Cynthia Charo
San Antonio,TX
Summary
Accountable Insurance Representative with excellent client management and insurance plan promotion. Highly effective juggler of multiple competing responsibilities simultaneously. Proven history of exceptional time management and customer service. Reliable employee seeking any position. Offering excellent communication and good judgment. Dedicated medical professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level enrollment Representative position in at home environment. Ready to help team achieve company goals. Experienced medical billing and coding plus customer service Representative with over 26 years of experience in medical. Excellent reputation for resolving problems and improving customer satisfaction. Enthusiastic Enrollment Representative eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of Enrollment and Cancellation and training in both . Motivated to learn, grow and excel in Medical Insurance .
Overview
18
18
years of professional experience
Work History
Enrollment Representative 1
Humana
Louisville, KY
09.2021 - Current
- Displayed consistent, positive attitude towards customers, peers and other personnel, even during high-stress situations.
Receptionist
Face And Body By Dr Kimberly Finder
San Antonio, Texas
04.2018 - 03.2020
- Confirmed appointments, communicated with clients and updated client records
- Managed multiple tasks and met time-sensitive deadlines
- Answered central telephone system and directed calls accordingly
- Checked-in visitors, distributed visitor badges and managed logbooks to comply with security initiatives
- Liaised with vendors, contractors and professional services personnel to properly process orders
- Maintained building security by monitoring logbook and issuing visitor badges
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance
- Restocked supplies and placed purchase orders to maintain adequate stock levels
- Kept reception area clean and neat to give visitors positive first impression
- Answered and quickly redirected large volume of calls on central system
- Directed incoming calls to internal personnel and departments, routing to best-qualified department
- Provided clerical support to company employees by copying, faxing and filing documents
- Aggregated and prepared documentation and reports for office meetings, distribution and filing
- Received and routed business correspondence to correct departments and staff members
- Answered large volume of incoming calls daily to resolve customer issues and schedule appointments
- Responded to inquiries from callers seeking information
- Managed multi-line phone system directing individuals to desired personnel and providing general information about operations
- Edit or add your own
- Orresponded with clients through email, telephone or postal mail
- Resolved customer problems and complaints
- Sorted, received and distributed mail correspondence between departments and personnel
- Answered phone promptly and directed incoming calls to correct offices
- Scheduled and confirmed appointments and meetings for senior management team
- Triaged incoming calls on multi-line phone system and directed to departments based on customer needs
- Answered high-volume, multi-line telephone, directing callers to appropriate company personnel.
Patient Advocate
SAOS PLLC
San Antonio, TX
08.2011 - 02.2018
- Worked with sales team to collaboratively reach targets, consistently meeting or exceeding personal quotas
- Calculated premiums and established payment methods for sales
- Created sources for continuous client referrals within community and with businesses using Skill and Skill
- Finalized sales and collected necessary deposits
- Collected premiums on or before effective date of coverage
- Remained impartial in order to advise clients based on circumstances.
Biller and Coder
SAOS PPLC
San Antonio, TX
08.2011 - 08.2012
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Initiated, performed and documented quarterly coding audits for physicians.
- Used eClincalworks to assign procedure and diagnostic codes to patient records for billing purposes.
- Applied charges and updated patient records by using [eClincalworks].
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Reviewed medical records to select appropriate coding sequences.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
- Implemented new coding procedures that reduced mistakes by and simplified processes.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Accurately selected proper descriptive code when more than one anatomical location was indicated.
Medical Appointment Scheduler and Check
Alamo Heart Asso. PLLC
San Antonio, TX
08.1997 - 01.2003
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Managed financial documentations such as expense reports and invoices.
- Organized patient files and streamlined operations to improve efficiency.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Received and routed laboratory results to correct clinical staff members.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Answered phone calls and messages for 6-physician Cardiologists medical facility, scheduling appointments and handling patient inquiries.
- Accurately completed insurance and Medicaid billing and OASIS documentation for patient visits.
- Answered telephone calls to offer office information, answer questions and direct calls to staff.
- Obtained payments from patients and scanned identification and insurance cards.
- Registered and verified patient records before triage with most up-to-date information.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Greeted visitors and initiated triage processes for clients to streamline patient flow.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
Medical Records , Unit Clerk and Medical Ass.
Heat And Vascular Inst Of Tx
San Antonio, TX
08.1994 - 08.1997
- Maintained historical reference by abstracting and coding clinical data such as diseases, operations, procedures and therapies with standard classification systems.
- Answered unit calls and took messages for healthcare staff to maximize team productivity.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Processed medical records requests from outside providers according to facility, state and federal law.
- Maintained patient records in compliance with security regulations.
- Uploaded physician progress notes, history and physicals into electronic medical records.
- Answered multi-line telephone system, provided information and directed calls.
- Delivered clerical support by handling range of routine and special requirements.
- Prepared meeting materials and took clear notes to distribute to stakeholders.
- Responded to and resolved diverse patient issues with speedy and knowledgeable assistance.
- Coordinated diagnostic tests, collection of samples and transportation to scanning rooms.
- Gathered patient information by collecting demographic information from variety of sources.
- Obtained and organized medical records for office visits and scheduled labs.
- Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
- Interacted with customers by phone, email or in-person to provide information.
- Maintained patient confidence by keeping patient records information confidential.
- Prepared admissions charts and scanned records.
Education
[10 -
Register Code Certification: Medical Billing And Coding Medical Management Institute Medical Billing/ Codi - Roswell - undefined
Certified [Billing and coding ], [Medical management Institute] - undefined
Timeline
Enrollment Representative 1
Humana
09.2021 - Current
Receptionist
Face And Body By Dr Kimberly Finder
04.2018 - 03.2020
Biller and Coder
SAOS PPLC
08.2011 - 08.2012
Patient Advocate
SAOS PLLC
08.2011 - 02.2018
Medical Appointment Scheduler and Check
Alamo Heart Asso. PLLC
08.1997 - 01.2003
Medical Records , Unit Clerk and Medical Ass.
Heat And Vascular Inst Of Tx
08.1994 - 08.1997