Versatile specialist with results-driven and focused approach to completing work. Skilled leader, planner and problem-solver with several-year career in the field. Known for excellent attention to detail and great work ethic.
Overview
11
11
years of professional experience
1
1
year of post-secondary education
1
1
Certification
Work History
Enteral Feeding Specialist
Polaris Pharmacy Services
Glendora, California
11.2023 - Current
Insurance Verification & Authorization:Determining insurance eligibility and obtaining necessary authorizations for enteral nutrition products, including specialized formulas and pumps.
Order Coordination: Processing orders for feeding pumps, sets, bags, and various nutritional formulas, ensuring they are delivered directly to the patient's home.
Documentation Management: Handling medical documentation and adhering to compliance regulations.
Communication: Interfacing between physicians, patients, caregivers, and internal staff to initiate care plans.
Patient Support: Answering questions and providing initial support for equipment setup and education.
Knowledge of Medical Terminology:Understanding of enteral feeding devices, formulas, and nutrition support.
Technical Skills: Proficiency with Electronic Health Records (EHR) systems.
Interpersonal Skills: Strong communication, organizational skills, and attention to detail.
Previous experience in Durable Medical Equipment (DME), home health, and medical office environments.
Intake Specialist-Medical billing
Owl Rexall Drugs
Glendora, California
11.2018 - 11.2023
Intake/Front Office: Greeted patients and collected demographic/insurance information.
Verification & Auth: Confirmed insurance eligibility and requested pre-authorizations for services.
Billing: Submitted insurance claims, and posted payments.
Claims Management: Investigated denials, rejections, and followed up on outstanding accounts.
Customer Service: Explained insurance benefits, EOBs (Explanation of Benefits), and manages patient payment plans.
Knowledge: Medical terminology, ICD-10/CPT coding, and HIPAA regulations.
Traits: High accuracy, strong communication, and ability to handle stressful situations.
Customer Service Representative
Essilor of America
Azusa, California
11.2014 - 02.2018
Assisted customers with product inquiries and order placements.
Resolved customer complaints through effective communication and problem-solving.
Contacted customers about potential service upgrades, new services and account changes.
Liaised between customers and retail buyers to expedite orders and meet customer demands.
Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions, and resolving issues quickly.
Enhanced productivity and customer service levels by anticipating needs and delivering outstanding support.
Specialist Home Enteral Feeding Dietitian at University Hospitals Sussex NHS Foundation TrustSpecialist Home Enteral Feeding Dietitian at University Hospitals Sussex NHS Foundation Trust