Gingsen Davalos
Coral Gables,FL
Summary
Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
12
12
years of professional experience
Work History
Patient Access Representative Level # 3
University of Miami Sylvester Cancer Center
10.2023 - Current
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
- Maintained confidentiality of patient data and condition to safeguard health information.
- Built strong relationships with patients and their families, fostering trust and confidence in the care provided by the facility.
Patient Account Representative Level #2
University of Miami Miller School of Medicine
09.2022 - 10.2023
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Posted payments and processed refunds.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Self-motivated, with a strong sense of personal responsibility.
Patient Access Representative Level #1
University of Miami Sylvester Comprehensive Center
01.2022 - Current
- Clinical information necessary for financial clearance for patients
- Contacts patients and/or physicians' offices to obtain missing insurance information
- Verifies insurance and confirms insurance eligibility of patient coverage benefits, notifying patient in the event of failed eligibility
- Scheduling for clinic (INCLUDING add-on patients)
- Obtains necessary authorizations, pre-certifications, and referrals
- Notifies patients of liabilities and collects funds
Manager
Playground USA
09.2018 - 12.2021
- Determined price schedules and discount rates
- Oversaw regional and local sales managers and staffs
- Involved sales of manufactured products, services, commodities, real estate and other subjects of sale
- Prepared budgets and approved budget expenditures
- Conferred with department heads to plan advertising services and secure information on equipment and customer specifications
- Assessed marketing potential of new and existing store locations, considered statistics and expenditures
- Resolved customer complaints regarding sales and service
- Represented company at trade association meetings to promote products
- Monitored costs, competition and supply and demand to establish and adjust selling prices
Manager of Operations
Papa John's Pizza
08.2012 - 03.2015
- Analyzed financial data and forecasted trends to improve profitability
- Improved product development and reduced mistakes by implementing strong quality assurance protocols
- Developed company budgets and performed audits to meet long-term financial goals
- Reviewed customer and staff feedback to improve operational strategies and eliminate obstacles
- Maintained professional working relationships and promoted open lines of communication with staff
- Measured staff and process productivity and utilized results to make helpful equipment and staffing adjustments
- Provided employees with guidance in handling difficult problems or in resolving escalated complaints or disputes
- Tracked company inventories and ordered new products to replenish equipment levels
Education
Associate in Arts (A.A.) - NURSE
Miami dade college
Doral, FL06.2014
Skills
- Staff Management
- Managing Laborers
- Managing Cash Register
- Strategic Planning
- Administration and Reporting
- Employee Coaching and Motivation
- Managing Employee Relations
- Managing Operations and Efficiency
- Performance Tracking and Evaluations
- Managing Reception
- Productivity Performance
- Budgeting and Resource Management
- Timelines and Milestones
- Invoice Reconciliation
- Job Assignments
- Managing Files and Records
- Finance and Accounting Operations
- Managing Multiple Tasks
- Income and Expense Management
- Account Management and Updating
- Customer Service
- Insurance Verification
References
- Jamner Moreno, Dominos Pizza, General Manager, (786) 473-6841, uprz2010@gmail.com
- Pilar G, Papa John's, Manager, (502) 500-4103, jaymenendezx69@gmail.com
- Martha Comas, Playground usa owner, (305) 202-0351
Languages
English
Full Professional
Spanish
Full Professional
Timeline
Patient Access Representative Level # 3
University of Miami Sylvester Cancer Center
10.2023 - Current
Patient Account Representative Level #2
University of Miami Miller School of Medicine
09.2022 - 10.2023
Patient Access Representative Level #1
University of Miami Sylvester Comprehensive Center
01.2022 - Current
Manager
Playground USA
09.2018 - 12.2021
Manager of Operations
Papa John's Pizza
08.2012 - 03.2015
Associate in Arts (A.A.) - NURSE
Miami dade college
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