DAYSE ELENA CANALES
Orlando
Summary
Licensed Professional Real Estate Agent Highly self- motivated, diligent with extensive patient and customer service and sales experience. Outgoing sales professional with track record of increased sales, improving buying experience and elevating company profile with target market. Effectively overcomes objections and close sales. Persuasive in negotiating contracts and diplomatic in communicating with clients to build long-term, productive relationships. Dependable individual looking to utilize relevant experience, education and skills to provide the highest level of professionalism and customer service.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Ecommerce/Membership Processing Clerk
Costco Logistics/Member Service Center
Orlando, FL
07.2024 - Current
- Operates as the liaison between Costco.com customers, vendors, buying and operations staff as well as assists callers with merchandise and services provided to our members
- Managing and Coordinating merchandise requests for Ecommerce LTL deliveries, UPS, FEDEX & Logistics directly with Vendors, Carriers, and Ecommerce operations to resolve errors and escalations
- Processing Refunds, Exchanges, and Cancellations or placing CUS Holds with members and/or delivery teams according to the member’s requests
- Creating/Renewing new and existing personal/business memberships
- Upgrading, downgrading and refunding renewal fees upon request
- Looking into to Shop Card and 2% rewards inquiries
- Sending online access/password resets if applicable
- Inbound and outbound phone calls and email correspondence from our members, delivery and installation teams and technicians in a friendly and efficient manner for first call resolutions for optimal member satisfaction
- Communicating articulate information, both verbally and in writing, in a way that can be easily understood via phone calls with member and de-escalate all interactions that are escalated
- Member Service skills that exhibits a professional demeanor while assisting members in a prompt and effective manner
- Is proactive and reacts quickly and appropriately in identifying problems, finding solutions, and making sound decisions that reflect Costco’s Code of Ethics
- Self-Motivated individual that’s well organized and able to prioritize and multi-task
- Maintain a commitment to honesty, integrity, and high levels of efficiency and accuracy at all times, including good follow through skills
- Team Player that Cooperates well with a variety of personalities and individuals and participates in a professional manner to accomplish the business goal
- Problem Solver with the ability to identify and solve complex problems including problem de-escalation
- PC Skills with thorough understanding and comfortable maneuvering through multiple Costco, Google email, documents and Spreadsheets applications
- Current #1 Submitter on OMU Value of Membership Saves for the past several months
Real Estate Agent
Holding Golden Real Estate
Orlando, FL
04.2024 - Current
- Good verbal and written communication skills to be able to prepare documents and speak with client, financial professionals and other Realtors
- Creates excellent negotiation skills with clients and other realtors to arrive at agreeable sales terms
- Strong time management and organizational skills to keep track of appointments and commitments with buyers and sellers
- Outstanding promotional and marketing skills to attract sellers/buyers and establish their client base through referrals, advertising and outreach
- Knowledge of the local real estate market concerning average property prices, neighborhoods within sales territory and current trends
- Great client service skills and ability to understand the needs of clients in terms of what they are looking for and what is practical within their price range
- Develop a marketing plan for clients designed to attract and address the needs of sellers/buyers
- Gather client information concerning their desired features in a home, financial ability, home types and neighborhoods of interest
- Identify properties for sale through the multiple listing service and present them to clients
- Pre-screen and qualify all potential buyers before allowing them onto a client’s property
- Assist clients as they explore their financial options
- Present all offers to clients
- Preside over negotiations and advise clients on suitable courses of action
Patient Support Lead Administrator/Patient Support Agent
CleanSlate Centers (Alcohol/Opioid Rehabilitation)
REMOTE
08.2020 - 05.2024
- Contact person handing ALL 18 Massachusetts Rehab centers for the Prior Authorization department
- Contact person/trainer for multi-site, multi-state (MA, CT, PA, FL & AZ) insurance healthcare organization verifications: for all Medicaid, Medicare, VA and Commercial policies to determine eligibility and request prior authorizations for non-formulary medications
- Providing non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for patients
- Prioritizes, delegates and organizes own work to meet strict deadlines
- Efficiently and accurately gathers and inputs patient/guarantor demographic, diagnosis codes, medical history, adverse reactions to medications and financial information
- Chart Audits; requests providers to add amendments with missing clinical documentation for continuation of treatment for non-formulary medication rationale
- Enter and scan Prior authorizations Approvals & Denials follow up and Appeal requests immediately
- Assist & Follow up with Pharmacists at pharmacies on processing prescriptions claims at the pharmacy level when they get prescription claims rejected
- Bi-weekly Zoom meetings with clinical and management staff members regarding the prior authorization trials, requirements and guidelines for all insurance companies
- Update and maintain training materials for prior authorization process and utilizing applicable Cleanslate systems
- (Manuals, Trackers, Etc.)
