Hiroshima Carter
Bronx
Summary
Front Desk Coordinator and Dental Receptionist with over a decade of experience enhancing patient experiences and streamlining operations in healthcare settings. Demonstrates proficiency in managing appointments, handling insurance claims, and maintaining patient records, leveraging skills in customer engagement and conflict resolution. Committed to fostering a welcoming and efficient environment, utilizing expertise in Microsoft Office Suite and Dentrix to ensure smooth practice operations.
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Helpful Member Service Representative diffusing volatile customer situations, generating additional revenue, and building productive relationships with both staff and customers. Customer-centered and friendly professional with extensive background maintaining customer satisfaction and contributing to company success goals.
Overview
11
11
years of professional experience
Work History
Member Service Representative
32 BJ Member Benefits Fund
Manhattan
11.2025 - 02.2026
- Collecting and analyzing data/information to resolve a problem in real time, at high volume standards.Provide customer service to participants to resolve eligibility or Fund benefit issues.
- Displayed proficiency in all processing systems: eligibility process, Health benefits and system, COOL/V3/DYNAMICS system, CRM/WF and vendor systemsDisplayed proficiency in all Funds (Health, Pension, Legal, SRSP, Shortman).
- Handling of inquiries through vendors, Medical, Optical, Pharmacy, Dental and Employee Assistance.Ongoing management of own inventory of work accumulated through Participant interactions/inquiries. These inquiries will involve customer complaints or inquiries on eligibility, enrollment, benefits and claims, and Pension related issues.
- Maintained accurate records of member interactions, ensuring compliance with organizational policies and procedures.
Front Desk Coordinator/Dental Receptionist
Manhattan Maxillofacial Surgery Group
Manhattan
08.2025 - 11.2025
- Greet and register patients, verifying insurance and collecting co-payments
- Schedule and manage appointments, ensuring efficient patient flow
- Answer phone calls, handle inquiries, and provide customer service
- Facilitated patient check-in and check-out processes, enhancing overall patient experience and operational efficiency.
- Maintained accurate patient records and documentation, contributing to compliance with healthcare regulations and standards.
- Collaborated with dental and surgical teams to streamline communication and improve patient care processes.
- Processed payments from customers including cash, checks, debit and credit cards, gift cards.
- Coordinate with dental staff to ensure smooth operations
- Handle insurance claims, follow-up on payments, and resolve billing issues
- Maintain office supplies, inventory, and handle administrative tasks
Intake Manager / Office Manager
Dada Homecare
Bronx
08.2024 - 11.2024
- Managed intake and enrollment for family wellness programs, enhancing patient access to care.
- Facilitated referrals to MLTC and Medicaid, ensuring timely assistance for clients.
- Coordinated NYIA assessments, streamlining patient evaluation processes.
- Communicated with CHHA for skilled service approvals, optimizing service delivery.
- Managed UM requests, boosting process accuracy and response times.
- Improved data entry and triage, enhancing team workflow.
Intake Specialist
Emblemhealth
Manhattan
03.2023 - 06.2023
- Coordinated with providers and facilities to resolve inquiries, fostering strong relationships and enhancing overall communication efficiency.
- Rerouted calls efficiently, enhancing client support and reducing wait times.
Billing Associate/Cust Service
Connecticare
12.2022 - 03.2023
- Managed billing inquiries and resolved discrepancies, ensuring accurate accounts and improved customer satisfaction levels.
Contact Tracer
United Healthcare
Manhattan
06.2020 - 02.2022
- Educate contacts on testing, isolation and quarantine related to COVID-19
- Monitor contacts of newly diagnosed patients.
- Communicate with contacts in a professional and empathetic manner.
- Collect and record information on symptoms into the CRM.
- Provide contacts with approved information about quarantine or isolation procedures, and if appropriate, refer them to testing according to protocol and/or to COVID-19 resources.
Dental Assistant
Uptown Dental
Manhattan
11.2019 - 03.2020
- Prepared patients for dental procedures, ensuring a smooth workflow.
- Sterilized instruments, maintaining high infection control standards.
- Assisted in dental emergencies, demonstrating quick problem-solving skills.
Front Desk Coordinator /Dental Receptionist
Prisma Dental
Santo Domingo
12.2014 - 01.2017
- Welcome patients, manage calls, enhance appointment efficiency.
- Coordinate dental charting, streamline treatment planning.
- Process insurance forms, ensure accurate billing.
- Translate services into codes, optimize billing accuracy.
- Maintain inventory, liaise with vendors, ensure supply availability.
Education
DENTAL ASSISTANT -
Cuny Lehman College
BronxHIGH SCHOOL -
Centro Educativo Metas
Santo Domingo, DRSkills
- Quality Assurance
- Microsoft Office Suite
- Dentrix
- Data Management
- Enrollment Coordination
- Healthcare Documentation
- Communication Skills
- Time management
- Google Workspace
- Multi-line Phone Systems
- Bilingual
- Software Proficiency
- Retail
- Advertisement
- Social Media Network
- Multi Tasking
- Benefits navigation
- Medical billing
- CRM systems
- Patient records management
- Insurance verification
- Billing processing
- Team collaboration
- Workflow optimization
- Patient intake management
- Call center experience
- Member account management
- Operations management
Websites
References
- Adam Bellow, Wicked Son Books, bellowadam@gmail.com, 646-522-2572
- Nicole Lowe, Emblemhealth, 347-262-6086
- Rosalina Martin, 32 BJ Benefits Funds 347-398-6186
Languages
- English
- Spanish, Native
Ethnicity
Hispanic/Latin
Timeline
Member Service Representative
32 BJ Member Benefits Fund
11.2025 - 02.2026
Front Desk Coordinator/Dental Receptionist
Manhattan Maxillofacial Surgery Group
08.2025 - 11.2025
Intake Manager / Office Manager
Dada Homecare
08.2024 - 11.2024
Intake Specialist
Emblemhealth
03.2023 - 06.2023
Billing Associate/Cust Service
Connecticare
12.2022 - 03.2023
Contact Tracer
United Healthcare
06.2020 - 02.2022
Dental Assistant
Uptown Dental
11.2019 - 03.2020
Front Desk Coordinator /Dental Receptionist
Prisma Dental
12.2014 - 01.2017
DENTAL ASSISTANT -
Cuny Lehman College
HIGH SCHOOL -
Centro Educativo Metas