Dynamic individual with hands-on experience in the Medical Field and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Overview
26
26
years of professional experience
Work History
Claims Mailroom Lead
Regal Medical Group
01.2009 - Current
Supervise and manage a team of claims professionals
Ensure timely and accurate processing of claims
Conduct investigations into complex claims
Develop and implement policies and procedures to enhance the claims process
Provide leadership and mentorship to claims staff
Resolve customer complaints and concerns in a timely and professional manner
Analyze claims data to identify trends and opportunities for improvement
Partner with other departments to achieve company goals and objectives
Manage EDI rejects reports
Caregiver
Choice Home Care
01.2006 - Current
Ensure the individual's health and well-being, including medication management and regular check-ups.
Support the individual's learning and social development, including educational support and social activities.
Provide emotional support and understanding the individual's feelings and needs.
Encourage the individual's independence through daily activities and self-care.
Ensure the individual's safety and security, especially in the home environment.
Medical Receptionist/PBX Operator
Burbank Family Care / Burbank Pediatric Affiliates
01.2000 - 01.2009
Keeping the front desk or office organized and running smoothly
Scheduling appointments and follow-ups for patients
Calling patients to remind them of their appointments
Using a computer, medical office software, and other technology to keep information organized and up-to-date
Processing payments from patients
Assisting patients with filling out forms and answering their questions
Transcribing notes from doctors
Keeping the waiting and reception areas clean and inviting
Contacting insurance companies
Maintaining a working relationship with the medical receptionists at other medical offices or departments
Authorizations
Operate other communication systems such as intercoms, two-way radios, and public address systems when necessary
Record and deliver messages to the appropriate recipients
Answer all incoming calls and route them to the appropriate departments or individuals
Education
High School -
Albert Einstein High School
North Hills, CA
06.1999
Skills
Document Formatting, Typing and Telephone techniques
Bilingual (English and Spanish)
Customer service
Organized, punctual and dependable
Adaptable to other service and professional environments
Type 40-55 wpm
EZcap and Office Ally
Teamwork and collaboration
Friendly, positive attitude
Timeline
Claims Mailroom Lead
Regal Medical Group
01.2009 - Current
Caregiver
Choice Home Care
01.2006 - Current
Medical Receptionist/PBX Operator
Burbank Family Care / Burbank Pediatric Affiliates