Den Emerson Bugtai
Windermere,FL
Summary
Highly motivated and dedicated individual with a proven track record in customer relationship management, problem-solving, effective communication, and multitasking. A bilingual Veteran with over 5 and a half years of experience, known for exceptional customer service skills and unwavering work ethic. Demonstrates meticulous attention to detail and strict adherence to operational compliance. Thrives in both team-based and selfdirected environments. Proficient in managing multiple projects with precision and professionalism. Acknowledged for unwavering commitment to excellence.
Overview
10
10
years of professional experience
Work History
Member Service Guide
Devoted Health
10.2022 - 10.2023
- Provide exceptional customer service by being responsive, helpful, and resolving issues quickly by answering calls and responding to emails in a timely manner.
- Asking questions, listening carefully, and using data to understand members' needs resulting in a quick response and meeting answer and talking time standards.
- Collaborate with team members to streamline processes and improve efficiency, which resulted in a 15% reduction in member wait time.
- Support members in finding the right healthcare providers by providing information and guidance.
- Develop a comprehensive understanding of our benefit offerings by reading documentation, attending training, and asking questions to make sure I am helping members to the best of my abilities.
- Documented accurate information about member needs in our system to ensure that it was accessible to all team members.
- Reduced average call handling time, ensuring prompt service to customers while maintaining quality interactions.
- Managed high call volumes while providing exceptional customer support and maintaining professional composure.
Prior Authorization Representative
SimonMed Imaging
04.2021 - 08.2022
- Improved patient satisfaction by efficiently processing prior authorization requests and ensuring timely responses.
- Streamlined workflow for faster approval turnaround times, handling high volume of insurance verification tasks.
- Reduced errors in documentation by meticulously reviewing medical records and verifying information accuracy.
- Enhanced team productivity with thorough training of new staff members on company policies and procedures.
- Collaborated with healthcare providers to expedite the process of obtaining necessary medical documentation for approvals.
- Ensured compliance with HIPAA regulations by maintaining strict confidentiality in handling sensitive patient information.
- Contributed to a positive work environment by effectively communicating with team members and fostering collaboration.
- Assisted management in implementing new processes and software systems, increasing overall efficiency within the department.
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
- Increased accuracy of insurance coverage validation by utilizing available tools and resources to verify eligibility requirements quickly.
Dental Specialist
United States Army
02.2014 - 08.2019
- Enhanced clinic efficiency by maintaining organized treatment rooms and sterilizing equipment.
- Educated patients on proper oral hygiene techniques, resulting in fewer cavities and gum disease cases.
- Reduced patient anxiety by explaining each step of their dental procedure in a clear and concise manner.
- Increased appointment availability by effectively managing scheduling conflicts and cancellations.
- Assisted dentists during complex oral surgeries, ensuring optimal patient safety and comfort.
- Maintained accurate patient records, enabling efficient communication among dental team members.
- Fostered a welcoming environment for all patients, promoting trust in the dental practice''s services.
- Mentored new staff members on office protocols and clinical procedures, ensuring seamless integration into the team.
- Implemented infection control measures according to OSHA guidelines, maintaining a safe work environment for both staff and patients.
Education
Bachelor of Arts - Applied Studies
Brandman University
Irvine, CA06.2021
Skills
- Critical Thinking
- Interpersonal Skills
- Volunteer Coordination
- Environmental Awareness
- Conflict Resolution
- Time Management
- Attention to Detail
- Positive Attitude
- Active Listening
- Strong Leadership
- Computer Literacy
Timeline
Member Service Guide
Devoted Health
10.2022 - 10.2023
Prior Authorization Representative
SimonMed Imaging
04.2021 - 08.2022
Dental Specialist
United States Army
02.2014 - 08.2019
Bachelor of Arts - Applied Studies
Brandman University
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