Customer service oriented professional with administrative and accounts payable experience, capable of providing timely and accurate data to ensure reimbursement for patient services. Looking for a platform to showcase my acquired skills and knowledge for career advancement in Healthcare Management. My mission is to be an effective employee in a healthcare organization that understands, satisfies, and services the needs of our customers.
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
7
7
years of professional experience
Work History
Behavioral Health Customer Service Agent
Resource Logistics
San Diego, CA
09.2022 - Current
Evaluated customer information to explore issues, develop potential solutions, and maintain high-quality service.
Educated clients on account services and resolved client inquiries regarding statement information and account balances.
Entered customer interaction details in sales system to track requests, document problems, and record solutions offered.
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Demonstrated high attention to detail, organization and management of multiple tasks and projects simultaneously.
Answered constant flow of customer calls with minimal wait times.
Participated in team meetings and training sessions to stay informed about product updates and changes.
Handled customer inquiries and suggestions courteously and professionally.
Communicated with clients regarding account services, statements, and balances.
Branch Support Specialist
Apia Healthcare
Riverside, CA
11.2018 - 09.2020
Answer incoming patient and referral source calls received at the local branch related to new orders, and ongoing patient service needs such as troubleshooting, order status and other general inquiries
Complete outbound calls to patient and referral sources regarding order receipt confirmation documentation requirements, insurance benefits, patient scheduling, order status and patient Wellness Calls
Review incoming faxed orders and determine action to be taken
Collaborate with back-office qualification teams to facilitate timely processing of orders
Partners with Sales team to obtain complete and accurate documentation based on payor and other regulatory requirements
Greets and supports walk in customers
May assist with coordination of patient Positive Airway Pressure (PAP) classes, including assembly of paperwork instructions and other non-licensed activities as defined by policy
May conduct downloads of recording devices such as apnea monitors, oximeters, CPAP devices, and other respiratory equipment as directed
Handle requests for audit and documentation purposes
Collect payment and billing information as needed
Order inventory or office supplies
Performs other duties as required
Maintains and safeguards patient privacy and confidentiality
Ensure individual compliance and conduct day to day activities according to the Apria code of conduct.
Office Manager
Twins, Inc
San Marcos, CA
02.2016 - 11.2018
Point person for maintenance, mailing, shipping, supplies, equipment, bills, and errands
Organized and scheduled meetings and appointments
Partnered with HR to maintain office policies, as necessary
Organize office operations and procedures
Coordinated with IT department on all office equipment
Managed relationships with vendors, and subcontractors, ensuring that all items are invoiced and paid on time.
Education
BA - Business
Management
Bellevue University
Associate of Science Degree - Grad
Ultimate Medical Academy
Skills
TECHNICAL SKILLSundefined
Additional Information
Managed Care Experience (HMO, PPO, POS) Able to decipher State Regulations, State contracted rates, Business Requirements, CMS updates and Benefit Grids. Clinical Pricing Knowledge (Capitation, HUGS/RUGS, DRG, RBRVS, State Fee Schedules, Per Diem, DOFR, Variable Per Diem, Outliers, Interest & Penalty, ASC, APC, EAPG, % billed, OPPS, Inpatient Services, Case Rates, etc. Revenue Cycle Management EHR/ EMR Medical Office Operations Managed contract and price negotiations with office vendors, service providers and office lease. Provide general support to visitors. Responsible for creating PowerPoint slides and making presentations to government representatives. Managed schedules, calendars, and appointments. Responsible for managing office services by ensuring office operations and procedures are organized, correspondences are controlled, filing systems are designed, supply requisitions are reviewed and approved and that clerical functions are properly assigned and monitored. Established and monitored procedures for record keeping. Ensured security, integrity, and confidentiality of data due to working with Department of Defense. Designed and implemented office policies and procedures. Oversaw adherence to office policies and procedures. Analyzed and monitored internal processes. Implemented procedural and policy changes to improve operational efficiency. Prepared operational reports and schedules to ensure efficiency. Knowledge of office management responsibilities, systems, and procedures.
Timeline
Behavioral Health Customer Service Agent
Resource Logistics
09.2022 - Current
Branch Support Specialist
Apia Healthcare
11.2018 - 09.2020
Office Manager
Twins, Inc
02.2016 - 11.2018
BA - Business
Management
Bellevue University
Associate of Science Degree - Grad
Ultimate Medical Academy
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