Overview
Work History
Education
Skills
Certification
Languages
Languages
Timeline
Generic

Giovanni Miranda

Miami Gardens

Overview

3
3
years of professional experience
1
1
Certification

Work History

Onboarding Claim Specialist (Remote)

Quikaid, Inc.
01.2024 - Current
  • As an Onboarding Claim Specialist at Quikaid, I support clients pursuing Social Security benefits (SSI and SSDI) by delivering expert-level service and guidance throughout the claims process. This role demands a deep understanding of Social Security regulations, exceptional communication skills, and the ability to manage high volumes of complex documentation with accuracy and efficiency.
  • Key Responsibilities:
  • Guide clients through the Social Security claims process with empathy and clarity, ensuring a smooth onboarding experience.
  • Prepare, review, and submit detailed Social Security documentation, staying current with ongoing legal and procedural updates.
  • Manage both inbound and outbound communication with clients, providing proactive updates and addressing concerns with professionalism.
  • Continuously adapt to policy changes, streamlining workflows to improve claim accuracy and client outcomes.
  • Maintain strict attention to detail while handling confidential and time-sensitive information.
  • Achievements:
  • Consistently exceeded productivity goals with a 106% average efficiency rate in completed work per day.
  • Maintained a 98% quality score, reflecting high accuracy and minimal errors across all claims.
  • Earned a 99% customer satisfaction rating, demonstrating a strong commitment to client experience.
  • Increased typing speed from 75 to 121 WPM for one year, improving response time and operational throughput.
  • Authorized to work in the US for any employer

Clinical Operations Technician (Remote Contract)

Prime Therapeutics
09.2023 - 01.2024
  • As a Clinical Operations Technician supporting Medicare Part D, I played a key role in ensuring patients received timely access to necessary medications by evaluating and processing prescription claims for insurance approval. This role required sharp attention to detail, healthcare policy knowledge, and collaboration with licensed pharmacists to make accurate coverage determinations.
  • Key Responsibilities:
  • Reviewed and assessed medication prior authorization requests for Medicare Part D coverage, ensuring compliance with federal and plan-specific criteria.
  • Collaborated with clinical pharmacists to determine eligibility and approve or deny medication claims with precision and urgency.
  • Maintained high standards for accuracy and timeliness in documentation, directly impacting patients’ ability to access life-saving prescriptions.
  • Handled sensitive patient data in compliance with HIPAA and internal quality assurance protocols.
  • Operated in a fast-paced, detail-intensive environment where each decision could significantly affect patient care timelines.
  • Additional Notes:
  • This was a temporary, four-month assignment in which I was invited to extend my contract due to strong performance. I ultimately chose to pursue a new opportunity with Quikaid to broaden my experience and build expertise in Social Security disability benefits.

Registered Pharmacy Technician

Walgreens
Miami Gardens
10.2022 - 05.2023
  • As a Registered Pharmacy Technician at a high-volume Walgreens Care Center, I provided critical support in the coordination and fulfillment of prescription medications while ensuring a seamless and positive customer experience. My role involved resolving order issues, verifying prescription accuracy, and collaborating with healthcare providers and insurance companies to expedite patient care.
  • Key Responsibilities:
  • Processed and managed prescription orders with speed and precision, ensuring accuracy and compliance with pharmacy regulations.
  • Acted as a primary point of contact for patients, addressing questions, resolving order complications, and ensuring timely medication delivery.
  • Communicated with prescribers and insurance providers to resolve coverage issues and facilitate prior authorizations when needed.
  • Maintained strict adherence to HIPAA and Walgreens’ operational standards, handling sensitive health information with discretion and care.
  • Contributed to a patient-centered environment by consistently delivering high-quality service and support.

Education

High School Diploma -

Florida Virtual School
Florida
04.2022

Skills

  • English
  • Phone etiquette
  • Word processing
  • Microsoft PowerPoint
  • Microsoft Outlook
  • Microsoft Word
  • HIPAA compliance knowledge
  • Relationship building
  • Professional demeanor
  • Office equipment operation
  • Computer skills
  • Pharmacy technician experience
  • Data entry
  • Case management (3 years)
  • Customer support
  • Time management
  • Computer literacy
  • Claim management
  • Typing
  • Document preparation
  • Medical billing
  • Communication skills
  • Customer service (3 years)
  • Interdepartmental collaboration
  • Quality assurance awareness
  • Insurance verification
  • Process optimization
  • Organizational skills
  • Microsoft Excel
  • Medical terminology
  • Microsoft Office
  • Documentation management
  • Claims processing
  • Customer service
  • Attention to detail
  • Social Security regulations
  • Problem solving
  • Excellent communication
  • Written communication
  • Patient contact
  • Application review
  • Conflict resolution
  • Confidentiality maintenance
  • Legal compliance
  • Claims investigation
  • Technical writing
  • Collaboration skills
  • Secure data practices
  • Industry trends awareness
  • Appointment scheduling
  • Active listening
  • Records management
  • Claims analysis

Certification

  • Driver's License
  • Registered Pharmacy Technician March 2023 to December 2024

Languages

English - Expert

Languages

English
Native/ Bilingual

Timeline

Onboarding Claim Specialist (Remote)

Quikaid, Inc.
01.2024 - Current

Clinical Operations Technician (Remote Contract)

Prime Therapeutics
09.2023 - 01.2024

Registered Pharmacy Technician

Walgreens
10.2022 - 05.2023

High School Diploma -

Florida Virtual School

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Giovanni Miranda