Jada Rivas
San Diego,CA
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
5
5
years of professional experience
Work History
Account Manager
SD Medident
06.2021 - Current
- Addressed problems with accounting, billing and service delivery to maintain and enhance client satisfaction.
- Built and strengthened long-lasting client relationships based on accurate price quotes and customer-centric terms.
- Oversaw new business development and customer servicing.
- Liaised between account holders and various departments.
- Secured high-value accounts through consultative selling, effective customer solutions and promoting compelling business opportunities.
- Generated revenue by overseeing an assigned portfolio of clients
- Briefed with clients
- Explain health plan policy and contractual provisions related to membership and billing & improving efficiencies
- conduct audits
- Contributed to annual revenue goals by selling new services and developing new accounts.
- Analyzed account details such as usage, sales data and client comments to enhance understanding of effectiveness and client needs.
- Researched emerging industry trends, new applications, concepts and procedures for clients to update current training curriculum.
Customer Service Specialist
Anthem Blueshield
02.2020 - 05.2021
- Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
- Answered average of 120 calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.
- Complied with company policies and procedures by encouraging positive and effective work environment among all employees.
- Surpassed performance goals by approaching interactions with resourcefulness, organization and customer-centric solutions.
- Collected customer feedback and made process changes to exceed customer satisfaction goals.
- Increased efficiency and team productivity by promoting operational best practices.
- Handled 120 calls per shift signing up new customers, retrieving customer data, presenting relevant product information and cancelling services.
- Scheduling/ calendering
- Prepare and submit legal document requests
- Audit reviews, verification of identity and authorization
- Developed customer service improvement initiatives that decreased customer wait times by 20%.
Front Desk Agent
Kaiser Permanente
09.2019 - 05.2021
- Took appointments over phone, in person and via computer for guests and provided confirmation information.
- Answered customer telephone calls promptly and appropriately handled needs.
- Greeted visitors and customers upon arrival, offered assistance and answered questions to build rapport and retention.
- Calculated billings and posted charges to room accounts, reviewing charges with guests at checkout.
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Completed clerical duties and tasks for clinic administration.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
- Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care.
- Disseminated sensitive patient information and coordinated with translators to offer personalized service to individuals from diverse backgrounds.
- Contributed to and helped lead employee staff meetings, reporting trends in procedures, advising leadership on resources needed and preparing information to be disseminated.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic and health history to keep information current.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Helped patients complete necessary medical forms and documentation.
- Organized paperwork such as charts and reports for office and patient needs.
- Responded to correspondence from insurance companies to verify patient's coverage.
Education
High School Diploma -
El Camino High School
Oceanside, CAAssociate of Science - Psychology
Miracosta College
Oceanside, CA06.2024
Skills
- Strong Lead Development Skills
- Cost Reviewing
- Regional Accounts
- Account Verification
- Time Management
- Selling Advertising
- Business Development
- Excellent Communication Skills
- Coordinating Documents
- Persuasive Communication Expertise
- Networking Skills
- Statement Billings
- Call Transfers
- Logging Messages
- Managing Medical Practices
- Medical Records Verification
- Reviewing Medical Histories
Languages
Spanish
Professional Working
Timeline
Account Manager
SD Medident
06.2021 - Current
Customer Service Specialist
Anthem Blueshield
02.2020 - 05.2021
Front Desk Agent
Kaiser Permanente
09.2019 - 05.2021
High School Diploma -
El Camino High School
Associate of Science - Psychology
Miracosta College