Crystal Roque
Helotes
Summary
Highly skilled Representative with experience in sales, customer service, and account management. Strengths include relationship building, problem-solving ability, and effective communication skills. Previous work has resulted in improved client relationships, increased revenue, and successful conflict resolution.
Overview
1
1
Certification
8
8
years of professional experience
Work History
DME Representative / Certified Fitter of Therapeutic Shoes (CFTS)
Carvajal Pharmacy
San Antonio
05.2023 - Current
- Prepare and distribute Detailed Written Orders (DWOs) to healthcare providers for completion and documentation required for patients to receive diabetic therapeutic footwear.
- Evaluate physician referrals and patient documentation to verify eligibility and qualification requirements for diabetic shoe programs.
- Reviewed completed physician documentation for accuracy and compliance, ensuring all required information was provided prior to processing.
- Coordinated patient outreach to schedule appointments and inform qualified patients about next steps in fitting process.
- Maintain accurate patient records and documentation while ensuring compliance with Medicare and insurance guidelines.
- Manage the referral process for patients, including scheduling appointments, communicating with insurance companies, and ensuring that all necessary information is sent.
- Review referrals for Diabetic Shoe Clinic and determine the patient’s qualifications
- Communicate with patients, physicians, and insurance companies about referral status. Present medical information to insurance companies to justify medical necessity
- Handled 90-100 inbound and outbound calls daily to assist patients and coordinate referrals.
- Processed patient orders for equipment, verifying details for efficient service
- insurance companies, and ensuring that all necessary information is sent.
- Communicate with patients, physicians, and insurance companies about referral status. Present
Receptionist
Mission Vision
San Antonio
06.2021 - 01.2023
- Coordinated patient appointments to streamline front office operations and maintain organized patient flow.
- Managed front office operations by scheduling and coordinating patient appointments while ensuring an organized and efficient patient flow.
- Verified patient insurance eligibility and benefits, ensuring proper documentation for accurate billing procedures before services.
- Verified patient insurance eligibility and benefits to ensure accurate billing procedures and proper documentation prior to services being provided.
- Reconciled daily payment activity by reviewing reports, verifying payment accuracy, and identifying discrepancies to ensure financial records matched end-of-day totals.
- Managed patient accounts and documentation review, ensuring compliance with office procedures and insurance requirements.
Customer Service Representative
Maximus
San Antonio
02.2021 - 06.2021
- Managed high-volume inbound calls from individuals seeking information and assistance regarding public benefit programs, enhancing customer understanding of medical and food assistance services.
- Provided professional customer support by listening to client concerns, gathering necessary information, and researching available resources to provide accurate guidance.
- Assisted individuals with navigating benefit programs by explaining eligibility requirements, application processes, and available assistance options.
- Conducted comprehensive research across multiple assistance programs to identify resources, ensuring clients received timely and relevant answers to their inquiries.
- Documented client interactions and maintained accurate records, ensuring confidentiality and compliance with established procedures to support effective service delivery.
Substitute Teacher
SOS Personnel
San Antonio
08.2019 - 03.2020
- Delivered instructional support to diverse student groups in various subjects.
- Managed classroom behavior and implemented school policies effectively.
- Collaborated with teachers to prepare lesson plans and materials.
Daycare Teacher
Poppy’s Kiddie Kampus
San Antonio
08.2018 - 10.2019
- Facilitated daily activities promoting social and emotional skills.
- Managed classroom environment to ensure safety and comfort.
- Supervised children during meal times, playtime, and other activities.
- Monitored children's interactions at meal times and playtime to foster social development.
- Read aloud and played alphabet games to encourage early literacy.
Education
Victory Learning Center
San Antonio, TexasSkills
- Insurance Verification
- Medical Documentation
- Patient documentation
- Billing Coordination
- Referral Management
- Sales
- Medical Supply Management
- Appointment Scheduling
- Schedule coordination
- Data Entry
- Microsoft Office
- Organization
- Paperwork processing
- Customer management
- Verbal communication
- Conflict resolution
Certification
Certified Fitter of Therapeutic Shoes (CFTS)
Timeline
DME Representative / Certified Fitter of Therapeutic Shoes (CFTS)
Carvajal Pharmacy
05.2023 - Current
Receptionist
Mission Vision
06.2021 - 01.2023
Customer Service Representative
Maximus
02.2021 - 06.2021
Substitute Teacher
SOS Personnel
08.2019 - 03.2020
Daycare Teacher
Poppy’s Kiddie Kampus
08.2018 - 10.2019
Victory Learning Center