Claudia Mendola
Las Vegas
Summary
Resourceful and focused in detail-oriented, team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Experience with electronic recordkeeping and insurance documentation. Strong work ethic, adaptability and exceptional interpersonal skills.
Overview
10
10
years of professional experience
Work History
Insurance Coordinator
Brilliant Behavior, LLC
2024.02 - Current
- Obtained prior authorization and precertification for outpatient procedures.
- Filed and tracked insurance claims and communicated claims status to patients.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
Insurance Coordinator
The Lovaas Center For Behavior Intervention
2018.04 - 2024.02
- Verified insurance and communicated coverage to staff and patients.
- Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Obtained prior authorization and precertification for outpatient procedures.
- Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
- Posted payments to accounts and maintained records.
- Collected premiums and issued accurate receipts.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Call Center Team Lead
Livanta, LLC
2014.08 - 2018.04
- Responded to team support questions quickly to maintain call center efficiency.
- Handled advanced issues with calm, knowledgeable and professional approach.
- Ensured high-quality service by monitoring calls, providing feedback, and coaching team members on areas for improvement.
- Implemented new technology solutions that streamlined processes and improved overall efficiency within the call center environment.
- Promoted a culture of continuous learning within the team by sharing resources on industry updates and best practices.
- Generated reports detailing metrics such as call times and satisfaction ratings.
- Motivated employees to increase productivity and maximize service quality with hands-on leadership style.
- Reduced call wait times through efficient workforce management and proper scheduling of team members'' shifts.
- Oversaw team of 60 agents focused on incoming calls.
- Maintained open lines of communication with upper management, providing regular updates on team progress and challenges faced.
- Collaborated with other departments to ensure seamless coordination of efforts towards shared organizational goals.
- Optimized call center operations by identifying inefficiencies, recommending improvements, and implementing necessary changes.
Education
Business Administration And Management
Phoenix University
Las Vegas, NVMedical Administration
The Professional Institute of Technology & Acct
Las Vegas, NVSkills
Customer service and assistance
Claims Processing
Accounts Receivable
Records Management
Data Entry
Appointment Scheduling
Prior authorization processing
Attention to Detail
Understanding of medical terms
Excellent administrative abilities
Critical Thinking
Microsoft Office
Languages
Spanish
Professional Working
Timeline
Insurance Coordinator
Brilliant Behavior, LLC
2024.02 - Current
Insurance Coordinator
The Lovaas Center For Behavior Intervention
2018.04 - 2024.02
Call Center Team Lead
Livanta, LLC
2014.08 - 2018.04
Business Administration And Management
Phoenix University
Medical Administration
The Professional Institute of Technology & Acct
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