Daimy Morales
Insurance Specialist
Vancouver,WA
Summary
Accomplished Insurance Specialist with a proven track record at Rayus Radiology, enhancing customer satisfaction and resolving complex insurance issues. Expert in policy analysis and critical thinking, significantly improved team productivity and customer loyalty. Skilled in HIPAA compliance and customer complaint resolution, demonstrating exceptional documentation abilities and a results-driven approach.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Insurance Specialist
Rayus Radiology
12.2023 - Current
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Processed eligibility and benefits verification and authorization requests E.g.; 'Managed approximately 30 prior authorizations per day'
- Followed up on denials, late payments, extensions, and other special circumstances.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Communicated effectively with members of operations, finance, and clinical departments.
- Maintained a high level of industry expertise through continuous professional development courses and certifications in the field of insurance specialty.
- Researched and resolved routine and complex issues.
Enrollment Specialist
Premera Blue Cross Of Washington
10.2021 - 03.2022
- Updated, entered, and reviewed customer data. E.g.; 'Managed approximately 50 accounts a day'
- Communicated effectively via telephone, email, and in person with prospective customers.
- Enhanced customer service by promptly addressing inquiries and resolving issues in a timely manner.
- Managed multiple projects simultaneously while adhering to strict deadlines, demonstrating strong organizational skills.
- Educated clients on insurance policies and procedures.
Customer Service Representative
Alorica
10.2017 - 08.2018
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts. E.g.; 'Managed 50 calls per day'
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
- Assisted customers in navigating company website and placing online orders, improving overall user experience.
Supervisor
Izla Azul Cleaning Services
12.2015 - 01.2018
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
- Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
- Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
- Resolved conflicts among team members promptly, maintaining a harmonious working environment conducive to productivity.
Education
Associate of Arts - Health Information Management
Clark College
Vancouver, WA09.2023
Skills
- Documentation skills
- Policy analysis
- Documentation abilities
- Reporting skills
- Health insurance
- Customer follow-up
- Critical Thinking
- Insurance Coverage Verification
- Customer Complaint Resolution
- Insurance Practices
- Data Entry
- Insurance Eligibility
- Billing Procedures
- HIPAA Compliance
Certification
- Medical Billing & Coding,Clark College - 2015-2023
Languages
Spanish
Native or Bilingual
Timeline
Insurance Specialist
Rayus Radiology
12.2023 - Current
Enrollment Specialist
Premera Blue Cross Of Washington
10.2021 - 03.2022
Customer Service Representative
Alorica
10.2017 - 08.2018
Supervisor
Izla Azul Cleaning Services
12.2015 - 01.2018
Associate of Arts - Health Information Management
Clark College