Detail-oriented professional with experience in customer service, clinical data retrieval, and medical billing with various insurances, including Medicare and Medicaid. Skilled in resolving insurance rejections, analyzing data, and optimizing processes to enhance service delivery. Resourceful Specialist known for high productivity and efficient task completion. Skilled in data analysis, project management, and strategic planning. Excelling in communication, problem-solving, and adaptability, ensuring success in fast-paced environments.
Overview
6
6
years of professional experience
Work History
Clinical Data Retrieval Specialist
Episource, LLC.
Gardena, California
07.2024 - Current
Efficiently retrieve, audit, and upload medical records from various healthcare facilities for retrospective and prospective reviews, supporting health plans and client data needs
Conduct on-site and remote retrieval and auditing of paper and electronic medical charts, ensuring accurate and secure upload to proprietary systems within a 40-mile service area
Leverage advanced computer skills to navigate and utilize electronic health record systems, such as eClinicalWorks, while maintaining data integrity and compliance with privacy standards
Collaborate with coding teams to facilitate detailed chart analysis and audit processes, contributing to improved patient care outcomes and data accuracy for insurance evaluations.
Provided technical support for customers in resolving complex issues.
Utilized document management system to organize company files, keeping up-to-date and easily accessible data.
Utilized systems such as Salesforce to successfully track performance and view scheduled appointments.
Coordinated with other departments to ensure efficient workflow processes.
Pharmacy Technician
Medstar
Waldorf, MD
11.2023 - 07.2024
Accurately fulfilled medication orders by selecting, labeling, and packaging oral and topical prescriptions, collaborating with pharmacists to ensure compliance with safety and regulatory standards, while managing insurance billing with Medicare, Medicaid, and other payers
Proactively addressed medication order requests, pharmacy-related inquiries, and insurance rejections from patients, nurses, and physicians, providing high-quality customer service and resolving billing issues efficiently
Maintained and managed inventory levels, performed periodic inspections, and replenished stock to support optimal pharmacy operations and patient care, while ensuring insurance claims and billing processes were accurately handled
Utilized automated dispensing systems to streamline medication distribution, demonstrating attention to detail and efficiency in managing high-volume workflows, and verifying proper billing codes for insurance reimbursement
Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
Managed filing of prescriptions, both electronically and manually.
Ensured compliance with all federal, state, local laws and company policies related to pharmacy operations.
Collaborated with other healthcare professionals such as nurses or physicians regarding drug therapies or treatments for patients.
Kept accurate records of controlled substances received and dispensed in accordance with DEA regulations.
Assisted in training new employees on pharmacy procedures.
Enhanced pharmacy efficiency by developing and implementing organizational systems.
Prepared and processed medical insurance claim forms and records.
Assistant Manager
America's Best Contacts & Eyeglasses
Largo, MD
05.2023 - 11.2023
Analyzed and monitored financial performance by reviewing P&L statements, consistently achieving profit, sales, and performance targets through strategic planning and data-driven decision-making
Streamlined operations in the eyeglass department to improve efficiency and compliance with company policies, resulting in enhanced service delivery and operational effectiveness
Established and maintained high standards for customer service, training and mentoring associates to ensure consistent, high-quality client interactions and satisfaction
Conducted detailed quality assessments of products and services, implementing corrective actions and communicating effectively with senior management to ensure compliance and maintain store performance
Monitored employee attendance records, timekeeping, and payroll information.
Managed customer service inquiries and complaints in a timely manner.
Collaborated with management on developing strategic plans for achieving business goals.
Created reports on sales trends, inventory levels, and financial data.
Served as a liaison between staff members and senior management personnel.
Analyzed sales data to identify trends and adjust strategies accordingly.
Client Relations Support Specialist
Regency Furniture
Brandywine, MD
03.2023 - 05.2023
Developed and implemented efficient scheduling systems for delivery orders, optimizing service operations and enhancing customer satisfaction through timely and accurate deliveries
Maintained accurate financial records by meticulously managing invoice filing and supporting streamlined accounting processes to ensure compliance and transparency
Processed cash and card transactions with precision, adhering to company policies to guarantee the integrity of financial reporting and customer billing
Led office opening and closing procedures, ensuring operational continuity, security, and a well-organized work environment
Pharmacy Technician
CVS
Clinton, MD
03.2022 - 03.2023
Ensured precise and accurate medication dispensing by meticulously verifying prescriptions, conducting quality checks, and supporting patient safety and compliance with healthcare standards
Managed and updated patient profiles with detailed documentation, optimizing prescription processing, resolving insurance rejections, and enhancing data accuracy for healthcare providers
Processed medical billing for various insurances, including Medicare and Medicaid, ensuring timely claims submissions and resolving discrepancies
Delivered exceptional customer service by proactively addressing insurance inquiries and billing issues, fostering a positive and supportive environment
Provided customer service to patients by answering questions about medications and health-related topics.
Managed filing of prescriptions, both electronically and manually.
Collaborated with other healthcare professionals such as nurses or physicians regarding drug therapies or treatments for patients.
Assisted in training new employees on pharmacy procedures.
Teamed with peers, technicians and pharmacists to prioritize and complete orders.
Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
Transmitted claims to insurance companies for payment and reconciled EOBs.
Client Service Associate
Aldi
Clinton, MD
09.2021 - 03.2022
Delivered exceptional client service by effectively addressing inquiries, resolving issues, and ensuring customer satisfaction through professional and timely communication
Managed operational duties with precision, including accurate inventory monitoring and data analysis, to optimize product availability and support business objectives
Analyzed sales trends and inventory data to forecast demand and streamline restocking processes, contributing to efficient supply chain management and revenue growth
Utilized advanced point-of-sale systems to execute transactions with accuracy and integrity, maintaining meticulous financial records and upholding high standards of service quality
Lead Operations Supervisor
Amazon
Baltimore, MD
01.2021 - 09.2021
Implemented and enforced rigorous safety protocols to ensure employee well-being and maintain compliance with industry regulations
Conducted in-depth surveys and inspections, analyzing data to generate actionable insights that enhanced operational efficiency and elevated customer satisfaction
Developed and delivered comprehensive training programs, facilitating seamless onboarding and fostering a culture of excellence among new employees
Led operations by optimizing resource coordination and surpassing performance targets, while actively promoting employee development and conducting performance evaluations
Business Development Representative
Home Depot
Baltimore, MD
03.2019 - 01.2021
Orchestrated seamless customer transactions across multiple channels, including delivery, will call, and in-store purchases, ensuring operational excellence and exceptional customer experiences
Utilized analytical skills to proactively enroll customers in lines of credit, systematically assessing creditworthiness to make informed decisions that mitigated financial risk
Executed targeted marketing initiatives to inform contractors and business owners about promotional campaigns, special offers, and product updates, driving sales and fostering strong business relationships
Demonstrated effective communication and problem-solving skills to efficiently resolve customer inquiries and concerns, ensuring optimal satisfaction through both phone interactions and face-to-face meetings
Developed and maintained relationships with potential customers to understand their business needs.
Conducted outreach activities, such as cold calling, emailing and attending networking events.
Maintained up-to-date records of customer interactions and communications.
Set up potential client contacts, cultivated relationships, and followed through on service needs.
Education
Radiology Technology -
Anne Arundel Community College
Arnold, MD
10-2025
High School Diploma -
Largo High School
Largo, MD
06.2016
Skills
Customer Service Excellence
Analytical Thinking
Operational Efficiency
Team Collaboration
Training and Mentoring
Medical Billing with Various Insurances (including Medicare and Medicaid)