Cynthia Collins
Medical Pre-cert Coordinator
Forest Park,IL
Summary
Highly motivated and experienced Customer Service professional. Proficient in prioritizing and completing tasks in a timely manner, yet flexible to multitask when necessary. Professional in medical insurance with strong focus on accuracy in claims processing, policy interpretation, and customer service. Skilled in navigating complex insurance systems and resolving issues efficiently. Known for fostering collaborative team environments and adapting to evolving industry needs. Consistently delivers reliable results through effective communication and problem-solving abilities.
Skilled with deep understanding of medical insurance processes and claims management, prepared to navigate complexities of healthcare coverage.
Overview
11
11
years of professional experience
Work History
Medical Precert Coordinator
Midwest Orthopedics at Rush
04.2023 - Current
- Collaborated with department heads to develop strategic plans aligning with overall company objectives, fostering a unified approach toward shared goals.
- Worked with sales team to collaboratively reach targets, consistently meeting or exceeding personal quotas.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and other applicable regulations in all aspects of the role.
- Increased patient satisfaction by efficiently processing insurance claims and addressing inquiries.
- Enhanced data accuracy by meticulously updating patient records and insurance information in the system.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Maintained comprehensive knowledge of various insurance policies, staying current with industry changes to provide expert guidance to patients and colleagues.
Optician
Pearle Vision
12.2022 - 03.2023
- Verified prescriptions and dispensed patient
- ICD10 Knowledge
- Acuity Logic Software
- Service recommendations
- Documentation and reporting
- Inbound phone calls
- Problem-solving skills frames using manual lensometer
- Administered single vision, bifocal & progressive optical lens, luxury frames & contact lens sales while exceeding weekly goal by 15%, generating over $25,000 in sales monthly
Optical Sales Manager
Optica
08.2017 - 09.2019
- Provided enhanced shopping experiences through suggestive selling and buying strategies; proactively and innovatively sought opportunities to up sell
- Exceeded weekly sales goals by 5%, in addition to improving sales team performance
- Medical & Vision Insurance savvy
- Strengthened merchandising and promotional strategies to drive customer engagement and boost sales.
- Filed claims with vision and medical insurance companies to garner payment for optical services.
- Resolved concerns with products or services to help with retention and drive sales.
- Answered average of 50-100 calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.
Call Center Representative
Bloomingdales Dept. Store
04.2015 - 08.2017
- Reduced downtime to support quality control, boost revenue and complete projects on time and under budget.
- Processed debit and credit card and electronic check payments.
- Resolved concerns with products or services to help with retention and drive sales.
- Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
- Assisted 80-100 customers by answering questions, responding to inquiries and handling telephone requests.
- Used consultative sales approach to understand customer needs and recommend relevant offerings.
Education
Associates of Business Administration - Business Administration
Robert Morris University
Chicago, IL01.2012
Skills
- Insurance verification (3 years)
- MS office
- Problem-solving
- Data entry
- Customer service
- Attention to detail
- Teamwork and collaboration
- Medical terminology
- Sales
- HIPAA
- Ophthalmology
Section name
Authorized to work in the US for any employer
Timeline
Medical Precert Coordinator
Midwest Orthopedics at Rush
04.2023 - Current
Optician
Pearle Vision
12.2022 - 03.2023
Optical Sales Manager
Optica
08.2017 - 09.2019
Call Center Representative
Bloomingdales Dept. Store
04.2015 - 08.2017
Associates of Business Administration - Business Administration
Robert Morris University