- Coordinates resolution of escalated patient or provider inquiries as related to Prior authorizations, patient care and compliance for continued treatment
- Assistance with online chats messages with (DCF) Department of Children and Families, Attorneys, Department of Corrections relating to patient compliance and program adherence
- Answering and managing an average of 75-100 inbound/outbound call center calls per day in a timely manner
- Promptly answering emails and online chats messages in accordance with company KPIs
- Scheduling appointments using computerized scheduling systems
- Resolve patient issues and consistently meet or exceed patient’s service expectations
- Maintain accurate patient accounts by obtaining, recording, and updating personal/financial/insurance information
- New patient registration, healthcare insurance verification and scheduling
- Adhering to department Quality Assurance Program and Core Values
- Meet performance goals established for the position in the areas of: efficiency, call quality, attendance, calls per day, patient satisfaction
- Communicates all critical and/or functional concerns to the Manager and makes recommendations for solution
- Must be proficient in MS Office and Office 365
- Ability to react well under pressure and treat others with respect
- Provided support, patience, and compassionate customer service to the lives we serve
- Adhere to Company policies regarding confidentiality
Patient Registration Front Desk
Advent Health Imaging
Orlando, FL
06.2017 - 01.2020
- Match all credit card, cash and check reports from Cerner/Zotec to cash out for the day (close the books/batch out/QA); research and fix all discrepancies if applicable; then lock up in safe for carrier to deposit the following morning
- Updating/Scanning in patient information during registration and providing any necessary forms needing completion; obtain signatures as necessary
- Scheduling/Rescheduling appointments properly according to Dr’s orders, diagnosis and implants followed by educating patient's on exam prep's prior to exams
- Receive and record patient copays; ensure that collected credit card, cash and check payments are processed according to established protocols and schedules
- Obtain Clinical notes so that the authorization process can be expedited prior to exam
- Making sure ICD-10/CPT codes justify exam being performed
- Make CD using Pacs Cube and or print medical record requests for images/reports to be ready for mail out or pick up upon patient's request and/or follow up specialist appointments
- Maintain records of all outside reads; ensure that results are communicated on time
- Provide assistance to technologists and patient care assistants to ensure timely services are rendered
- Print out patient reports from prior exams performed as directed
- Print and prepare daily schedules and attach appropriate paperwork for the following day
- Assists with both Building and Staff Security/Safety serving as staff support to security management and assisting in conducting investigations
- Highest Monthly Payment Collections Employee
- Employee of the Month; once every year employed with Advent Health Imaging
Supervisor/Team Lead Patient Care Coordinator/CNA
Medicor Healthcare Inc.
Orlando, FL
01.2011 - 05.2015
- New Hire & Computer Program Trainer for all branches locally and in Puerto Rico
- Primary customer service consultant & problem solving with Insurance, Physician & Referral liaisons
- Marketing follow-ups with outside Referral coordinators to create ongoing new patient referrals
- Process and execute incoming clients work orders for (DME) durable medical equipment/oxygen/home health/pharmaceutical services prior to deadline
- Entry and verification of insurance and medical authorizations into perspective data bank
- Billing and record keeping for clients and physicians
- Extensive interaction and problem solving with clients in compliance with all applicable Medicor Policies
- Evaluate outcomes of care with the interdisciplinary team by measuring intervention effectiveness with the team; implementing team recommendations
- Protects self, co-workers, and patients by following policies and procedures to prevent the spread of blood borne and/or airborne diseases
- Maintains patient care database by entering new information as it becomes available; verifying findings and reports; backing up data; Downloading Oximetry & Sleep Apnea Reports
- Respects patients by recognizing their rights; maintaining confidentiality
- Schedule and coordinate clients’ appointments
- Filing, faxing, photocopying, handling busy phones and perform data entry ICD Coding, CPT coding, experience
- Take and records blood pressure, pulse, respirations, temperature, height and weight
- Help patients to care for themselves by introducing and teaching assisted living techniques, such as using a cane or walker, using special utensils to eat, using special techniques and equipment for personal hygiene needs; provide family members help to care for the patient by introducing and teaching appropriate ways to lift
Medical Biller and Coder
Florida Injury Billing
Orlando, FL
01.2010 - 12.2010
- Completed payments including charge and payment entry
- Reviewed codes to ensure the 1500 forms were prepared correctly
- Follow-up with medical insurance reimbursement and check payments accuracy
- Mailed out proper bills to insurance companies
- Third Party Billing/ Including Medicare, Medicaid, Champ VA, HMOs, Private Carrier
- Scanned patient’s documents into the computer system to ensure uploaded to their file properly
- Filed, copied, faxed, and created mail correspondence as needed
- Sent non-payables to collections after contacting adjustors, attorney’s office or patient for payment
Education
Associates Degree of Science - Medical Billing & Coding
Everest University
Certified Nursing Assistant -
Gabriel Health Institute
Florida Real Estate Sale Associate -
Cameron Academy
Skills
- Data Searching
- Workload management
- Client relationship management
- Compliance monitoring
- Process analysis
- Teamwork and collaboration
- Cross-functional coordination
- Effective communication
- Team collaboration
- Document processing
Certification
- Florida Realtor, Active Real Estate Agent
- Certified Professional Coder, Everest University
- Florida Certified Nursing Assistant (CNA), Gabriel Health Institute
- Basic Life Support (BLS), American Heart Association
- Basic First Aid, American Safety & Health Institute
- Costco E-commerce Certified
- Costco Membership Certified
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Ecommerce/Membership Processing Clerk
Costco Logistics/Member Service Center
07.2024 - Current
Real Estate Agent
Holding Golden Real Estate
04.2024 - Current
Patient Support Lead Administrator/Patient Support Agent
CleanSlate Centers (Alcohol/Opioid Rehabilitation)
08.2020 - 05.2024
Patient Registration Front Desk
Advent Health Imaging
06.2017 - 01.2020
Supervisor/Team Lead Patient Care Coordinator/CNA
Medicor Healthcare Inc.
01.2011 - 05.2015
Medical Biller and Coder
Florida Injury Billing
01.2010 - 12.2010
Certified Nursing Assistant -
Gabriel Health Institute
Associates Degree of Science - Medical Billing & Coding
Everest University
Florida Real Estate Sale Associate -
Cameron Academy
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