Jeseivis Foradada
Loxahatchee,FL
Summary
Experienced in delivering exceptional customer service, personable and professional individual adept at handling various issues and concerns with poise. Possessing a strong knowledge base, well-equipped to tackle challenges and provide effective solutions. Seeking to elevate career as a Supervisor, leveraging dedication and expertise to drive success in a leadership role.
Overview
9
9
years of professional experience
Work History
Member Service Guide II
Devoted Health
09.2023 - Current
- Bilingual Member Service Guide T1
- Assisted with Outgoing Welcome Calls for new Mbr's enrolling in 2024
- Tier II Upskill Completed
- Inbound Flex Campaign to support in May of 2024
- Tier II Mentoring - June of 2024 1x1 sessions with 6 guides from my team.
- Assisted my supervisor in the Kudos Channel
- Help Desk Training - Nov 2024
- Winner of the Compassion Counts Award Sept 2024
- CSNP /Help Desk Training Dec 2024
- Consistent in achieving Hipaa and Memx Goals
- Consistent high level Scorecard
- Assisted teammates with Metrics/Scorecard reviews
Intake Specialist
Steinger, Greene & Feiner
07.2017 - 01.2021
- Answer all incoming calls
- Update and maintain client database using Aderant Total Office
- Screen new cases and assess potential with the Attorney in charge based upon information given from the client/caller.
- Schedule and confirm all appointments for Investigators.
- Filing new auto claims for every case
- Purchasing police reports
- Creating a physical file for every case opened
- Mail (Incoming & Outgoing)
Billing Coordinator/ Admission Manager
Legacy Behavioral Health Center
06.2016 - 07.2017
- Process manual and electronic billing for Medicaid/HMO and private insurances
- Ensure there is a prior authorization for each client when services are applicable
- Process billing with procedure code for service, service date, amount and diagnostic codes
- Pull medical charts
- Promoted to Admissions Manager after 90 days*
- Main point of contact for the entire office - Triage every call
- Responsible for intake and pre admission qualifications checklist
- Ensuring all patients are contacted the day before appointment to confirm/reschedule if needed
- Communicate with potential patients and facilitate them through the intake process, what to expect
- Submit insurance authorization request per each patient
- Take care of any and all clerical duties, including covering the front desk when needed
- Scanning prescriptions into each patients log using our database
Education
High School Diploma -
Royal Palm Beach High School
Royal Palm Beach, FLSkills
- Bilingual
- Engaging personality
- Cultural Sensitivity
- Strong leadership skills
- Detail Oriented
- Excellent customer service
- Team Building
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Member Service Guide II
Devoted Health
09.2023 - Current
Intake Specialist
Steinger, Greene & Feiner
07.2017 - 01.2021
Billing Coordinator/ Admission Manager
Legacy Behavioral Health Center
06.2016 - 07.2017
High School Diploma -
Royal Palm Beach High School
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