 02.2024
Greeted and directed visitors; routed documentation appropriately.
Managed mail, phones, and scheduling for case management staff.
Collaborated with medical staff to obtain records for eligibility assessments.
Maintained documentation logs and sensitive correspondence under compliance protocols.
Handled sensitive information discreetly, maintaining confidentiality when managing personnel files or financial data.
Maintained electronic filing systems and categorized documents.
Provided clerical support to company employees by copying, faxing, and filing documents.
Provided exceptional customer service by promptly addressing inquiries and resolving issues professionally.
Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
Volunteered to help with special projects of varying degrees of complexity.
Customer Service Representative
Circle K Stores
05.2020 - 05.2021
Delivered prompt and courteous service in a high-traffic retail setting.
Managed accurate transaction processing including cash and card.
Addressed and resolved customer concerns efficiently.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
Collaborated with team members to develop best practices for consistent customer service delivery.
Cashier
Ross
03.2014 - 09.2014
Processed purchases and handled end-of-day drawer audits.
Assisted customers in locating products and resolving concerns.
Greeted customers entering store and responded promptly to customer needs.
Worked flexible schedule and extra shifts to meet business needs.
Helped customers complete purchases, locate items, and join reward programs.
Restocked and organized merchandise in front lanes.
Stocked, tagged and displayed merchandise as required.
Answered questions about store policies and addressed customer concerns.
Customer Service Representative / Program Service Evaluator
Habilitation Tech 2 at State of Arizona Department of economic security/ DDDHabilitation Tech 2 at State of Arizona Department of economic security/ DDD
Contract Action Unit Supervisor at Arizona Department Of Economic Security, DDDContract Action Unit Supervisor at Arizona Department Of Economic Security, DDD
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