Jaime Rios
Miami
Summary
Dynamic Medical Call Center Representative with extensive experience at Baptist Health Medical Group, excelling in insurance verification and patient communication. Proven ability to maintain accurate electronic health records while ensuring HIPAA compliance. Recognized for exceptional problem-solving skills and efficient appointment scheduling, enhancing patient satisfaction and operational efficiency.
Overview
18
18
years of professional experience
Work History
Medical Call Center Representative
Baptist Health Medical Group
Boca Raton
11.2023 - Current
- Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
- Maintained patient records accurately using electronic health record systems.
- Processed insurance information and verified patient eligibility promptly.
- Coordinated communication between medical staff and patients effectively.
- Scheduled appointments efficiently across multiple medical services and providers.
- Protected patients by observing strict HIPAA guidelines.
Insurance Verification Specialist
Z Urology
Pompano Beach
08.2023 - 11.2023
- Verified patient insurance information for timely processing and eligibility checks.
- Communicated with insurance providers to obtain necessary authorizations and clarifications.
- Maintained accurate patient records in electronic health systems for easy access.
- Navigated through multiple online systems to obtain documentation.
- Assisted patients in understanding insurance benefits while confirming demographic information and financial obligations
Insurance Verification Specialist
Dr. Joshua Steiner
Hollywood
09.2022 - 08.2023
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Managed incoming calls from patients and healthcare providers effectively.
- Utilized customer service skills to enhance caller satisfaction during interactions.
Medical Receptionist
Sawgrass Pediatrics Coral springs
Coral Springs
08.2021 - 09.2022
- Greeted patients and managed front desk operations effectively.
- Scheduled appointments using electronic health record systems.
- Assisted patients with completing medical forms accurately.
- Checked patients in and out for appointments and collected co-payments.
- Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
Assistant Manager
Point Plaza Foot Care
Tamarac
07.2007 - 08.2021
- Assisted in managing daily clinic operations and patient flow.
- Addressed patient inquiries and concerns with professionalism and empathy.
- Assigned medical codes using ICD-10 and CPT code guidelines.
- Verified patient information and insurance eligibility to ensure accuracy of claims.
- Answered incoming calls from patients inquiring about their upcoming appointments or requesting changes to existing ones.
Education
J.P Taravella
Coral Springs, FL06-2005
Associate of Arts - 20 Credits Towards AA in Early Childhood Education
Broward College
Fort Lauderdale, FLSkills
- Electronic health records
- Insurance verification
- Appointment scheduling
- Patient communication
- HIPAA compliance
- Problem solving
- Time management
- Attention to detail
References
References available upon request.
Timeline
Medical Call Center Representative
Baptist Health Medical Group
11.2023 - Current
Insurance Verification Specialist
Z Urology
08.2023 - 11.2023
Insurance Verification Specialist
Dr. Joshua Steiner
09.2022 - 08.2023
Medical Receptionist
Sawgrass Pediatrics Coral springs
08.2021 - 09.2022
Assistant Manager
Point Plaza Foot Care
07.2007 - 08.2021
J.P Taravella
Associate of Arts - 20 Credits Towards AA in Early Childhood Education
Broward College