Dedicated Customer Service Representative with expertise in healthcare administration and problem-solving. Skilled in managing workflows, training staff, and ensuring compliance with industry standards. Focused on enhancing operational efficiency and delivering high-quality service to promote customer satisfaction.
Overview
14
14
years of professional experience
Work History
Customer Service Representative
Freedom Care
Las Vegas
05.2025 - Current
Resolved customer issues using problem-solving techniques effectively.
Documented interactions in the electronic health record system accurately.
Conducted follow-up calls to enhance member satisfaction and clarify service understanding.
Answered customer inquiries and provided accurate information regarding products and services.
Provided excellent customer service to resolve customer complaints in a timely manner.
Asked probing questions to determine service needs and accurately input information into electronic systems.
Conducted regular follow-up calls with customers after resolving their issues.
Promoted products and services to customers during service and account management calls, enhancing their overall experience.
Assisted clients with care management inquiries, providing essential support and guidance.
Clinical Office Manager
Antelope Valley Health Center
335 e ave k6 b
06.2020 - 03.2025
Managed daily operations of clinical office, ensuring efficient workflow.
Supervised administrative staff, providing training and support.
Oversaw inventory management for medical supplies and equipment procurement.
Supervised front desk to manage check-ins and check-outs, verify insurance and collect payments.
Monitored employee compliance with OSHA, HIPAA, and office-specific standards to ensure quality patient care.
Assisted with budgeting activities such as forecasting costs, preparing reports and tracking expenses.
Compiled weekly and monthly reports on key performance indicators to track clinic operations.
Conducted regular performance reviews with staff members to ensure optimal productivity levels are maintained.
Created training materials for new employees to facilitate proper use of equipment and software.
Worked with management team to improve workflows and eliminate unnecessary tasks.
Collaborated with other departmental leaders to establish organizational goals, strategic plans, and objectives.
Medical Administrative Assistant
Antelope Valley Health Center
335 e ave k6 b
06.2017 - 06.2020
Coordinated patient scheduling and appointments, optimizing provider availability and patient access to care.
Processed insurance verification and maintained accurate patient records.
Responded to patient inquiries and provided exceptional customer service.
Collaborated with clinical staff to ensure smooth office operations.
Utilized electronic health record systems to update patient information efficiently.
Entered patient demographic information into the Electronic Health Records system.
Answered phones, scheduled appointments, and provided general information to callers.
Scanned documents into EHR systems according to established protocols.
Updated patient accounts and information daily.
Reached out to patients day before scheduled appointments to confirm times and instructions.
Ensured accuracy of medical codes on claims, facilitating timely and correct reimbursement.
Documented and addressed incoming correspondences, enhancing patient communication and support.
Retrieved lab results from outside laboratories and entered them into EHR systems.
Customer Service Representative
Inland Empire Health Plan, Care Management
Rancho Cucamonga
03.2012 - 06.2017
Resolved customer issues using problem-solving techniques effectively.
Answered customer inquiries and provided accurate information regarding products and services.
Conducted follow-up calls to ensure member satisfaction and understanding.
Remained calm and professional in stressful circumstances and effectively diffused tense situations.
Coordinated communication between members and healthcare providers.
Documented interactions in the electronic health record system accurately.
Managed electronic health records and maintained accurate patient information.
Collaborated with healthcare providers to clarify coding requirements and billing procedures.
Resolved claim denials by investigating issues and communicating with insurance companies.
Collaborated with healthcare teams to ensure effective EHR implementation and support.
Communicated effectively with patients regarding referral processes and timelines.