Summary
Overview
Work History
Education
Skills
Timeline
Generic

Edna Tirado

Orlando,FL

Summary

Dedicated, bilingual (Spanish) highly seasoned administration professional with 15+ years of experience. Strong customer focus and ability to develop and maintain rapport with diverse groups of stakeholders to increase profitability and drive business results. Currently seeking a new career opportunity with a dynamic and growing company as to maintaining profession relationships to increase profitability and drive business results.

Overview

12
12
years of professional experience

Work History

Consumer Access Rep

AdventHealth East
Orlando, FL
01.2023 - Current
  • Proactively contacts insurance companies by phone, fax, online portal, and other resources to obtain and verify insurance eligibility and benefits and determine extent of coverage within established timeframe before scheduled appointments and during or after care for unscheduled patients
  • Meet department standard when obtaining pre-authorizations from third-party payers in accordance with payer requirements and within established timeframe before scheduled appointments and during or after care for unscheduled patients
  • Accurately enters required authorization information in AdventHealth systems to include length of authorization, total number of visits, and/or units of medication
  • Maintain close working relationship with clinical partners and physician offices to resolve issues with obtaining preauthorizations
  • Conducts diligent follow-up on missing or incomplete pre-authorizations with third-party payers to minimize authorization related denials through phone calls, emails, faxes, and payer websites, updating documentation as needed
  • Minimize duplication of medical records by using problem-solving skills to verify patient identity through demographic details
  • Ensure patient accounts are assigned the appropriate payor plans
  • Ensure all financial assessments, eligibility, and benefits are updated and thorough to support post care financial needs
  • Use utmost caution that obtained benefits, authorizations, and pre-certifications are correct and as accurate as possible to avoid rejections and/or denials
  • Maintains a current and thorough knowledge of utilizing online eligibility pre-certification tools made available
  • Thoroughly document all conversations with patients and insurance representatives - including payer decisions, collection attempts, and payment plan arrangements
  • Coordinate with case management staff as necessary.

Office Manager

Bigtime Tixs
Winter Park, FL
08.2019 - 12.2023
  • Assisting marketing personnel with the development of sales and support materials
  • Prepared timely and accurate sale reports, annual budgeting, accounts payable and receivables
  • Managed al aspects of ticket operations for assigned sports and concerts including (activity, managing inventory, allocating seats, customer service, payouts, and delivery of tickets)
  • Coordinated staff in three different states the fulfillment of tickets for all events per time zone
  • Managed travel arrangements for senior staff including maintaining scheduling appointments, meetings, and all travel for up coming events
  • Managing new hire interviews, new hire training classes, and new hire welcome packages.

CEO

All Events 4 You
Winter Park, FL
08.2015 - 07.2019
  • Procured and sold admission tickets for venues throughout the United States
  • Conducted research on emerging trends within the entertainment and sports industries
  • Managed staff salary and productivity, and mentored key players for next level of success
  • Developed marketing plan for customer loyalty via continuous communications and promotions
  • Implemented software improvements which increased quality assurance by 30 percent.

Personal/Small Business Banker

Fifth Third Bank
Winter Park, FL
08.2012 - 06.2015
  • Responsible for achieving predetermined sales volume and revenue
  • Responsible for developing and executing a comprehensive territory sales plan to achieve desired results
  • Actively engaged in business networking and community activities to achieve sales target
  • Actively represent the bank in business communities, generates business leads, and closes business opportunities
  • Creates awareness in the local community that the bank is providing multi-product banking solutions to the small business community
  • Maintain frequent interaction with COIs, diverse industry segments, community leaders, and senior business contacts
  • Proactive manage the portfolio of assigned high value clients
  • Actively employs strategies to expand business banking customer relationships by identifying their needs and maximizing opportunities
  • Responsible for customer satisfaction and retention
  • Engaged in cross-selling and refers customers to other business segments as appropriate
  • Sourced and makes available credit provisions for prospects and clients
  • Followed up on credit referrals from branch managers and business bankers
  • Partnered with branch staff and customers on preparing proper credit structure and credit package
  • Served as primary point of contact and delivers client satisfaction and relationship profitability
  • Organized sales activities and fulfills customer needs across territory by effectively leveraging on, coordinating, and organizing targeted marketing campaigns, events and new product launches
  • Executed joint sales activities and ongoing training to develop small business skills of assigned territory team
  • Responsible for providing ongoing coaching to branch staff and partners in assigned territory to effectively identify referral opportunities
  • Fostered teamwork and small business knowledge in all assigned branches to ensure a positive customer experience
  • Ensure ongoing and appropriate client communication to support maximization and satisfaction of client relationship
  • Strictly adhered to internal control policies, such as the account opening and credit protocols of accurate collection, completion, and updating of all required documentation
  • Ensured all activities are carried out in adherence to all regulatory, legal, and government regulations
  • Spent majority of time in the field, on sales appointments, generating leads to new opportunities, and closing business.

Education

GED -

Skills

  • Strategic planning
  • Quality assurance
  • Project oversight
  • Business planning
  • Staff management
  • New hire training
  • Account management
  • Annual budgeting
  • Bilingual Spanish/English
  • Proficient in Microsoft, Apple, Excel, PowerPoint, Outlook, Epic, Experian and computing word products
  • Knowledgeable in banking regulatory requirements: Bank Secrecy Act, Anti Money Laundering, USA Patriot Act, Privacy Act, Community Reinvestment Act

Timeline

Consumer Access Rep

AdventHealth East
01.2023 - Current

Office Manager

Bigtime Tixs
08.2019 - 12.2023

CEO

All Events 4 You
08.2015 - 07.2019

Personal/Small Business Banker

Fifth Third Bank
08.2012 - 06.2015

GED -

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Edna Tirado