Summary
Overview
Work History
Education
Skills
Timeline
Generic

Enrique Delgado

Roseville,CA

Summary

Seeking a challenging and rewarding position as a crew member, leveraging my diverse experience to its fullest potential while fostering continuous professional growth and advancement opportunities.

Overview

10
10
years of professional experience

Work History

Sr. Patient Disputes Representative

Optum360
05.2014 - Current

1. Customer Relations Management: Develop and maintain positive relationships with patients, ensuring their needs are met and their concerns are addressed promptly and effectively.

2. Coordination with Team Members: Collaborate closely with team members to ensure a cohesive approach to handling patient requests, grievances, and disputes, fostering a supportive and productive work environment.

3. Liaison with Department Management: Serve as a liaison between department management and frontline staff, providing insights and feedback on patient interactions and working together to implement improvements in service delivery.

4. Patient Request Handling: Responsibly manage patient requests, ensuring timely and accurate responses while adhering to established protocols and procedures.

5. Dispute/Grievance Resolution: Address patient grievances with empathy and professionalism, working to resolve issues to the satisfaction of all parties involved.

6. Enhancement of Patient Experience: Continuously seek opportunities to enhance the overall patient experience, whether through streamlining processes, improving communication channels, or implementing innovative solutions.

7. Training and Development: Provide training and support to team members on effective customer service techniques, conflict resolution strategies, and best practices for handling patient requests and disputes.

8. Compliance Adherence: Ensure compliance with regulatory requirements and organizational policies related to patient interactions, data privacy, and dispute resolution.

9. Performance Monitoring: Monitor key performance indicators related to customer satisfaction and dispute resolution, identifying trends and areas for improvement and implementing corrective measures as necessary.

Education

High School Diploma -

Santa Clara High School
Santa Clara, CA
06.1998

Skills

  • Bilingual, Fluent in Spanish
  • Goal-oriented mindset
  • Customer Relations
  • Proficient in Microsoft Office (Word, Excel, Outlook)
  • Type 50 wpm with accuracy, 10-key by touch
  • Data entry proficiency

Timeline

Sr. Patient Disputes Representative

Optum360
05.2014 - Current

High School Diploma -

Santa Clara High School
Enrique Delgado