GUY FENELON

• Maintained a clean and organized workspace, adhering to health code regulations for optimum food safety.
• Managed phone orders professionally, providing clear communication and accurate order details to kitchen staff.
• Collaborated with team members for smooth operations during busy hours, minimizing wait times for customers.
• Supported kitchen staff by prepping ingredients and assembling pizza toppings as needed, expediting order fulfillment.
• Operated cash register accurately, processing transactions quickly to maintain efficient customer flow.
• Built rapport with repeat customers by remembering names, preferences, or dietary restrictions.
• Contributed to positive work environment by maintaining open communication with coworkers and supervisors.
• Assisted in inventory management, ensuring adequate stock levels for uninterrupted service.
• Handled food deliveries responsibly by packaging orders securely and delivering within specified timeframes.
• Developed strong product knowledge to make personalized recommendations for customers based on their preferences.
• Enhanced customer satisfaction by efficiently taking and preparing orders with accuracy and speed.
• Ensured consistent quality of pizzas by following standardized recipes and portion control guidelines closely.

• Meticulously tracked pending Medicare Part A and Bclaims for follow-up action, ensuring prompt reimbursement for providers.
  Participated in ongoing professional development opportunities to stay current on industry trends and enhance skills as a Medicare Claims Processor.
  Conducted regular reviews of processed claims data to identify areas for improvement or optimization within the workflow process.
  Demonstrated excellent customer service skills when communicating with patients, providers, and colleagues regarding claims-related inquiries.
• Demonstrated excellent customer service skills while assisting diverse populations with various needs related to Medicaid benefits.
• Assisted clients in understanding their Medicaid benefits, explaining complex regulations and policies with clarity.
• Maintained up-to-date knowledge of changes in Medicaid regulations, sharing relevant updates with team members as needed.
• Reduced processing times by streamlining workflows and enhancing efficiency in handling Medicaid cases.
• Coordinated effectively with other departments and agencies for seamless delivery of services to Medicaid recipients.
• Collaborated with healthcare providers to resolve billing issues, facilitating prompt payment of claims.
• Processed Medicaid applications accurately, ensuring timely access to healthcare services for eligible members.
• Handled sensitive client information with discretion, adhering to HIPAA privacy regulations at all times.
• Trained new employees on company procedures and best practices for handling Medicaid-related tasks efficiently and accurately.
• Improved member satisfaction by responding promptly and professionally to Medicaid inquiries.
• Utilized data analysis techniques to identify trends and areas for improvement within the department''s operations related to Medicaid administration.

Contacted customers to discuss past-due accounts and negotiated payment plans

• Maintained accurate records of customer accounts, payments and payment plans
• Worked with customer to create debt repayment plan based on current financial condition
• Listened to customers and negotiated solutions that met creditor and debtor needs
• Established relationships with customers to encourage payment of delinquent accounts
• Processed debtor payments and updated accounts to reflect new balance
• Located customers with overdue accounts and solicited payment in compliance with fair debt collection practices
• Collaborated with cross-functional teams to implement strategies for improving collection rates and reducing bad debt
• Maintained accurate records of customer interactions, transactions, and comments in CRM system for timely follow-up action
• Developed strong relationships with customers through empathetic communication and active listening, resulting in increased trust and cooperation during collections efforts
• Educated customers on their financial obligations, offering guidance on budgeting and repayment options tailored to their individual circumstances
• Maximized recovery rates by implementing innovative collection techniques that balanced customer needs with company goals
• Provided language translation services for customer service inquiries
• Communicated with management when customer issues escalated and worked to find resolutions
• Met all call quality standards and daily quotas for first-call resolution
• Responded to customer calls and emails to answer questions about products and services
• Developed deep understanding of customer service principles and customer service best practices
• Helped improve customer satisfaction by translating customer paperwork and company documentation
• Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences
• Met customer call guidelines for service levels, handle time and productivity.

• Participated in quality assurance reviews to ensure accuracy and consistency in claim handling processes across the department.
  Reduced fraudulent activity by conducting thorough investigations into suspicious claims.
  Increased customer satisfaction by efficiently managing and resolving insurance claims.
  Maintained detailed records of claim investigations, ensuring proper documentation and adherence to regulatory guidelines.
  Continually exceeded performance goals related to productivity, customer satisfaction, and claim accuracy – demonstrating commitment to excellence in all aspects of work.
  Negotiated fair settlements with claimants by evaluating facts and applying knowledge of policy provisions and state regulations.
  Coordinated efforts between internal departments, including underwriting, billing, and legal teams in order to resolve complex claims issues.
  Assisted customers throughout the entire claims process – from filing initial reports through final settlement negotiations – ensuring seamless experiences at all stages.
  Kept informed on industry trends, attending professional development seminars to enhance skills as a Claim Service Representative continuously.
  Proactively addressed potential complications within the claim process by identifying risks early on and implementing preventative strategies.

• Managed approximately 60 incoming calls, emails and faxes per day from customers
• Facilitated smooth communication between patients, insurance companies, and medical staff for seamless coordination of care
• Maintained accurate records of customer interactions, ensuring proper documentation within the company's database
• Collaborated with team members to identify areas for improvement in customer service processes, implementing changes as needed
• Streamlined appointment scheduling process by utilizing advanced software tools, optimizing time management for both patients and medical professionals
• Investigated and resolved customer inquiries and complaints quickly
• Expedited service times with effective triage of incoming calls, directing patients to the correct department or resource
• Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.

• Enhanced patient understanding by providing accurate and timely translations during medical appointments.
• Assisted healthcare professionals in delivering culturally sensitive care to Spanish-speaking patients.
• Improved patient satisfaction with the quality of medical services through clear communication and empathy.
• Facilitated effective communication between healthcare providers and patients, ensuring proper diagnosis and treatment plans.
• Bridged language barriers, allowing Spanish-speaking patients to have equal access to healthcare services.
  Enhanced patient understanding by providing accurate and timely translations during medical appointments.
  Collaborated closely with nursing staff to provide essential information about patient conditions, ensuring proper care delivery.
  Maintained strict confidentiality when handling sensitive patient information following HIPAA guidelines.
  Streamlined interpreter scheduling processes, resulting in a more efficient allocation of resources across departments.
  Contributed to a 20% decrease in appointment delays by efficiently interpreting complex medical terminology for non-English speaking patients.
  Received recognition for outstanding service as a Medical Interpreter at the annual Hospital Quality Awards ceremony.
  Provided interpretation services during telemedicine consultations, enabling remote access to critical healthcare services for Spanish-speaking patients.
  Assisted healthcare professionals in delivering culturally sensitive care to Spanish-speaking patients.