Dynamic and results-oriented professional with a proven track record at CVS Pharmacy, adept in claims investigation and enhancing customer satisfaction. Skilled in HIPAA compliance and clear communication, I excel in fostering client relationships and mentoring teams for peak performance. Achieved significant improvements in process efficiency and customer service standards.
Overview
12
12
years of professional experience
Work History
Insurance Claims Specialist
CVS Pharmacy
02.2022 - Current
Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
Maintained compliance with industry regulations and standards by staying current on relevant laws, policies, and best practices for handling insurance claims.
Followed up with customers on unresolved issues.
Boosted company reputation by delivering exceptional customer service during claim investigations and settlements.
Upheld a high level of accuracy by consistently double-checking figures, data entries, calculations, before finalizing any settlement documents or payments.
Processing Assistant
Barbour & Floyd Medical Associates
04.2018 - 02.2022
Maintained detailed records of patient progress, facilitating effective communication among healthcare team members.
Participated in staff training programs to expand knowledge of best practices in the field of mental health support.
Conducted comprehensive patient assessments to identify individual needs and develop appropriate care strategies.
Collaborated with interdisciplinary teams to implement customized treatment plans tailored to each patient''s unique needs.
Actively participated in case conferences, presenting relevant information on patient progress for collaborative decision-making purposes.
Developed and maintained positive relationships with clients to create safe and supportive environment.
Patient Registration Specialist
Los Angeles Christian Health Centers
04.2016 - 08.2018
Managed high-volume patient traffic during peak hours, prioritizing tasks to maintain efficient workflow.
Provided exceptional customer service, addressing patient concerns and answering questions promptly and professionally.
Strengthened relationships with healthcare providers by coordinating pre-authorization requirements for various procedures.
Improved patient satisfaction by efficiently registering patients and verifying their insurance information.
Assisted in training new staff members on best practices for patient registration, improving overall team performance.
Maintained strict compliance with HIPAA regulations while handling sensitive patient information.
Contributed to a decrease in wait times by expediting the check-in process with effective multitasking skills.
Facilitated referral management, ensuring timely follow-up appointments for comprehensive care coordination.
Promoted a positive work environment through active participation in team meetings and continuous process improvement initiatives.
Supervisor
AMC Theatres
10.2014 - 04.2016
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Accomplished multiple tasks within established timeframes.
Mentored new hires, resulting in stronger staff development and increased productivity.
Coached employees on best practices, providing constructive feedback to support their professional growth.
Crew Member
AMC Theatres
07.2013 - 10.2014
Accurately handled cash register transactions while providing excellent customer service.
Improved customer service rankings by resolving issues quickly and accurately.
Worked flexible schedule and extra shifts to meet business needs.
Took orders, prepared meals, and collected payments.