Felicia Mengel OConnell
Houston,US
Summary
0620- Adjuster- All Lines G072803
Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Bill Review CSR
Sedgwick
01.2024 - Current
- Expert at HICFA/ CMS 1500 forms
- Understanding of ICD and Drg codes
- Expert at Juris, ViaOne, SIR, Strata, Medata, and Pip systems
- Expert at understanding state guidelines
- Submitting reconsideration when appropriate
- Providing bills status
- Providing payment status
- Faxing EORs/EOBs
- Managed high call volumes, maintaining a professional demeanor during peak hours and effectively multitasking in a fast-paced environment.
- Demonstrated empathy and active listening skills, resulting in a higher rate of customer satisfaction and repeat business.
Scheduling Coordinator
R/H & Associates
12.2023 - 01.2024
- Utilized advanced software tools like Excel, Outlook, and scheduling-specific platforms to effectively manage comprehensive appointment calendars.
- Proactively identified scheduling issues and developed quick solutions to promote efficiency and profitability.
- Collaborated with other schedulers across different departments to share best practices for efficient coordination methods throughout the organization.
- Meeting matrix goals
- High call volume
Bill Review CSR
Sedgwick Claims Management Services
07.2023 - 10.2023
- Expert at HICFA/ CMS 1500 forms
- Understanding of ICD and Drg codes
- Expert at Juris, ViaOne, SIR, and Strata
- Expert at understanding state guidelines
- Submitting reconsideration when appropriate
- Providing bills status
- Providing payment status
- Faxing EORs/EOBs
- Managed high call volumes, maintaining a professional demeanor during peak hours and effectively multitasking in a fast-paced environment.
- Demonstrated empathy and active listening skills, resulting in a higher rate of customer satisfaction and repeat business.
PCT
DaVita Kennedy Boulevard Dialysis
05.2022 - 04.2023
- Set up and operated dialysis machines for patients receiving treatment for kidney failure.
- Measured and recorded patients' pre-dialysis and post-dialysis vital statistics.
- Cleaned and connected fistulas, grafts and catheters to prevent infection.
- Maintained a clean and safe environment through diligent adherence to infection control protocols.
- Improved patient comfort by carefully and efficiently setting up dialysis machines and monitoring patients throughout treatments.
- Started and ended reverse osmosis water systems and completed water quality monitoring tests.
- Reduced infection rates by maintaining strict aseptic techniques during all procedures.
- Safely transported, transferred and positioned patients on chairs for treatment.
Customer Service
OneTouch Direct
04.2021 - 05.2022
- Call center
- Provided exceptional customer service, resolving complex issues promptly and professionally.
- Greeted incoming customers and provided reliable, friendly customer service.
- Resolved escalated customer service inquiries and complaints to maintain satisfaction.
- Achieved individual sales goals and customer service goals.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Home Health Aide
Bayada
05.2020 - 05.2021
- Helped patients maintain personal hygiene through bathing, grooming, and toileting assistance when necessary for dignity preservation.
- Maintained a clean and safe home environment for patients, reducing falls and accidents.
- Assisted clients with daily living activities, enhancing their independence and quality of life.
- Performed light housekeeping duties including laundry linen changes sweeping vacuuming and mopping ensuring a clean and organized living space for patients.
- Improved patient well-being by providing compassionate and attentive personal care.
- Completed entries in log books, journals, and care plans to accurately document and report patient progress.
- Provided mobility assistance such as walking and regular exercising.
- Traveled to clients' homes to complete healthcare services and promote continuity of care.
- Safely transferred patients using appropriate equipment such as Hoyer lifts or gait belts minimizing injury risks.
Education
No Degree - Business Administration
Montgomery County Community College
Blue Bell, PACertifications -
Google Data Analytics Cert
Certifications -
FL Real Estate Cert
FloridaHigh School Diploma -
North Penn High School
Lansdale, PA01.2017
Skills
- Computer Proficiency
- Microsoft Outlook
- Microsoft Excel
- Scheduling
- CRM Software
- Customer Service
- Critical Thinking
- Customer Focus
- Professional telephone demeanor
- Conflict Resolution
- Call center experience
Certification
- Google Data Analytics Cert
- FL Real Estate Cert
- SBR customer services Training
- G072803, 0620 - ADJUSTER - ALL LINES
Timeline
Bill Review CSR
Sedgwick
01.2024 - Current
Scheduling Coordinator
R/H & Associates
12.2023 - 01.2024
Bill Review CSR
Sedgwick Claims Management Services
07.2023 - 10.2023
PCT
DaVita Kennedy Boulevard Dialysis
05.2022 - 04.2023
Customer Service
OneTouch Direct
04.2021 - 05.2022
Home Health Aide
Bayada
05.2020 - 05.2021
No Degree - Business Administration
Montgomery County Community College
Certifications -
Google Data Analytics Cert
Certifications -
FL Real Estate Cert
High School Diploma -
North Penn High School
- Google Data Analytics Cert
- FL Real Estate Cert
- SBR customer services Training
- G072803, 0620 - ADJUSTER - ALL LINES
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