Clarimar Nieves
Allentown,PA
Summary
Compassionate and determined medical professional recognized for consistently excelling in all assigned duties, eager to leverage medical education into a rewarding career within a dynamic healthcare facility. Proficient in MS Excel, Word, and PowerPoint, with strong decision-making and problem-solving skills that enhance operational efficiency. Independent thinker who adapts quickly to new environments while requiring minimal supervision, complemented by active listening and analytical abilities. Bilingual in Spanish and English, dedicated to enhancing customer experiences through service-oriented behaviors that understand client needs and provide tailored solutions to foster loyalty.
Overview
9
9
years of professional experience
Work History
Customer Service Representative
Neighborhood Health Centers of the Lehigh Valley
12.2024 - Current
- Scheduling appointments, verifying insurance and processing authorizations, collecting co-pays and billing information, explaining clinic policies and procedures
- Document activity in customer accounts in an accurate manner and ensure confidentiality.
- Enter customer account data and communicate in a clear and concise manner.
- Identify customer needs, provide resolutions to problems, and follow established procedures.
- Interact with customers via inbound and outbound calls to answer inquiries and to provide assistance.
Manager
Weaver popcorn
05.2022 - 08.2024
- Addressed issues in a professional manner and resolved staff and customer service problems.
- Built relationships and stayed attentive to employees by motivating them to succeed and improve.
- Managed inbound and outbound calls, kept accurate and complete department records, processed payroll, prepared bank deposits, took inventory, and ensured adherence to policies and procedures.
- Supervised team members, created schedules, hired and trained new employees, and delegated tasks.
Medical Receptionist
Pediatrician
05.2016 - 02.2017
- Helped patients complete necessary medical forms and documentation.
- Contributed to a positive work environment by collaborating effectively with colleagues and supporting team initiatives.
- Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
- Checked patient insurance, demographic, and health history to keep information current.
- Supported office staff and operational requirements with administrative tasks.
Education
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy
01.2026
High School Diploma -
CURTIS HIGH SCHOOL
Staten Island, NY06-2017
Skills
- Medical Billing
- Accounts Receivable
- Collections
- Co-Pay
- Deductibles
- Co-Insurance
- EOBs
- Revenue Cycle Management
- Posting Payments
- Government (Medicare & Medicaid)
- Third Party Payers
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Managed Care (HMO
- PPO
- POS)
- Workers Compensation
- Insurance Verification
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Front Office Operations
- Medical Office Procedures
- Scheduling
- Medical Terminology
- Anatomy & Physiology
- HIPAA Compliance
- Medical Coding (ICD-10-CM
- HCPCS
- CPT)
- Customer service
- Adaptability and flexibility
- Time management
- Problem resolution
- Documentation
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Customer Service Representative
Neighborhood Health Centers of the Lehigh Valley
12.2024 - Current
Manager
Weaver popcorn
05.2022 - 08.2024
Medical Receptionist
Pediatrician
05.2016 - 02.2017
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy
High School Diploma -
CURTIS HIGH SCHOOL