Diamond Bailey
Sacramento,CA
Summary
Experienced healthcare customer service specialist with 4 years in patient care and support, proficient in medical terminology, NextGen, and referral coordination. Demonstrates exceptional communication skills in both English and Spanish, enhancing patient satisfaction and understanding. Eager to contribute to a forward-thinking healthcare organization, fostering teamwork and collaboration.
Overview
6
6
years of professional experience
Work History
Provider Services Representative
Medi-cal Telephone Service Center
Sacramento, CA
09.2025 - 06.2026
- Assisted clients with enrollment processes and eligibility determination for programs.
- Provided accurate information to clients regarding Medi-Cal services and benefits.
- Resolved client inquiries through effective communication and problem-solving techniques.
Customer Care Representative
Healthcare Options
Sacramento, CA
12.2023 - 06.2024
- Demonstrated strong communication skills by educating members with accurate, unbiased health information and assisting with their health plan selection and enrollment.
- Contributed to organizational success by providing exceptional customer service and cultivating positive relationships with members, families, and healthcare partners.
- Provided exceptional customer service, fostering positive relationships with members, families, and healthcare partners to enhance overall satisfaction.
- Answered customer inquiries over the phone and via email.
- Utilized advanced state database systems to maintain secure health information, ensuring compliance with HIPAA regulations.
- Handled customer inquiries through phone and email to ensure effective communication and support.
- Utilized advanced state database systems to maintain secure health information, ensuring compliance with HIPAA regulations.
Patient Service Representative
Wellspace Health
Sacramento, CA
04.2023 - 10.2023
- Nurtured patient relationships to enhance empathy and support care coordination.
- Communicated with patients, providers, and insurance companies to obtain necessary authorizations and approvals for referral services.
- Delivered exceptional patient support through effective inquiry resolution, issue resolution, and appointment scheduling through NextGen.
- Provided patient support through effective resolution of inquiries and scheduling appointments via NextGen.
- Coordinated with patients, providers, and insurance companies to secure authorizations and approvals for referral services.
Beneficiary Services Representative
Medi-Cal Telephone Service Center
Sacramento, CA
02.2020 - 02.2023
- Collaborated with teams and agencies to ensure timely and accurate medical billing, eligibility verification, and claims processing, contributing to improved service delivery.
- Provided personalized support to beneficiaries, enhancing understanding of health coverage, and explaining benefits, boosting customer satisfaction rate by 15%
- Collaborated with teams and agencies to ensure timely and accurate medical billing, eligibility and claims processing.
- Supported call center team with various tasks with processing medical billing, DME requests, and treatment authorizations, enhancing workflow efficiency.
- Handled over 200 call inquiries weekly each week in a fast-paced call center environment., maintaining the flow of a high call volume.
Education
Public Health
Sacramento State University
SacramentoCommunity Health Worker
Elk Grove Adult & Community Education
Elk Grove 02.2024 - 06.2024
Skills
- Electronic Health Records
- Health insurance knowledge
- Medical Terminology (Expert)
- Referral management (Experienced)
- Microsoft Suite (Expert)
- Communication skills (Expert)
- Active listening (Expert)
- Active listening (Expert)
Personal Information
Title: Experienced healthcare customer service specialist
Skills
- Electronic Health Records
- Health insurance knowledge
- Medical Terminology (Expert)
- Referral management (Experienced)
- Microsoft Suite (Expert) ...
Timeline
Provider Services Representative
Medi-cal Telephone Service Center
09.2025 - 06.2026
Community Health Worker
Elk Grove Adult & Community Education
02.2024 - 06.2024
Customer Care Representative
Healthcare Options
12.2023 - 06.2024
Patient Service Representative
Wellspace Health
04.2023 - 10.2023
Beneficiary Services Representative
Medi-Cal Telephone Service Center
02.2020 - 02.2023
Public Health
Sacramento State University