Diamond Bailey
Sacramento,CA
Summary
A fast learner who has strong interpersonal skills and have the ability to work well under pressure. Strong ability to effectively and confidently manage multiple complex tasks simultaneously and maintain a high level of precision through detail-oriented execution. Accustomed to working in fast paced environments with the ability to think quickly and successfully handle and adapt to difficult situations.
Notable traits include a high degree of professionalism, integrity and a steadfast commitment to excellence.
Overview
5
5
years of professional experience
Work History
Customer Care Representative
Healthcare Options
12.2023 - Current
- Demonstrated strong communication skills by educating members with accurate, unbiased health information and assisted with their health plan selection and enrollment.
- Collaborated with healthcare professionals to guarantee accurate and timely delivery of member care services.
- Contributed to organizational success by providing exceptional customer service and cultivating positive relationships with members, families, and healthcare partners.
- Provided empathetic and professional patient interactions, contributing to an increased customer satisfaction rate.
- Utilized advanced state database systems to maintain secure health information, ensuring compliance with HIPPA regulations.
Patient Service Representative
Wellspeace Health
04.2023 - 10.2023
- Cultivated and nurtured patient relationships to amplify empathy and increase capacity building.
- Facilitated timely referrals for patients to specialists, coordinating appointments and ensuring necessary medical records were sent for continuity of care.
- Partnered with healthcare providers to determine appropriate referrals based on patient’s condition and insurance coverage.
- Delivered exceptional patient support through effective inquiry resolution, issue resolution, and appointment scheduling through NextGen.
- Communicated with patients, providers, and insurance companies to obtain necessary authorizations and approvals for referral services.
Beneficiary Services Representative
Medi-Cal Telephone Service Center
02.2020 - 02.2023
- Collaborated with teams and agencies to ensure timely and accurate medical billing, eligibility and claims processing.
- Provided personalized support to beneficiaries, enhancing understanding of health coverage, and explanation of benefits, boosting customer satisfaction rate by 15%.
- Resolved beneficiary inquiries with empathy, ensuring a positive customer experience.
- Assisted call center team with medical billing, DME requests, and treatment authorizations efficiently.
- Handled over 200+ call inquiries weekly, maintaining the flow of a high call volume.
Education
Public Health
Sacramento State University
06.2025
Community Health Worker
Elk Grove Adult & Community Education
06.2024
Skills
- NextGen
- Medical Terminology
- Spanish
- Communication skills (Verbal and Written)
- Microsoft Suite
- Referral Coordination
- Active listening
- Team Player
- Problem Solver
- HIPAA Compliant
Timeline
Customer Care Representative
Healthcare Options
12.2023 - Current
Patient Service Representative
Wellspeace Health
04.2023 - 10.2023
Beneficiary Services Representative
Medi-Cal Telephone Service Center
02.2020 - 02.2023
Community Health Worker
Elk Grove Adult & Community Education
Public Health
Sacramento State University
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